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Application effect of continuous nursing in patients transferred from ICU |
WANG Rui-xuan XU Zhi-ying LIN Ze-lan |
ICU, Puning People′s Hospital, Guangdong Province, Puning 515300, China |
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Abstract Objective To explore the effect of continuous nursing in patients transferred from ICU. Methods From June 2016 to June 2018, 120 patients transferred from ICU of our hospital were selected. The patients were divided into control group (from June 2016 to May 2017) and observation group (from June 2017 to June 2018), 60 cases in each group. The control group adopted normal nursing mode, the observation group adopted continuous nursing mode. The ICU reentry rate, the cause of returning, the physiological indexes and medical compliance behavior in the two groups were compared. Results The ICU reentry rate in the observation group was 3.33%, it was significantly lower than that in the control group (20.00%) (χ2=8.086, P=0.004). Among the reasons for the returning, the respiratory disease was the primary cause, followed by heart failure and intracranial rebleeding or obstruction, and finally the cardiac arrest and surgical complications, the mean arterial pressure (MAP), heart rate(HR), breathing rate (RR), partial pressure of carbon dioxide (PaCO2) and usea nitrogen (BUN) in observation group were significantly lower than those in control group,while partial pressure of blood oxygen (PaO2) was higher than that in the control group (P<0.05); the medical compliance rate of observation group was 95%, which was significantly higher than 78.33% of the control group (χ2=7.212, P=0.007). Conclusion Continuous nursing care can obviously reduce the ICU reentry rate, it also can improve the physiological indexes and medical compliance behavior, which is worthy of clinical application.
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[1] |
龚艳,金春莲,章小庆,等.延续护理小组管理的实践与成效[J].中华护理杂志,2013. 48(1):50-51.
|
[2] |
邵春梅,王淑敏. ICU 气管切开患者肺部感染危险因素分析及护理对策[J].中华现代护理杂志,2016,22(15):2097-2100.
|
[3] |
周松,王建宁,王婧,等.ICU 转出患者家属迁移应激现状及其影响因素的研究[J].中华护理杂志,2017,52(8):911-915.
|
[4] |
尚少梅.国外延续护理的发展及启示[J].中华现代护理杂志,2014,49(1):1-3.
|
[5] |
谢凤兰,成守珍,蔡卫,等.延续护理服务部专职工作岗位的设立及实践[J].中华护理杂志,2013,48(1):47-50.
|
[6] |
张毅,杨进,邹军,等.早期认知康复对ICU 转出患者认知、身体功能及生活质量影响的临床观察[J].中国医师杂志,2016,18(9):1345-1348.
|
[7] |
曾秋璇,王梅.ICU 转出患者延续护理中存在问题及干预对策[J].齐鲁护理杂志,2015,21(1):103-105.
|
[8] |
贾秀丽,张丽敏,袁占心.ICU 护士心理健康状况及对护理伦理决策能力的影响[J].护理学杂志,2017,32(9):63-65.
|
[9] |
孙顺霞,甘秀妮,张传来.ICU 转出患者家属应激压力评估量表的编制及信效度检验[J].中国实用护理杂志,2017,33(7):490-495.
|
[10] |
米雪,于宏丽,张婷婷,等.优质护理服务的延续护理对脑卒中患者康复的影响[J].护士进修杂志,2015,35(20):1860-1863.
|
[11] |
胡竹芳,万承贤,徐璐,等. 运用微信对强直性脊柱炎出院患者行延续护理的效果[J].中华护理杂志,2015,50(2):175-178.
|
[12] |
余燕梅,刘利华,玉芳,等.CU 护理风险管理对急性呼吸窘迫综合征患者呼吸机相关性肺炎的影响研究[J].中华医院感染学杂志,2016,(3):695-697.
|
[13] |
毕春晖,刘素莲,谭霞,等.延续护理对经皮冠状动脉支架植入术后患者自我护理能力和健康行为的影响[J].中华护理杂志,2013,48(6):503-506.
|
[14] |
庄一渝,叶小健陈香萍等. ICU 重症胰腺炎患者延续护理模式的构建[J].中国护理管理2017,17(9):1162-1165.
|
[15] |
孙晓娜,朱秀丽,徐峰. 延续护理对ICU 转出COPD 合并Ⅱ型呼吸衰竭患者的影响[J].齐鲁护理杂志,2017,23(7):89-91.
|
[16] |
吴艳,阮淑妹.延续性护理在心脏外科手术患者心脏康复中的应用效果[J].实用临床医药杂志,2014,18(12):42-44.
|
[17] |
玉英,秦霞.转科回访在ICU 优质护理工作中的应用[J].中华现代护理杂志,2013,19(25):3141-3142.
|
|
|
|