基于4R危机管理理论的护理模式在宫颈癌手术治疗患者预防DVT的应用研究

The effect of nursing mode based on 4R crisis management for preventing Deep vein thrombosis in patients undergoing cervical cancer surgery

中文关键词: 4R危机管理  护理  宫颈癌手术  深静脉血栓

英文关键词: 4R Crisis Management  nursing  cervical cancer surgery  Deep vein thrombosis

中文摘要:

      目的 探究基于4R危机管理理论的护理模式对宫颈癌手术治疗患者预防深静脉血栓（Deep Venous Thrombosis，DVT）的应用效果。方法 选取2021年1月至2023年12月120例宫颈癌手术治疗患者作为研究对象，采用随机对照表法分为观察组和对照组，每组各60人。对照组采用常规护理，观察组以4R危机管理理论为核心实施护理，对两组DVT发病率、凝血功能指标水平、生活质量（SF-36评分）、护理满意度展开评估。结果 干预后，观察组患者DVT发生率低于对照组；凝血功能指标水平优于对照组；SF-36评分、护理满意度高于对照组，差异均具有统计学意义（P＜0.05）。结论 4R危机管理理论应用于宫颈癌手术治疗患者的DVT预防中，能够有效降低患者DVT发生率，优化凝血功能指标水平，改善患者的生活质量，并提升患者对护理工作的满意度，值得在临床推广应用。

英文摘要:

      Objective To explore the effect of nursing mode based on 4R Crisis Management for preventing preventing Deep vein thrombosis in patients undergoing cervical cancer surgery Method 120 patients undergoing cervical cancer between January 2021 to December 2023 in department of our Hospital were randomly divided into the control group and observation group. 60 patients were enrolled into control group and 60 patients were enrolled into interventional group.The control group used routine nursing, and the observation group group adopted comprehensive nursing mode based on 4R Crisis Management theory. Then contrast incidence of DVT, coagulation indicators，quality of life (SF-36 score), and nursing satisfaction of the two groups. Result After the intervention, the incidence of DVT in patients of the observation group was lower than that of the control group, the level of coagulation function indexes was more optimized than that of the control group, and the SF-36 score and nursing care satisfaction were higher than that of the control group, and the differences were all statistically significant (P<0.05). Conclusion The application of 4R crisis management theory in the prevention of DVT in patients undergoing surgical treatment for cervical cancer can effectively reduce the incidence of DVT in patients, optimize the level of coagulation indicators,improve their quality of life, and enhance their satisfaction with nursing care, which is worthy of popularization and application in the clinic.