Application of structured team model based on shared decision model in obstetrics and gynecology joint intensive care unit (ICU) rescue of critical care pregnant women: A randomized controlled trial.

BACKGROUND

This study investigates the clinical value of a structured team approach incorporating shared decision-making in managing critically ill pregnant patients within an obstetrics intensive care unit (ICU).

METHODS

A randomized controlled trial was conducted with 100 critically ill pregnant women admitted to our hospital's obstetrics ICU between January 2023 and December 2024. Participants were allocated via random number table to either the control group receiving conventional multidisciplinary resuscitation care (n = 50) or the observation group receiving the structured team model with shared decision-making (n = 50). Comparative outcomes included resuscitation efficiency indicators (prehospital response time, intrahospital transport duration, and emergency supply preparation time), complication rates, family psychological status measured by Hospital Anxiety and Depression Scale, and family satisfaction assessments.

RESULTS

The observation group demonstrated significantly shorter time metrics across all resuscitation efficiency parameters compared to the control group (P < .05). Both groups showed reduced Hospital Anxiety and Depression Scale anxiety and depression scores among family members post-intervention (P < .05 vs baseline), with the observation group achieving superior reductions compared to controls (P < .05). The structured team model group exhibited significantly lower complication rates (6.00% vs 24.00%, P < .05). Family satisfaction assessments revealed higher scores in the intervention group across all domains: medical condition assurance, information accessibility, perceived acceptance, support perception, and comfort maintenance, with total satisfaction scores significantly exceeding those of the control group (P < .05).

CONCLUSION

The implementation of a structured team framework grounded in shared decision-making principles significantly enhances critical care management for obstetric ICU patients. This model improves resuscitation efficiency, reduces complication risks, mitigates family psychological distress, and elevates family satisfaction levels, demonstrating substantial clinical value for high-risk pregnancy care.