Application research on ICU admission time management / 中国实用护理杂志

ABSTRACT

Objective To explore the effects of ICU admission time management on the prognosis of critically ill patients. Methods A total of 449 patients in ICU were selected and divided into experimental group (229 patients and 80 nurses) and control group (220 patients and 81 nurses). The experimental group was given ICU admission time management, and the control group was given routine nursing and grading nursing. The prognostic data including the cure rate, mortality and the incidence of complication were analyzed retrospectively. Results The scores of ICU early warning, critical patient care assessment, arrhythmia identification, intracavitary pressure monitoring and application, critically ill patients′communication factors and assessment of anxiety and depression were 50.00%(40/80), 51.25%(41/80), 48.75%(39/80), 47.50%(38/80), 48.75%(39/80), 46.25%(37/80) in experimental group, and those in control group were 7.41%(6/81), 6.17%(5/81), 9.88%(8/81), 8.64%(7/81), 7.41%(6/81), 6.17%(5/81), there were significant differences(χ2=29.42-40.07, P<0.01). Help role, education guidance, management ability, ensure quality, work role and the total score of the nurses′ position competence dimension in experimental group were (78.23 ± 10.25), (76.15 ± 10.89), (77.06 ± 11.88), (77.85 ± 10.93), (78.54 ± 10.29), (552.96±82.58) points respectively, and those in control group were (72.23±10.21), (70.23±11.20), (70.23± 12.03), (72.36±10.44), (73.52±10.81), (503.61±84.39) points, there were significant differences (t=5.041-7.420, P<0.01). There was no significant difference in diagnosis ability and diagnostic interventions (P>0.05). The cure rate, mortality and the incidence of complication in experimental group were 91.70%(210/229), 1.31%(3/229), 6.99%(16/229) , and those in control group were 70.00%(154/220), 6.82%(15/220), 25.00%(55/220), there were significant differences (χ2=34.44, 8.85, 27.35,P<0.01). ICU stay time in experimental group was (6.18±3.16) d, and that in control group was (11.52±3.39) d, there was significant difference(t=12.273,P<0.01). Conclusions Applying continuous special management in ICU admission time can increase the cure rate and decrease the hospitalization time and the incidence of complication.