The Application Effect of Doctor-Nurse Collaborative and  Hierarchical Management Combined with Nursing Risk  Management in Nursing Management of Patients with  Postpartum Hemorrhage

Zhihui  Xia; Youping  Tan; Cui  Ru

doi:10.18502/ijph.v51i4.9241

Zhihui Xia Department of Nursing, North China Electric Power University, Beijing 102206, China
Youping Tan Department of Internal Medicine, Guangdong Second Provincial General Hospital, Guangzhou 510317, China
Cui Ru Continuing Education Center, Ordos Institute of Technology, Ordos 017010, China

DOI: https://doi.org/10.18502/ijph.v51i4.9241

Keywords: Doctor-nurse collaboration; Hierarchical management; Nursing risk management; Postpartum

Abstract

Background: To study the application effect of doctor-nurse collaborative and hierarchical management combined with nursing risk management in nursing management of patients with postpartum hemorrhage.

Methods: Overall 200 patients with postpartum hemorrhage treated in Guangdong Second Provincial General Hospital (Guangzhou, China) from Mar 2018 to Mar 2019 were divided into the experimental group and the control group. The experimental group received the nursing model of doctor-nurse collaborative and hierarchical management combined with nursing risk management while the control group received nursing risk management to compare the satisfaction, medical record quality before and after nursing, incidence of nursing risk events and treatment effect between the two groups.

Results: After nursing management, the bleeding volume in the experimental group was significantly less than that in the control group (P<0.05). The quality score of nursing records in the experimental group was higher than that in the control group (P<0.01). The occurrence of nursing risk events in the experimental group was significantly less than that in the control group (P<0.05). The overall nursing satisfaction of the experimental group was higher than that of the control group (P<0.01). The treatment effect of the experimental group was significantly better than that of the control group (P<0.01).

Conclusion: Doctor-nurse collaborative and hierarchical management combined with nursing risk management had a significant effect in the nursing management of patients with postpartum hemorrhage, which is worthy of promotion and application.