International Journal of Nursing Research

Objective To explore the effects of individualized comprehensive nursing on negative emotions of patients with premature rupture of membranes (PROM) and neonatal outcomes. Methods A total of 140 PROM patients admitted to our hospital from March 2024 to March 2025 were selected as the research subjects. They were divided into an observation group and a control group using the random number table method, with 70 cases in each group. The control group received routine obstetric nursing, while the observation group was given individualized comprehensive nursing. The Self-rating Anxiety Scale (SAS) scores, Self-rating Depression Scale (SDS) scores before and after intervention, as well as delivery mode and incidence of postpartum complications were compared between the two groups. In addition, neonatal outcomes were also compared between the two groups. Results Before intervention, there were no statistically significant differences in SAS and SDS scores between the two groups (P>0.05). After intervention, the SAS and SDS scores of both groups decreased significantly, and the scores in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). The rate of spontaneous delivery in the observation group was 78.57%, which was higher than 55.71% in the control group. The rates of cesarean section, puerperal infection and postpartum hemorrhage in the observation group were 21.43%, 2.86% and 4.29% respectively, all lower than 44.29%, 12.86% and 14.29% in the control group, with statistically significant differences (P<0.05). The proportions of neonates with 1-min Apgar score ≥8 and 5-min Apgar score ≥8 in the observation group were higher than those in the control group, while the incidence rates of fetal distress and neonatal infection were lower than those in the control group, with statistically significant differences (P<0.05). Conclusion The application of individualized comprehensive nursing for PROM patients can effectively alleviate their negative emotions, improve the rate of spontaneous delivery, reduce the incidence of postpartum complications and optimize neonatal outcomes, which has important clinical application value.

Individualized comprehensive nursing; Premature rupture of membranes; Negative emotions; Neonatal outcomes; Anxiety; Depression