危机式护理管理理论在胎膜早破患者中的应用

Application of crisis nursing management theory in patients with premature rupture of membranes

目的探讨危机式护理管理理论在胎膜早破(PROM)患者中的应用效果,指导后续PROM患者的护理方案优化。方法选择2018年3月—2019年2月首都医科大学附属北京妇产医院112例PROM患者,根据随机数字表法分为对照组和观察组,各56例。对照组实施常规护理,观察组在对照组基础上实施基于危机式护理管理理论的护理。记录两组分娩结局和危机事件发生情况并进行比较,护理前与产后7 d分别对产妇进行焦虑自评量表(SAS)、抑郁自评量表(SDS)的评估并比较。结果观察组剖宫产率低于对照组,自然分娩率高于对照组,差异有统计学意义(P<0.05);观察组危机事件发生率低于对照组,差异有统计学意义(P<0.05);产后7 d,两组SAS、SDS评分均较护理前降低,且观察组低于对照组,差异有统计学意义(均P<0.05)。结论基于危机式护理管理理论的护理应用于PROM患者可减少危机事件发生,缓解产妇危机心理,改善心理状态,降低产妇剖宫产率。

Objective To explore the application effect of crisis nursing management theory in patients with premature rupture of membranes(PROM),to guide the optimization of nursing program for patients with PROM.Methods A total of 112 patients with PROM in Beijing Obstetrics and Gynecology Hospital,Capital Medical University from March 2018 to February 2019 were selected,according to random number table method,they were divided into control group and observation group,with 56 cases in each group.The control group was received routine nursing,while the observation group was received nursing based on crisis nursing management theory on the basis of the control group.The delivery outcomes and crisis events were recorded and compared between the two groups,the self rating anxiety scale(SAS),self rating depression scale(SDS)scores were evaluated and compared before nursing and seven days after delivery.Results The cesarean section rate of the observation group was lower than the control group,and the spontaneous labor rate was higher than the control group,the differences were significant statistically(P<0.05);the incidence of crisis events in the observation group was lower than that in the control group,the difference was significant statistically(P<0.05);seven days after delivery,SAS,SDS scores of both groups were lower than before nursing,and the observation group was lower than the control group,the differences were significant statistically(all P<0.05).Conclusion The application of crisis nursing management theory in patients with PROM can reduce the occurrence of crisis events,relieve the maternal crisis psychology,improve the psychological state,and reduce the cesarean section rate.