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剖宫产联合质量管理与预防保健:对产妇感染的影响

Combined Quality Management and Preventive Care in Cesarean Sections: Effects on Maternal Infection.

作者信息

Zhu Huaying, Ma Xiaoli

机构信息

Department of Radiology, General Hospital of Shaoxing Second Hospital Medical Community, Shaoxing, Zhejiang, 311800, People's Republic of China.

Gynecology Department, Zhuji Maternal and Child Health Hospital, Zhuji, Zhejiang, 311800, People's Republic of China.

出版信息

J Multidiscip Healthc. 2025 Aug 20;18:5089-5101. doi: 10.2147/JMDH.S537570. eCollection 2025.

Abstract

OBJECTIVE

To explore and analyze the application of combined intervention of quality management and preventive care in cesarean section parturients and its impact on maternal infection.

METHODS

A total of 130 parturients who underwent cesarean section in our hospital from January 2023 to December 2024 were enrolled. They were divided into study group and control group (65 cases each). The control group received routine nursing intervention, while the study group received combined intervention of quality management (systematic process improvement) and preventive care (complication-focused interventions). The application effects, infection status, nursing quality, and quality of life were compared.

RESULTS

Baseline data (age, gestational weeks) showed no significant difference (p>0.05). The study group showed significantly better postoperative recovery than the control group. The study group demonstrated better postoperative recovery, significantly lower Visual Analogue Scale (VAS) pain scores at all time points, and higher disease understanding scores versus the control group. The study group also had lower total infection rates, reduced bacterial detection, higher Chinese Quality of Life 74 (CQOL-74) scores, improved nursing quality, and higher satisfaction (p<0.05).

CONCLUSION

The combined intervention significantly promotes recovery, reduces pain, enhances disease understanding, and controls maternal infection in cesarean section parturients. It improves nursing quality, quality of life, and satisfaction, offering new clinical insights.

摘要

目的

探讨并分析质量管理与预防护理联合干预在剖宫产产妇中的应用及其对产妇感染的影响。

方法

选取2023年1月至2024年12月在我院行剖宫产的130例产妇,分为研究组和对照组,每组65例。对照组接受常规护理干预,研究组接受质量管理(系统流程改进)与预防护理(以并发症为重点的干预措施)联合干预。比较两组的应用效果、感染状况、护理质量及生活质量。

结果

基线数据(年龄、孕周)差异无统计学意义(p>0.05)。研究组术后恢复情况明显优于对照组。研究组术后恢复更好,各时间点视觉模拟评分(VAS)疼痛评分显著更低,疾病知晓评分高于对照组。研究组总感染率更低,细菌检出率降低,生活质量综合评定问卷74条目版(CQOL-74)评分更高,护理质量提高,满意度更高(p<0.05)。

结论

联合干预显著促进剖宫产产妇恢复,减轻疼痛,增强疾病知晓,控制产妇感染。提高了护理质量、生活质量及满意度,为临床提供了新的思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dcd/12375346/7d5842e61792/JMDH-18-5089-g0001.jpg

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