Abstract
Objective The research for this paper was conducted to unveil the effect
of comprehensive nursing combined with the
Identification-Situation-Background-Assessment-Recommendation (ISBAR) handover
approach in the nursing of patients with placental abruption.
Methods The 40 cases of placental abruption patients admitted to the
Women’s Hospital School of Medicine Zhejiang University from May 2021 to May
2022 were subjected to conventional basic nursing combined with traditional
handover tool intervention, which was recorded as the control group; the 40
cases of placental abruption patients admitted to the Women’s Hospital School of
Medicine Zhejiang University from June 2022 to June 2023 were subjected to
comprehensive nursing combined with ISBAR handover tool intervention, which was
recorded as the observation group. Maternal and infant outcomes, the quality of
nurse handover, and the psychological burden [State Anxiety Inventory (S-AI),
Trait Anxiety Inventory (T-AI), Distress Thermometer (DT), and General
Self-Efficacy Scale (GSES)] were observed in the two groups, and the
satisfaction with nursing was also assessed by using a self-administered
satisfaction scale in the two groups.
Results The rate of normal delivery of patients in the observation group
was higher and the rate of cesarean section and the total incidence of
complications were lower than that of the control group. The 1- and 5-min Apgar
scores of the newborns in the observation group were higher and the total
complication rate was lower than that in the control group. Nurses in the
observation group had higher scores for nursesʼ shift handover quality. S-AI,
T-AI, and DT scores were lower in both groups after the intervention and were
lowest in the observation group; GSES scores were higher and were highest in the
observation group. Satisfaction with nursing was higher in the observation group
than in the control group.
Conclusion Comprehensive nursing combined with the ISBAR handover
approach applied to the clinical care of patients with placenta abruption can
effectively improve the outcomes of mothers and infants, enhance the quality of
nursesʼ shift handovers, reduce the psychological burden of patients and
increase nursing satisfaction.
Keywords
Placental abruption - Comprehensive nursing - ISBAR handover approach
