快速护理团队模式联合护理行为感知模式对急危重症剖宫产术产妇的影响观察  

Impact of Rapid Response Nursing Team Model Combined with Perceived Nursing Behavior Model on Parturients Undergoing Emergency Cesarean Section

作　　者：水玲玲 王珂佳 高慧芳 SHUI Lingling;WANG Kejia;GAO Huifang(Department of Obstetrics,Henan Provincial People's Hospital,Zhengzhou Henan 450003,China)

机构地区：[1]河南省人民医院产科,河南郑州450003

出　　处：《临床研究》2025年第1期164-167,共4页Clinical Research

摘　　要：目的探究急危重症剖宫产术产妇中,联合应用快速护理团队模式、护理行为感知模式的价值。方法选取河南省人民医院2021年12月至2023年12月期间收入的86例剖宫产产妇,所有产妇均存在急危重症。基于护理模式的差异性,将其分为研究组(n=43,快速护理团队模式+护理行为感知模式)、对照组(n=43,快速护理团队模式),分析其在手术相关指标、产妇情况、新生儿情况差异。结果护理后,研究组手术室响应时间、手术时间、术中出血量、并发症发生率、产后大出血发生率均低于对照组,差异均有统计学意义(P<0.05),两组重症监护室抢救情况比较,差异无统计学意义(P>0.05)。护理前,两组产妇情绪评分以及应激反应指标(皮质醇、肾上腺素、去甲肾上腺素水平)比较,差异均无统计学意义(P>0.05),护理后,两组汉密尔顿焦虑量表(HAMA)评分均降低,应激反应指标均提高,研究组HAMA评分低于对照组,应激反应指标低于对照组,差异均有统计学意义(P<0.05)。护理后,两组新生儿1 min Apgar评分差异无统计学意义(P>0.05),研究组新生儿5 min Apgar评分、脐带血pH值高于对照组,研究组住院时间低于对照组,差异均有统计学意义(P<0.05)结论急危重症剖宫产术产妇中,联合应用快速护理团队模式、护理行为感知模式的价值较为理想,能够降低剖宫产手术时间以及术中出血量,使得术后并发症、产后大出血情况获得显著减少,同时进一步改善产妇焦虑情绪与应激情况,使新生儿5 min Apgar评分、脐带血pH值获得显著改善,促进其住院时间降低,具有临床应用意义。Objective To explore the value of combining the rapid response nursing team model with the perceived nursing behavior model in parturients undergoing emergency cesarean sections.Methods A total of 86 parturients who underwent cesarean sections due to critical conditions at Henan Provincial People's Hospital from December 2021 to December 2023 were selected.Based on differences in nursing models,patients were divided into a study group(n=43,receiving both rapid nursing team model and perceived nursing behavior model)and a control group(n=43,receiving only the rapid nursing team model).The differences in surgical-related indicators,maternal conditions,and neonatal outcomes were analyzed.Results After nursing,the study group showed significantly lower response times in the operating room,shorter surgeries,less intraoperative blood loss,reduced complication rates,and lower rates of postpartum hemorrhage compared to the control group(P<0.05).There were no statistically significant differences in ICU resuscitation outcomes between the two groups(P>0.05).Before nursing,there were no significant differences in maternal emotional scores and stress response indicators(cortisol,adrenaline,and norepinephrine levels)between the groups(P>0.05).After nursing,both groups showed decreased Hamilton Anxiety Rating Scale(HAMA)scores and increased stress response indicators;the study group had lower HAMA scores and stress response levels than the control group(P<0.05).Regarding newborn outcomes,there were no significant differences in 1-minute Apgar scores(P>0.05),but the 5-minute Apgar scores and umbilical cord blood pH values were higher in the study group compared to the control group,with statistically significant differences(P<0.05).Additionally,the length of hospitalization in the study group was shorter than that in the control group(P<0.05).Conclusion The combination of the rapid response nursing team model and the perceived nursing behavior model in parturients undergoing emergency cesarean sections is effective in reducing

关 键 词：快速护理团队模式 护理行为感知模式 急危重症 剖宫产术 产妇 

分 类 号：R473.71[医药卫生—护理学]