基于个案管理的全程无缝护理模式在胎盘早期剥离患者护理中的应用观察  

Application of Whole-course Seamless Nursing Based on Case Management in the Nursing of Patients with Early Placental Abruption

作　　者：海迪 袁凤霞[1] 孙冬冬[1] Hai Di;Yuan Fengxia;Sun Dongong(Shangqiu First People’s Hospital,Shangqiu,Henan,476100,China)

机构地区：[1]商丘市第一人民医院,河南商丘476100

出　　处：《黑龙江医学》2025年第2期234-236,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨基于个案管理的全程无缝护理模式在胎盘早期剥离(PA)患者护理中的应用观察。方法:选取2021年1月—2023年5月商丘市第一人民医院收治的80例PA患者作为研究对象,采用随机数表法分为观察组(n=40)和对照组(n=40)。对照组给予常规护理,观察组采用基于个案管理的全程无缝护理模式。比较两组患者护理前后SAS和SOS评分情况、产后并发症发生情况、新生儿Apgar评分、护理满意度及护理前后心理状况及生活质量。结果:观察组产后并发症总发生率低于对照组,差异有统计学意义(χ^(2)=4.500,P<0.05);观察组新生儿1 min、5 min Apgar评分高于对照组,差异均有统计学意义(t=14.494、11.441,P<0.05);观察组患者护理满意度(92.50%)高于对照组(75.00%),差异有统计学意义(χ^(2)=4.500,P<0.05)。结论:基于个案管理的全程无缝护理模式可以减少PA患者的焦虑抑郁情绪,提高患者顺产比例,降低产后并发症发生率,改善新生儿Apgar评分,提高患者护理满意度和生活质量。Objective:To explore the application of whole-course seamless nursing based on case management in the nursing of patients with early placental abruption(PA).Methods:A total of 80 patients with early PA admitted to the hospital were enrolled and randomly divided into observation group(n=40)and control group(n=40)from January 2021 to May 2023.The control group was given routine nursing,while observation group was given whole-course seamless nursing based on case management.The occurrence of postpartum complications,neonatal Apgar scores,nursing satisfaction,psychological state and quality of life were compared between the two groups before and after nursing.Results:After nursing,scores of postpartum complications in observation group were lower than those in control group,with statistically significant difference(χ^(2)=4.500,P<0.05).After nursing,Apgar scores of neonatal 1 min and 5 min in observation group were higher than those in control group(t=14.494,11.441;P<0.05).Nursing satisfaction in the observation group(92.50%)was higher than that in the control group(75.00%),and the difference was statistically significant(χ^(2)=4.500,P<0.05).Conclusion:The whole-course seamless nursing based on case management can reduce anxiety and depression in PA patients,increase natural delivery rate,reduce the incidence of postpartum complications,increase neonatal Apgar score,and improve nursing satisfaction and quality of life.

关 键 词：个案管理 全程无缝护理 胎盘早期剥离 应用效果 

分 类 号：R47[医药卫生—护理学]