Application of crisis management theory in the nursing care of puerperas
10.3969/j.issn.1009-0754.2017.04.023
- VernacularTitle:危机式护理管理理论在产妇分娩安全护理中的应用
- Author:
Xiaoru WANG
1
;
Ling XIA
;
Jing JIN
;
Tong LIN
Author Information
1. 解放军第三○九医院妇产科
- Keywords:
Crisis nursing management theory;
Delivery;
Puerpera;
Safe nursing;
Satisfaction rate
- From:
Journal of Navy Medicine
2017;38(4):358-361
- CountryChina
- Language:Chinese
-
Abstract:
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.
