Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis

BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological changes.AIM To investigate the effects of psychological intervention in ICU patients with SAP.METHODS One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization order.The control and observation groups received routine nursing and psychological interventions,respectively.Two groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of complications.RESULTS After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

Exploring the spatial arrangement of patient rooms for minimum nurse travel m hospital nursing units in Korea

With in creasing dema nds on medical care services,one of the trends is the mixed patient room arrangement of single/double-bed and multi-bed rooms in a nursing unit on the same floor.This influences nurse-to-patient assignment and often causes an unbalanced workload and longer travel distances for nurses.The objective of this study was to investigate how floor configuration and room density influence nurse travel in the hospitafs medical surgical urdts in Korea.This study presented a novel approach to measure nurse travel distances in eight existingn ursing units.The agent-based simulation was con ducted to model nurses'walking trails,and the distanee of one nurse travel to assigned patient rooms was measured for each nurse.With revisions in the spatial arrangement of patient rooms,locating multibed rooms near the nurse station,symmetric room layout centering the nurse station,and planning both single/double-bed and multi-bed rooms on one side of corridors,nurse travel distanee decreased more than 15%.This study contributed to the knowledge of agent-based simulation as an evaluation framework for spatial analysis.Apart from application to Korea,these results are particularly of interest in countries where private patient rooms are not commonly economically feasible.