Objective To explore the Effect of quality control circle(QCC)activities on scar formation of the incision after cesarean section in obese primiparas.Methods Sixty obese primiparas who underwent cesarean section in Caoxian Second People's Hospital in Shandong from April 2020 to September 2023 were selected and divided into control group(30 cases)and intervention group(30 cases)using lottery method.The control group received routine nursing,while the intervention group received routine nursing+QCC activities.The postpartum recovery,total incidence of incision complications,incision scar formation,scar score of incision,and total satisfaction rate of nursing were compared between the two groups.Results The intervention group had shorter postpartum first exhaust time,postpartum first defecation time,postpartum first get out of bed activity time,and hospitalization time compared with the control group,with statistically significant differences(P<0.05).The total incidence of incision complications in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).The length,width and thickness of scars in the intervention group were smaller than those in the control group,and the incidence rate of hypertrophic scars was lower than that in the control group,with statistically significant differences(P<0.05).At 1 and 3 months after surgery,the intervention group had lower Vancouver scar scale and scar cosmesis assessment and rating scores than the control group,with statistically significant differences(P<0.05).The total satisfaction rate of nursing in the intervention group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of QCC activity in obese primiparas after cesarean section can promote the recovery of primiparas and improve the incision scar condition,which is worthy of popularization and application.
关键词
品管圈活动/肥胖/初产妇/术后切口瘢痕形成
Key words
Quality control circle activity/Obesity/Primipara/Postoperative incision scar formation
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