快速反应团队护理模式在产科危急重症手术护理中的应用效果及对DDI、新生儿预后的影响

Application effect of rapid response team nursing mode in obstetric critical illness operation nursing and its influences on DDI and neonatal prognosis

目的 探究快速反应团队护理模式在产科危急重症手术护理中的应用效果及对决定手术至胎儿娩出的时间(DDI)、新生儿预后的影响。方法 选取2020年1月至12月我院产科收治的80例危急重症孕产妇作为研究对象,根据入院先后顺序将其分为常规组(n=39)和研究组(n=41)。常规组采用常规护理模式干预,研究组采用快速反应团队护理模式干预。比较两组孕产妇的救治情况、手术反应时间、护理满意度、不良事件发生情况及新生儿转运时间与预后。结果 常规组的预警率、抢救率及救治成功率均低于研究组,差异具有统计学意义(P<0.05)。常规组的D-E、E-S、DDI及新生儿转运时间均长于研究组,差异具有统计学意义(P<0.05)。常规组新生儿出生后1、5 min Apgar评分及脐带血酸碱度均低于研究组,住院时间长于研究组,死亡率高于研究组,差异具有统计学意义(P<0.05)。常规组的护理满意度低于研究组,差异具有统计学意义(P<0.05)。常规组的不良事件总发生率高于研究组,差异具有统计学意义(P<0.05)。结论快速反应团队护理模式应用在产科危急重症手术护理中,可提高孕产妇救治效果及护理满意度,缩短救治时间与DDI,改善新生儿预后,降低不良事件的发生率。

Objective To explore the application effect of rapid response team nursing mode in obstetric critical illness operation nursing and its influences on decision to delivery interval(DDI)and neonatal prognosis.Methods A total of 80 pregnant and lying-in women with critical illness admitted in obstetrical department of our hospital from January to December 2020 were selected as the research objects,the pregnant and lying-in women were divided into routine group(n=39)and study group(n=41)according to the order of admission.The routine group adopted routine nursing mode intervention,and the study group adopted rapid response team nursing mode intervention.The treatment situation,operation reaction time,nursing satisfaction,occurence of adverse events of pregnant and lying-in women and transport time and prognosis of neonatal were compared between the two groups.Results The early warning rate,rescue rate and success rate of treatment in the routine group were lower than those in the study group,and the differences were statistically significant(P<0.05).The D-E,E-S,DDI and neonatal transport time in the routine group were longer than those in the study group,and the differences were statistically significant(P<0.05).The Apgar score at 1 and 5 min after birth and cord blood acid alkalinity in the routine group were lower than those in the study group,the hospital stay was longer than that in the study group,the mortality was higher than that in the study group,and the differences were statistically significant(P<0.05).The nursing satisfaction in the routine group was lower than that in the study group,and the difference was statistically significant(P<0.05).The total incidence of adverse events in the routine group was higher than that in the study group,and the difference was statistically significant(P<0.05).Conclusion The rapid response team nursing mode applied in obstetric critical illness operation nursing can improve the treatment effect and nursing satisfaction of pregnant and lying-in women,shorten the treatment time and DDI,improve the newborn prognosis and reduce the incidence of adverse events.