危机式护理管理理论在产妇分娩安全护理中的应用

目的 探讨危机式护理管理理论在产妇分娩安全护理中的应用与效果.方法 选择2012年1月至2013年12月在我院分娩的产妇240例作为对照组;同时选取我院将危机式护理管理理论应用到产科以来,即2014年1月至2015年12月在我院分娩的240例产妇作为观察组,对照组给予常规护理,观察组给予基于危机式护理管理理论的护理干预.结果 观察组的第1产程、第2产程与第3产程时间分别为(8.24±1.72)h、(42.49±11.92) min和(4.15 ±0.89)min,都明显少于对照组的(11.92±1.98)h、(59.22±12.45) min和(7.86±0.68) min,2组比较差异有统计学意义(P＜0.05).观察组的顺产率73.8％,高于对照组的57.9％;观察组剖宫产率22.1％,低于对照组的36.3％;对比差异均有统计学意义(P＜0.05).观察组的产后尿潴留、产后切口感染、产后出血、新生儿误吸、新生儿脐部感染、新生儿红臀等安全意外情况发生情况都明显低于对照组(P＜0.05).出院时经过调查,观察组与对照组的分娩满意度评分分别为(92.45 ±3.98)分和(84.20 ±4.92)分,观察组明显高于对照组(t=8.224,P＜0.05).结论 危机式护理管理理论在产妇分娩安全护理中的应用可以提高产妇的自然分娩率,缩短分娩时间,减少安全意外情况的发生,提高产妇的满意度,有很好的应用价值.

Application of crisis management theory in the nursing care of puerperas

Objective To explore the application and effects of crisis management theory in nursing care of puerperas.Methods Two hundred and forty women who had delivery in the hospital from January 2012 to December 2013 were selected as the control group,while another 240 delivery cases that received care with the application of crisis management from January 2014 to December 2015 were chosen as the observation group.The control group was given routine nursing,while the observation group received nursing intervention based on crisis management theory.Results The first labor stage,the second labor stage and the third labor stage of the observation group were respectively (8.24 ± 1.72) h,(42.49 ± 11.92) min and (4.15 ± 0.89) min,which were obviously shorter than those of the control group (11.92 ± 1.98) h,(59.22-± 12.45) min and (7.86 ± 0.68) min.Statistical significance could be noted,when comparisons were made between the groups (P ＜ 0.05).The rate of normal labor in the observation group (73.8％) was higher than that of the control group (57.9％),and the rate of cesarean section in the observation group (22.1％) was lower than that of the control group (36.3％),and statistical significance could be seen,when comparisons were made between them (P ＜0.05).Rates of postpartum urinary retention,infection of incision wound after parturition,postpartum hemorrhage,neonatal aspiration,neonatal umbilical infection,neonatal red buttock and other unsuspected events concerning safety in the observation group were all significantly lower than those in the control group (P ＜ 0.05).Survey results indicated that the labor satisfaction scores of the observation group and the control group were respectively (92.45-± 3.98) and (84.20 ± 4.92) at discharge from hospital,indicating that the satisfaction rate of the observation group was significantly higher than that of the control group (t =8.224) (P ＜ 0.05).Conclusion The application of crisis nursing management theory in nursing care of maternity could increase the rate of natural delivery,shorten delivery time,reduce the incidence of unsuspected events concerning safety and improve maternal satisfaction rate.For this reason,it promised good application value clinically.