Xin Zhang1, Wenxiu Du1, Fang Liu1. 1. Department of Respiratory and Critical Care Medicine, Cangzhou Central Hospital Cangzhou, P. R. China.
Abstract
OBJECTIVE: To study the effect of an all-in-one nursing model on ICU ventilator-associated pneumonia (VAP). METHODS: A total of 100 ICU patients needing ventilator assistance who were admitted to our hospital from March 2018 to December 2019 were equally randomized into two groups by a lottery system, with 50 cases in each group. Patients in the control group received routine nursing, and patients in the experimental group received all-in-one nursing. The number of ICU VAP patients, time transferring from ICU to an ordinary ward, hospital stay, mechanical ventilation time, nursing efficiency, and the changes of blood pressure, heart rate and oxygen saturation during nursing was compared between the two groups. RESULTS: Regarding the number of cases of VAP, the length of stay in the ICU, and the length of hospital stay, and the mechanical ventilation time, the experimental group was markedly shorter than that of the control group (P<0.05). With respect to the effective rates of nursing care, the experimental group (96%) was better than the control group (80%) (P<0.05). When considering the changes of hemodynamic indexes during the nursing process, the two groups exhibited no marked difference (P>0.05). After intervention, the control group was inferior in terms of the oxygen partial pressure and carbon dioxide partial pressure compared to the experimental group (P<0.05). CONCLUSION: All-in-one nursing can reduce the incidence of VAP in ICU patients, significantly shorten the length of ICU stay, hospital stay and mechanical ventilation time, thus improving overall nursing efficiency. AJTR
RCT Entities:
OBJECTIVE: To study the effect of an all-in-one nursing model on ICU ventilator-associated pneumonia (VAP). METHODS: A total of 100 ICU patients needing ventilator assistance who were admitted to our hospital from March 2018 to December 2019 were equally randomized into two groups by a lottery system, with 50 cases in each group. Patients in the control group received routine nursing, and patients in the experimental group received all-in-one nursing. The number of ICU VAP patients, time transferring from ICU to an ordinary ward, hospital stay, mechanical ventilation time, nursing efficiency, and the changes of blood pressure, heart rate and oxygen saturation during nursing was compared between the two groups. RESULTS: Regarding the number of cases of VAP, the length of stay in the ICU, and the length of hospital stay, and the mechanical ventilation time, the experimental group was markedly shorter than that of the control group (P<0.05). With respect to the effective rates of nursing care, the experimental group (96%) was better than the control group (80%) (P<0.05). When considering the changes of hemodynamic indexes during the nursing process, the two groups exhibited no marked difference (P>0.05). After intervention, the control group was inferior in terms of the oxygen partial pressure and carbon dioxide partial pressure compared to the experimental group (P<0.05). CONCLUSION: All-in-one nursing can reduce the incidence of VAP in ICU patients, significantly shorten the length of ICU stay, hospital stay and mechanical ventilation time, thus improving overall nursing efficiency. AJTR
Authors: John A White; Donald P Gaver; Robert J Butera; Bernard Choi; Mary J Dunlop; K Jane Grande-Allen; Anna Grosberg; Robert W Hitchcock; Aileen Y Huang-Saad; Miiri Kotche; Aaron M Kyle; Amy L Lerner; John H Linehan; Robert A Linsenmeier; Michael I Miller; Jason A Papin; Lori Setton; Allyson Sgro; Michael L Smith; Muhammad Zaman; Abraham P Lee Journal: Ann Biomed Eng Date: 2020-02-05 Impact factor: 4.219