Rationale: Recent studies have reported the effectiveness of the early introduction of rehabilitation for preventing muscle weakness in patients in the intensive care unit (ICU). The early introduction of full-scale r...Rationale: Recent studies have reported the effectiveness of the early introduction of rehabilitation for preventing muscle weakness in patients in the intensive care unit (ICU). The early introduction of full-scale rehabilitation by a physical therapist is difficult in some cases because of disease severity and/or patient conditions. However, mild mobilization by a nurse (MMN), as a part of standard care performed, may have a positive effect on patient recovery. We examined the effect of the early introduction of MMN on the recovery of patients in the ICU. Methods: We retrospectively examined patients admitted to Niigata University Hospital’s ICU during between April 2014 and March 2015 who were receiving mechanical ventilation for 7 days or more. Patients were divided into two groups according to the date of initiation of MMN: group L comprised patients for whom MMN was started after 72 hours and group E comprised patients for whom MMN was started within 72 hours after ICU admission. The data were analyzed using the Fisher test, Mann-Whitney U test, and Wilcoxon test. Statistical significance was defined as P Results: Sixty-three patients were included: 42 patients in group L and 21 in group E. There was no significant difference between the two groups in patients’ background, including the type of illness, steroid use, presence of sepsis or diabetes, and sequential organ failure assessment (SOFA) score on ICU admission;however, the SOFA score at ICU discharge was significantly decreased in group E compared to that in group L (6.21 versus 4.30;P = 0.034). Conclusion: Our results indicate that MMN may reduce disease severity if started within 72 hours after ICU admission.展开更多
目的探讨重症监护护理评分系统(intensive care nursing scoring system,ICNSS)在ICU护理人力资源配置中的应用效果。方法按随机数字表法将105例ICU患者分为观察组(55例)和对照组(50例),应用ICNSS量表评估观察组患者的护理工作量,然后...目的探讨重症监护护理评分系统(intensive care nursing scoring system,ICNSS)在ICU护理人力资源配置中的应用效果。方法按随机数字表法将105例ICU患者分为观察组(55例)和对照组(50例),应用ICNSS量表评估观察组患者的护理工作量,然后依据评估结果配置护理资源;应用平均分床法对对照组患者进行护理,即每个护士平均负责一定数量患者的护理工作。比较两组患者ICU住院时间、医疗费用I、CU住院期间并发症的发生率及护士对护理资源配置和患者及其家属对护理工作的满意度。结果观察组患者ICU住院时间、医疗费用I、CU住院期间并发症的发生率均少于或低于对照组(P<0.05或P<0.01);观察组护士对护理资源配置及观察组患者及其家属对护理工作的满意度均高于对照组(P<0.01)。结论采用ICNSS量表配置护理人力资源,可提高护理质量及护士、患者及其家属的满意度,值得在ICU推广应用。展开更多
目的:探讨改良早期预警评分(MEWS)对ICU收治危重患者早期(24 h内)病情变化的预测价值,为临床重症护理工作提供科学、客观的依据。方法:将826例患者随机分为M组(MEWS组)和C组(对照组),M组根据MEWS评分分级,C组根据三级监测评估系统分级...目的:探讨改良早期预警评分(MEWS)对ICU收治危重患者早期(24 h内)病情变化的预测价值,为临床重症护理工作提供科学、客观的依据。方法:将826例患者随机分为M组(MEWS组)和C组(对照组),M组根据MEWS评分分级,C组根据三级监测评估系统分级。根据评分制定护理计划及分配护理资源。结果:M组的24 h非计划拔管率、24 h ICU内病死率、24 h ICU内心肺复苏率、ICU住院时间均低于C组,差异有统计学意义(P<0.05),M组24 h心肺复苏成功率高于C组,差异有统计学意义(P<0.05)。结论:改良早期预警评分有助于指导早期开展护理风险评估,减少意外事件及并发症的发生。展开更多
文摘Rationale: Recent studies have reported the effectiveness of the early introduction of rehabilitation for preventing muscle weakness in patients in the intensive care unit (ICU). The early introduction of full-scale rehabilitation by a physical therapist is difficult in some cases because of disease severity and/or patient conditions. However, mild mobilization by a nurse (MMN), as a part of standard care performed, may have a positive effect on patient recovery. We examined the effect of the early introduction of MMN on the recovery of patients in the ICU. Methods: We retrospectively examined patients admitted to Niigata University Hospital’s ICU during between April 2014 and March 2015 who were receiving mechanical ventilation for 7 days or more. Patients were divided into two groups according to the date of initiation of MMN: group L comprised patients for whom MMN was started after 72 hours and group E comprised patients for whom MMN was started within 72 hours after ICU admission. The data were analyzed using the Fisher test, Mann-Whitney U test, and Wilcoxon test. Statistical significance was defined as P Results: Sixty-three patients were included: 42 patients in group L and 21 in group E. There was no significant difference between the two groups in patients’ background, including the type of illness, steroid use, presence of sepsis or diabetes, and sequential organ failure assessment (SOFA) score on ICU admission;however, the SOFA score at ICU discharge was significantly decreased in group E compared to that in group L (6.21 versus 4.30;P = 0.034). Conclusion: Our results indicate that MMN may reduce disease severity if started within 72 hours after ICU admission.
文摘目的探讨重症监护护理评分系统(intensive care nursing scoring system,ICNSS)在ICU护理人力资源配置中的应用效果。方法按随机数字表法将105例ICU患者分为观察组(55例)和对照组(50例),应用ICNSS量表评估观察组患者的护理工作量,然后依据评估结果配置护理资源;应用平均分床法对对照组患者进行护理,即每个护士平均负责一定数量患者的护理工作。比较两组患者ICU住院时间、医疗费用I、CU住院期间并发症的发生率及护士对护理资源配置和患者及其家属对护理工作的满意度。结果观察组患者ICU住院时间、医疗费用I、CU住院期间并发症的发生率均少于或低于对照组(P<0.05或P<0.01);观察组护士对护理资源配置及观察组患者及其家属对护理工作的满意度均高于对照组(P<0.01)。结论采用ICNSS量表配置护理人力资源,可提高护理质量及护士、患者及其家属的满意度,值得在ICU推广应用。
文摘目的:探讨改良早期预警评分(MEWS)对ICU收治危重患者早期(24 h内)病情变化的预测价值,为临床重症护理工作提供科学、客观的依据。方法:将826例患者随机分为M组(MEWS组)和C组(对照组),M组根据MEWS评分分级,C组根据三级监测评估系统分级。根据评分制定护理计划及分配护理资源。结果:M组的24 h非计划拔管率、24 h ICU内病死率、24 h ICU内心肺复苏率、ICU住院时间均低于C组,差异有统计学意义(P<0.05),M组24 h心肺复苏成功率高于C组,差异有统计学意义(P<0.05)。结论:改良早期预警评分有助于指导早期开展护理风险评估,减少意外事件及并发症的发生。
