Effectiveness of 4R crisis management theory in the prevention of postoperative complications in patients with lower extremity varices
10.3760/cma.j.cn115682-20240517-02798
- VernacularTitle:4R危机管理理论在下肢静脉曲张患者术后并发症预防中的应用
- Author:
Yan CHEN
1
;
Kewu HE
1
;
Hongxia XU
1
Author Information
1. 合肥市第一人民医院介入血管外科，合肥 230061
- Publication Type:Journal Article
- Keywords:
Varicose veins;
Pain;
Ulcer;
Hypesthesia;
Complication;
Crisis management theory
- From:
Chinese Journal of Modern Nursing
2025;31(14):1950-1954
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effectiveness of the crisis management theory of reduction, readiness, response and recovery (4R) in the prevention of postoperative complications in patients with lower extremity varices.Methods:Convenience sampling was used to select 172 patients who underwent surgical treatment for lower extremity varices in the Hefei First People's Hospital from October 2022 to November 2023 as study subjects. Patients admitted from October 2022 to June 2023 were recruited in control group ( n=88) with routine nursing. Patients admitted from July to November 2023 were included in observation group ( n=84) , and nursing interventions based on the 4R crisis management theory were implemented on the basis of control group. Postoperative ulcer surface healing time, time for calf numbness to subside, pain scores and postoperative complications were compared between the two groups. Results:The time for disappearance of ulcer surface and the time for calf numbness to subside of the patients in observation group were shorter than those in control group, and the differences were statistically significant ( P<0.05) . Before the intervention, the pain score was (3.58±0.61) in observation group and (3.72±0.57) in control group, and the difference was not statistically significant ( P>0.05) . After the intervention, the pain score was (2.33±0.55) in observation group and (2.50±0.50) in control group, and the difference was statistically significant ( P<0.05) . The incidence of postoperative complications was 4.76% (4/84) in observation group and 19.32% (17/88) in control group, and the difference was statistically significant ( P<0.05) . Conclusions:Nursing interventions based on the 4R crisis management theory can effectively alleviate the pain of patients undergoing lower extremity varicose vein surgery, shorten the time of ulcer healing and calf numbness, and reduce the incidence of postoperative complications.
