[1]石中华范裕如周春秀丁虹娟.集束化管理提高催产素引产成功率[J].中国卫生质量管理,2022,29(05):013-16.[doi:10.13912/j.cnki.chqm.2022.29.5.04 ]
　SHI Zhonghua,FAN Yuru,ZHOU Chunxiu.Improvement of Success Rate of Oxytocin Induction Labor by Cluster Management[J].Chinese Health Quality Management,2022,29(05):013-16.[doi:10.13912/j.cnki.chqm.2022.29.5.04 ]
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集束化管理提高催产素引产成功率
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年05期
页码:
013-16
栏目:
特别关注
出版日期:
2022-05-28

文章信息/Info

Title:
Improvement of Success Rate of Oxytocin Induction Labor by Cluster Management
作者:
石中华范裕如周春秀丁虹娟
南京医科大学附属妇产医院/南京市妇幼保健院
Author(s):
SHI Zhonghua; FAN Yuru; ZHOU Chunxiu
Women's Hospital of Nanjing Medical University/Nanjing Maternity and Child Health Care Hospital
关键词:
产科; 催产素引产; 集束化管理
Keywords:
Obstetrical Department;  Oxytocin Induction;  Cluster Management
分类号:
R197;R714
DOI:
10.13912/j.cnki.chqm.2022.29.5.04
文献标志码:
B
摘要:
科学管理催产素引产过程是产科一项重要工作。针对催产素引产成功率较低的原因，实施了集束化管理模式，包括建立催产素引产质控小组，加强催产素引产指南和技能的培训与考核，规范和优化催产素引产流程，强化医护合作，建立催产素引产中心，加强信息化建设，提供人性化服务等。实施后，孕妇催产素引产时间缩短，催产素引产成功率提高，母婴并发症发生率有所下降，孕妇满意度提升。集束化管理在保障母婴安全的基础上，提高了催产素引产成功率。
Abstract:
Scientific management of oxytocin induction of labor is an important work in Obstetrics Department. According to the low success rate of oxytocin induced labor, the implementation of the cluster management mode, including establishing oxytocin induced labor quality control team, strengthening the training and examination on guide and skills to oxytocin induced labor, standardizing and optimizing oxytocin induced labor process, strengthening the medical cooperation, establishing oxytocin induced labor center, strengthening the construction of information, providing humanized service, etc. After implementation, the average duration of labor induced by oxytocin in pregnant women was shortened, the success rate of labor induced by oxytocin was increased, the incidence of maternal and infant complications was decreased, and the satisfaction of pregnant women was improved. Cluster management improved the success rate of oxytocin induction labor on the basis of ensuring the safety of mother and child.

参考文献/References:

［1］ZHANG Y, BETRAN AP, LI X,et al.What is an appropriate cesarean delivery rate for China:a multi-center survey［J］.BJOG,2022,129(1):138-147.表2传统管理组和集束化管理组孕妇催产素引产情况及母婴结局 组别 胎膜早破 ［例(%)］ 催产素引产 ［例(%)］ 宫颈球囊引产 ［例(%)］ 前列腺素制剂 引产［例(%)］ 引产时间 (d) 其他原因中转剖宫产 ［例(%)］ 产后出血 ［例(%)］ 胎儿窘迫 ［例(%)］ 新生儿窒息 ［例(%)］传统管理组（n=1 055） 161(15.26) 867(82.18) 173(16.4) 298(28.25) 2.30±0.92 33(3.12) 78(7.39) 30(2.84) 4(0.038)集束化管理组（n=986） 145(14.71) 840(85.20) 142(14.4) 287(29.10) 1.85±0.75 26(2.64) 68(6.90) 25(2.54) 3(0.030)χ2/t 0.123 3.38 1.557 0.185 12.145 0.438 0.189 0.083 0.084P 0.726 0.066 0.212 0.667 0.049 0.508 0.663 0.773 0.772 注：孕妇均为单胎妊娠。图12018年1月-2019年12月催产素引产成功率变化趋势［2］GROBMAN WA, RICE MM, REDDY UM,et al.Labor induction versus expectant management in low-risk nulliparous women［J］.N Engl J Med,2018,379(6):513-523. ［3］World Health Organization.WHO recommendations:induction of labour at or beyond term［Z］.2018.［4］杨远强,黄雪萍.引产对剖宫产后经阴道分娩妊娠结局的影响［J］.中国当代医药,2021,28(12):119-122. ［5］陈翔,黄春美,张园园,等.质量指标监测在ICU患者约束集束化护理管理中的应用［J］.中国卫生质量管理,2019, 26(3): 26-29. ［6］陈梦霞,牟园芬,陈艳玲.集束化策略在机械通气患者中的应用效果评价［J］.中华护理杂志,2020, 55(9): 1292-1296. ［7］黄晓春,樊花花,邓小兵,等.集束化管理在手足外科负压封闭引流中的效果观察［J］.中华手外科杂志,2020, 36(4): 306-308. ［8］于燕茹,李慧,周金玲,等.PDCA运用于医院管理的文献计量学分析［J］.中国卫生质量管理,2021,28(7):25-28.

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更新日期/Last Update: 2022-05-28