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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。
Objective To explore the application and effect of crisis nursing management theory in maternal labor safety nursing. Methods A total of 240 maternal women who gave birth in our hospital from January 2012 to December 2013 were selected as the control group. At the same time, we selected our hospital to apply the theory of crisis nursing management to obstetrics, that is, from January 2014 to December 2015, 240 maternal delivery in the hospital as the observation group, the control group given routine care, the observation group given nursing intervention based on the theory of crisis nursing intervention. Results The time of the first stage of labor, the second stage of labor and the third stage of labor in the observation group were (8.24 ± 1.72) h, (42.49 ± 11.92) min and (4.15 ± 0.89) min, respectively, which were significantly lower than those in the control group (11.92 ± 1.98 ) h, (59.22 ± 12.45) min and (7.86 ± 0.68) min, respectively. There was significant difference between the two groups (P <0.05). The birth rate of observation group was 73.8%, higher than that of control group (57.9%). The rate of cesarean section in observation group was 22.1%, which was lower than that of control group (36.3%). The difference was statistically significant (P <0.05). Postoperative complications such as postpartum urinary retention, postpartum incision infection, postpartum hemorrhage, neonatal aspiration, neonatal umbilical infection, neonatal red buttock and other safety accidents were significantly lower in the observation group than those in the control group (P <0.05). After discharge, the delivery satisfaction scores of the observation group and the control group were (92.45 ± 3.98) and (84.20 ± 4.92) points respectively. The observation group was significantly higher than the control group (t = 8.224, P <0.05). Conclusion The application of crisis nursing management theory in the safe nursing of maternal labor can improve the natural delivery rate of maternity, shorten the delivery time, reduce the occurrence of safety accidents and improve the satisfaction of maternal, which has a good application value.