4R危机管理护理在凶险性前置胎盘伴胎盘植入剖宫产手术患者中的应用效果  

Application effects of 4R crisis management nursing in patients with sinister placenta previa complicated with placenta implantation undergoing cesarean section

作　　者：刘瑞婷 LIU Ruiting(Operating room of Puyang Maternal and Child Health Hospital,Puyang 457000 Henan,China)

机构地区：[1]濮阳市妇幼保健院手术室,河南濮阳457000

出　　处：《中国民康医学》2023年第7期190-192,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察4R危机管理护理在凶险性前置胎盘伴胎盘植入剖宫产手术患者中的应用效果。方法:选取该院2021年7月至2022年4月44例凶险性前置胎盘伴胎盘植入剖宫产患者(设为观察组),以及2020年9月至2021年6月44例凶险性前置胎盘伴胎盘植入剖宫产患者(设为对照组)进行前瞻性研究。对照组给予常规护理,观察组在对照组基础上给予4R危机管理护理,比较两组术后住院时间、不良妊娠结局发生率、护理不良事件发生率和Kolcaba舒适状况量表(GCQ)评分。结果:观察组术后住院时间明显短于对照组,差异有统计学意义(P<0.05)。观察组新生儿窒息发生率为0,明显低于对照组的13.63%,差异有统计学意义(P<0.05);两组产后出血发生率、贫血发生率、子宫切除率和护理不良事件发生率比较,差异均无统计学意义(P>0.05);护理后,两组GCQ评分均低于护理前,但观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用4R危机管理护理可降低凶险性前置胎盘伴胎盘植入剖宫产手术患者新生儿窒息发生率,缩短术后住院时间,以及提高GCQ评分,效果优于单纯常规护理。Objective:To observe application effects of 4R crisis management nursing in patients with sinister placenta previa complicated with placenta implantation undergoing cesarean section.Methods:From July 2021 to April 2022,44 patients with sinister placenta previa complicated with placenta implantation undergoing cesarean section were selected for the prospective study and set as observation group.From September 2020 to June 2021,44 patients with sinister placenta previa complicated with placenta implantation undergoing cesarean section were selected for the prospective study and set as control group.The control group was given routine nursing,while the observation group was given 4R crisis management nursing on the basis of that of the control group.The postoperative hospitalization time,the incidence of adverse pregnancy outcomes,the incidence of nursing adverse events,and the Kolcaba comfort questionnaire(GCQ)score were compared between the two groups.Results:The postoperative hospitalization time of the observation group was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).The incidence of neonatal asphyxia in the observation group was 0,which was significantly lower than 13.63%in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the incidence of postpartum hemorrhage,anemia,hysterectomy and nursing adverse events between the two groups(P>0.05).After the nursing,the GCQ scores of the two groups were lower than those before the nursing,but that of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the 4R crisis management nursing can reduce the incidence of neonatal asphyxia,shorten the postoperative hospitalization time and improve the GCQ scores in the patients with sinister placenta previa complicated with placenta implantation undergoing cesarean section.Moreover,it i

关 键 词：4R危机管理护理 前置胎盘 剖宫产 分娩结局 新生儿窒息发生率 Kolcaba舒适状况量表 不良事件发生率 

分 类 号：R472.3[医药卫生—护理学]