目的 探讨PDCA循环管理法对妇产科手术室护理质量的影响。方法 选取洛阳妇幼保健院21名护理人员为研究对象， 于2015.04-2016.04阶段针对143例行妇科手术治疗的患者实施常规手术管理(PDCA实施前)，后于2016.04-2017.04 阶段针对另143例行妇科手术治疗的患者实施PDCA循环管理法管理(PDCA实施后)，比较PDCA实施前后护理质量、护 理满意程度及不良反应事件发生率。结果 PDCA实施后护理人员的基础护理质量、分级护理质量、操作技术质量、 护理文书质量、健康教育质量改善程度均优于PDCA实施前(P<0.05)；PDCA实施后医生对护理人员的配合满意度、患 者对护理人员的护理满意度均高于实施前(P<0.05)；PDCA实施后两阶段患者围手术期的术中器械不齐、手术费误 算、异物残留、漏签医嘱、药物外渗、输血反应、锐器损伤、错误用药的不良反应发生率均低于实施前(P<0.05)。 结论 PDCA循环管理法对妇产科手术室护理质量有显著改善，可提高护理人员工作效率，增加医生及患者满意度， 缓解医患紧张关系。

Objective To anlyze the effect of PDCA cycle management on nursing quality in gynaecology and obstetrics operating room. Methods 21 nursing staff in Luoyang women and children medical care center were taken as the research objects. 143 patients accepted gynecological surgery from Apr. 2015 to Apr. 2016 were given routine surgical management (before PDCA implementation), and another 143 patients accepted gynecological surgery from Apr. 2016 to Apr. 2017 were given PDCA cycle management (after PDCA implementation). The nursing quality, nursing satisfaction degrees and incidence rates of adverse events in the two groups were compared before and after PDCA implementation. Results After the implementation of PDCA, the improvement of basic nursing quality, grading nursing quality, quality of nursing skills, quality of nursing records and quality of health education was better than that before the implementation of PDCA (P<0.05), the satisfaction degrees of coordination between doctors and nurses and nursing satisfaction degrees were all higher than those before the implementation of PDCA (P<0.05), the incidence rates of adverse events of intraoperative equipment shortage, operation fee miscalculation, foreign body residue, missed physician order, drug extravasation, transfusion reaction, sharp instrument injury and error medication in the two groups during the perioperative period were lower than those before the implementation of PDCA (P<0.05). Conclusion PDCA cycle management can significantly improve the quality of nursing in gynecology and obstetrics operating room and the work efficiency of nursing staff, increase the satisfaction of doctors and patients, and ease the tension between doctors and patients.