4R危机管理理论在产后尿潴留预防管理中的应用效果

Application effect of 4R crisis management theory in prevention and management of postpartum urinary retention

目的探究4R危机管理理论在产后尿潴留(PUR)预防管理中的应用效果。方法将在本院进行阴道分娩的1553例产妇分为对照组(794例,常规PUR预防管理)和观察组(759例,常规PUR预防管理+4R危机管理理论进行PUR预防管理)。比较两组的应用效果。结果观察组的首次排尿通畅感明显优于对照组(P<0.05)。观察组的PUR知识知晓评分低于对照组,产后首次排尿时间短于对照组,PUR发生率和导尿管使用率低于对照组(P<0.05)。观察组的沟通、护理、指导、护理技能、安全意识评分高于对照组(P<0.05)。结论4R危机管理理论在PUR预防管理中的应用效果显著,可缓解排尿不适感,预防PUR发生。

Objective To explore the application effect of 4R crisis management theory in prevention and management of postpartum urinary retention(PUR).Methods A total of 1553 pregnant women who delivered vaginally in our hospital were divided into control group(794 cases,routine PUR preventive management)and observation group(759 cases,management PUR preventive management based on 4R crisis management theory).The application effects of the two groups were compared.Results The first urination patency of the observation group was significantly better than that of the control group(P<0.05).The PUR knowledge awareness score of the observation group was lower than that of the control group,and the postpartum first urination time was shorter than that of the control group,and the PUR incidence tate and the catheter use rate were lower than those of the control group(P<0.05).The communication,nursing,guidance,nursing skills and safety awareness scores of the observation group were higher than those of the control group(P<0.05).Conclusion 4R crisis management theory in prevention and management of PUR has a significant effect,which can relieve the feeling of urination and prevent the occurrence of PUR.