| ObjectiveTo construct an ICU transitional nursing model intervention plan for patients with severe pancreatitis,and to verify whether the transitional nursing model intervention can reduce the migration stress level of the patient’s family members,improve the patient’s family member’s caring ability and satisfaction,reduce the patient’s inflammatory symptoms,and reduce ward hospitalization days and total hospital stays.MethodsThis study consists of two parts:Part Ⅰ: Develop an intervention plan.Based on evidence-based methods,the relevant literature on ICU transitional care models at home and abroad was obtained and analyzed,and the best evidence was summarized.On this basis,the intervention plan was revised and improved by two rounds of expert meetings,and the final intervention plan was further improved and determined in combination with the pre-trial.Part Ⅱ: Clinical application of ICU transitional nursing model.This study is a case-control study.From September 2020 to December 2021,patients with severe pancreas and their families who were planned to be transferred from the ICU to the general ward in the intensive care unit of a tertiary hospital in Kaifeng were selected.According to the end of the patient’s medical record number Numbers are used for grouping,the odd number is the control group,and the even number is the intervention group,until saturation.Finally,33 cases in the control group and 34 cases in the intervention group were included.The control group was given routine transfer nursing care,and the intervention group was given ICU transitional care based on it.The migration stress level,caring ability,satisfaction of the family members of the patients in the two groups,and the ward hospitalization days and total hospitalization days were observed.EXCEL and SPSS 22.0 statistical software were used to analyze data,using statistical description,chi-square test(χ2),independent sample t test,p<0.05 was statistically significant.Result1.The best evidence included 20 articles,including 8 randomized controlled trials(RCTs),4systematic reviews,and 8 guideline consensuses.From the perspectives of safety,support,and cooperation,the measures at different stages(before,during,and after the transfer)were summarized,and 27 pieces of the best evidence were formed.2.A total of 67 patients were included in this study,including 33 in the control group and 34 in the intervention group.There were no significant differences in the general demographic data,etiology,and length of stay in the ICU between the two groups(p >0.05);there was no statistical difference in the general demographic data and care experience of the patient’s family members(p >0.05).3.Before the intervention,there was no significant difference in the migration stress scores of the family members of the ICU patients between the two groups(p >0.05).In particular,the improvement effect in the two dimensions of separation anxiety and the safety of transferring to another department was significantly better than that of the control group.4.Before the intervention,there was no statistical difference in the nursing ability between the two groups(P>0.05),and after the intervention,there were significant differences in the scores of each dimension and the total score of the nursing ability in the intervention group(P<0.05).5.The analysis of the satisfaction of the family members of the two groups of patients showed that the satisfaction of the family members of the patients after the intervention was higher than that before the intervention,and the difference was statistically significant(p >0.05),he satisfaction score of family members of patients with the ICU transitional nursing model was significantly higher than that of the control group,and the difference was significant(p <0.05).6.There was no significant difference in the length of ICU stay between the two groups before the intervention(p >0.05),and after the intervention,there was a statistically significant difference in the length of stay in the ward and the total length of stay in the intervention group(p <0.05).7.There was no significant difference in ICU return rate between 2 groups(P>0.05).8.There was no significant difference in the incidence of nursing adverse events between the two groups before and after intervention(P>0.05).ConclusionThe clinical application found that the ICU transitional nursing model significantly relieved the migration pressure and caring ability of the family members of the ICU patients with severe pancreatitis,improved the satisfaction of the family members of the critically ill patients;reduced the patients’ total hospital days. |
PDF Full Text Request