摘要
目的构建综合重症监护室(intensive care unit,ICU)患者过渡期护理方案并探讨其应用效果。方法采用便利抽样法选取上海市某三级甲等医院2019年7-9月由综合ICU转出至普通病房的138例患者作为对照组,同法选择2019年10-12月转出的151例患者作为观察组,成立ICU过渡期护理小组,观察组患者接受ICU过渡期护理小组的ICU过渡期护理,对照组患者接受医院常规转科护理。比较两组患者的ICU重返率、ICU住院天数、总住院天数、不良事件发生率以及患者的焦虑、抑郁水平。结果观察组患者的ICU重返率、总住院天数、抑郁得分及中文版医院焦虑抑郁评价量表(hospital anxiety and depression scale,HADS)得分均低于对照组,差异均有统计学意义(均P<0.05)。结论实施ICU过渡期护理方案,能够有效降低综合ICU转出患者非计划ICU重返率,缩短住院天数,同时缓解患者的不良情绪。
Objective To design a transitional care plan in the comprehensive ICU and explore its application effects.Methods A total of 138 patients transferred from the comprehensive ICU to a general ward were conveniently sampled from a tertiary hospital in Shanghai City from July to September,2019 as the control group;151 patients transferred from the comprehensive ICU were selected from October to December,2019 in the same way as the observation group.The ICU transitional care nursing group was established and provided ICU transitional care for the patients in the observation group.Patients in the control group received routine transfer nursing care.The rate of returning to ICU,length of stay in ICU,length of hospitalization,incidence of adverse events,level of anxiety and depression were compared between the patients in the two groups.Results The rate of returning to ICU,length of hospitalization,depression score and the score of the Chinese version of Hospital Anxiety and Depression Scale(HADS)in the observation group were significantly lower than those in the control group(all P<0.05).Conclusions Applying the ICU transitional care plan can effectively reduce the rate of unplanned returning to ICU among those patients transferred out of the comprehensive ICU,shorten the length of hospitalization,and alleviate the patients’negative emotions.
作者
台瑞
方芳
杨富
贾峥
TAI Rui;FANG Fang;YANG Fu;JIA Zheng(Department of Nursing,Shanghai General Hospital,Shanghai 200080,China;Intensive Care Unit,Shanghai General Hospital)
出处
《解放军护理杂志》
CSCD
北大核心
2021年第3期10-13,共4页
Nursing Journal of Chinese People's Liberation Army
基金
上海市卫生和计划生育委员会科研课题(20164Y0714)
上海市卫生计生系统重要薄弱学科建设项目(2015ZB0304)。
关键词
ICU转出患者
过渡期护理
ICU重返率
焦虑
抑郁
patients transferred out of ICU
transitional care
rate of returning to ICU
anxiety
depression
