Efficacy of RCA-PDCA in improving the rate of bladder filling before embryo transfer
10.3969/j.issn.1671-8283.2025.06.009
- VernacularTitle:根因循环管理模式提高胚胎移植患者术前膀胱充盈合格率的研究
- Author:
Yaqin WANG
1
;
Meiling XIA
;
Longchang XU
;
Maoling ZHANG
;
Xianfeng SHI
Author Information
1. 广东省妇幼保健院生殖健康与不孕症科,广东 广州,511442
- Publication Type:Journal Article
- Keywords:
embryo transfer;
bladder filling;
root cause analysis and plan-do-check-act cycle;
assisted reproductive technology;
before-after comparative study
- From:
Modern Clinical Nursing
2025;24(6):65-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective To enhance the qualified rate of preoperative bladder filling and improve the experience of embryo transfer by implementing a nursing intervention based on the root cause analysis and plan-do-check-act(RCA-PDCA)cycle.Methods A before-after comparative study was conducted among the patients who received embryo transfer at a Tire-ⅢA specialist hospital between January and April 2024.The patient who received embryo transfer between January and February 2024(n=130)were assigned to the control group with routine nursing.Those who received embryo transfer between March and April 2024 were assigned to the trial group(n=136)with nursing intervention based on RCA-PDCA.The two groups were compared in terms of the qualified rate of bladder filling,endometrial visualisation rate,instrument-assisted transfer rate and level of comfort.Results A total of 126 women in the control group and 131 in the trial group completed the study.The patient in the trial group demonstrated significantly higher qualified rate of bladder filling and endometrial visualisation rate in comparison with those in the control group(70.2％vs.38.1％,81.7％vs.51.6％,respectively).The trial group also had lower rates in both of the instrument-assisted transfer and the incidence of mild pain than those in the control group(2.3％vs.7.9％,32.1％vs.53.2％,respectively;P<0.05).Conclusion RCA-PDCA is effective in improving preoperative bladder filling and endometrial visualisation,reducing instrument-assisted transfer and enhancing preoperative bladder comfort in the women receiving embryo transfer.
