Effect of nursing intervention based on Plan-Do-Check-Action cycle management applied to parturient with abnormal head position

Abstract

Objective To analyze the effect of nursing intervention based on Plan-Do-Check-Action cycle management applied to parturient with abnormal head position. Methods From May 2017 to May 2018, 152 patients with abnormal head position who gave birth in Central Hospital of Huanggang City, Hubei Province were randomly selected and divided into experimental group and control group, 76 cases of each group.The control group received routine nursing intervention, and the experimental group received PDCA circulation management on the basis of the control group.The basic conditions of puerpera or fetus, delivery mode and outcome of puerpera, pelvic floor exercise compliance, pelvic floor muscle strength, urinary incontinence and sexual life quality were compared between the two groups. Results The experimental group had significantly more vaginal delivery patients than the control group, and the patients with eclampsia and postpartum hemorrhage were significantly less than the control group.There were statistically significant differences between the two groups in pelvic floor functional exercise compliance and pelvic floor muscle strength 3 months after delivery (P<0.05). With the migration of time, the compliance of pelvic floor functional exercise and pelvic floor muscle strength showed a significant improvement trend.After 3 months of production, the pelvic floor exercise compliance and pelvic floor muscle strength of the experimental group were significantly better than that of the control group.The urinary incontinence of the experimental group was significantly better than that of the control group 3 months after the birth, and the quality of sexual life was significantly higher than that of the control group, with statistically significant differences (P<0.05). Conclusions PDCA circulation management nursing is better than conventional nursing for the recovery of pelvic floor function, can effectively improve the quality of life of patients. Key words: PDCA cycle management; Nursing intervention; Head position abnormality