4R危机管理的护理模式在前置胎盘剖宫产手术术前手术室准备方面的应用研究  

Study on the Application of 4R Crisis Mangement Nursing Mode in the Preparation of Operating Room Before Cesarean Section for Placenta Previa

作　　者：陈瑞琼[1] 邓旺弟 李永程[1] CHEN Ruiqiong;DENG Wangdi;LI Yongcheng(Department of Operating Room,Dongguan Maternal and Child Health Hospital,Dongguan,Guangdong 523000,China)

机构地区：[1]广东省东莞市妇幼保健院手术室,广东东莞523000

出　　处：《中国医药指南》2025年第10期164-166,共3页Guide of China Medicine

摘　　要：目的探究4R危机管理的护理模式在前置胎盘剖宫产手术患者中的干预价值。方法选取广东省东莞市妇幼保健院2023年1月至2023年12月收治的80例拟行前置胎盘剖宫产手术的患者情况进行回顾性分析,根据护理方法不同分为对照组,(40例,常规护理干预)与研究组(40例,在对照组基础上接受4R危机管理的护理模式),对比两组手术相关指标情况、并发症与新生儿窒息情况。结果研究组术中出血量与术后24 h出血量均少于对照组,手术前准备时间、手术时间与住院总时间短于对照组(P<0.05)。研究组产褥感染、产后出血、肠梗阻与新生儿窒息发生率均低于对照组(P<0.05),两组在尿潴留上差异无统计学意义(P>0.05)。结论在拟前置胎盘剖宫产手术患者中应用4R危机管理可缩短患者手术前准备时间,降低手术相关并发症总发生率与新生儿窒息率。Objective To explore the intervention value of 4R crisis management nursing model in patients with placenta praevia undergoing cesarean section.Methods A total of 80 patients with Caesarean section for placenta previa from Dongguan Maternal and Child Health Hospital in Guangdong Province from January 2023 to December 2023 were selected.The control group(40 cases,routine nursing intervention)and the study group(40 cases,nursing model of 4R crisis management on the basis of the control group)were divided according to different nursing methods,and the two groups were compared in terms of surgical related indicators(bleeding volume,pre preparation time,operation time,total hospital stay),complications and neonatal asphyxia.Results The amount of intraoperative blood loss and 24 hours postoperative blood loss in the study group was less than that in the control group,and the preparation time,operation time and total hospital stay in the study group were shorter than those in the control group(P<0.05).The incidence of puerperal infection,postpartum hemorrhage,intestinal obstruction and neonatal asphyxia in the study group was lower than that in the control group(P<0.05),and there was no significant difference in urinary retention between the two groups(P>0.05).Conclusions The application of 4R crisis management in patients with placenta previa cesarean section can shorten the preparation time before surgery,reduce the total incidence of surgery-related complications and the rate of neonatal asphyxia.

关 键 词：剖宫产术 4R危机管理 前置胎盘 手术室准备 

分 类 号：R719.8[医药卫生—妇产科学] R473.71[医药卫生—临床医学]