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目的探讨采用PDCA循环法进行HELPERR程序处理肩难产培训的效果。方法运用PDCA循环法进行集中专题培训,包括定义、综合评估、预测,准备,识别,HELPERR程序处理肩难产、记录及操作演习等理论培训,同时注意操作培训,并不断检验培训与考核中存在的问题,及时改进,进行下一循环。结果讨论制定了规范的处理指引;产科医护人员培训前后HELPERR程序处理肩难产的理论知识和操作考核成绩比较,差异有统计学意义(均P<0.01)。结论采用PDCA循环法进行专题培训,可提高产科医护人员对应用HELPERR程序处理肩难产的相关理论知识和操作技能水平。
Objective To investigate the effect of HELPERR program on shoulder dystocia training by PDCA circulation method. Methods The PDCA cycle method was used to focus on thematic training, including theoretical training on definition, comprehensive assessment, prediction, preparation, identification, HELPERR procedure for shoulder dystocia, record and operation maneuvers, etc. At the same time, pay attention to operation training and constantly test the existing training and assessment Problems, timely improvements, the next cycle. The discussion discussed and formulated the guidelines for the treatment of obstetrics and gynecology. The theoretical knowledge of HELPERR program before and after the training of obstetricians and nurses were compared with that of operation examination (all P <0.01). Conclusions The PDCA cycle method of special training can improve the obstetric medical staff to use the HELPERR program to deal with shoulder dystocia related theoretical knowledge and skills.