The Effect of Applying FOCUS PDCA Strategic Program of Preoperative Care on Hemodynamic Statue Cesarean Women

The aim of this research is to determine the effect of applying FOCUSPDCA strategic program of the pre-operative care process on hemodynamic status of caesarean women.

this is a quasi-experimental study conducted in 2016, in one of  Dorud-Iran hospitals. Samples were selected using objective-based random method. Samples (n=70) were divided into the test and control groups. Data collection instruments was pressure gauge and a watch. Validity and reliability of the questionnaire was assessed and confirmed. At first, hemodynamic parameters including pulse rate, systolic and diastolic blood pressure were measured in control group three times: the night before surgery, the moment of entering the operation room, and after surgery in recovery room. After sampling in control group, the FOCUSPDCA strategic program was implemented. The program consisted of nine steps. They were implemented one after another. Then, the test group was selected and the memberschr(chr('39')39chr('39')) hemodynamic parameters were measured. The SPSS-17 was used for data analysis.

The mean systolic blood pressures were 113.17 and 91.14 before and after operation in control group, respectively; while they were 115.14 and 107.71 in the test group. Moreover, the mean diastolic pressures were 69.43 and 59.43 before and after operation in the control group, respectively, while they were 65.43 and 62.14 in the test group. The variance analysis test revealed a meaningful statistical difference between the mean systolic and diastolic blood pressures among the two groups. The control group experiences drop in blood pressure, while the test group faces no considerable drop in blood pressure. The average of heart rates in the control group were 13.91 and 104.71 before and after operation; while they were 80.26 and 79.1 in the test group. The variance analysis test revealed a significant statistical difference between the two groupschr(chr('39')39chr('39')) heart rate (p<0.001). Heart rate reduced in test group.

According to the result of the study hemodynamic situatin has been improve in the test group. Therfore, it is suggested that the program to be implement .in order to improve the health care process in the hospital.