Meiqin Wang1, Jing Li1, Wei Li1, Huichao Tian1, Xinyun Kang2. 1. Department of Emergency Critical Care Medicine, The People's Hospital of Langfang Langfang, Hebei, China. 2. Nursing Department, Hebei PetroChina Central Hospital Langfang, Hebei, China.
Abstract
OBJECTIVE: To explore the effects of evidence-based nursing (EBN) combined with integrated hierarchical accountability nursing on patients with severe pneumonia (SP). METHODS:72 SP patients admitted to our hospital from March 2019 to March 2020 were recruited as the study cohort and randomly divided into control group (36 patients) or research group (36 patients). The control group underwent conventional nursing, and the research group underwent EBN combined with integrated hierarchical accountability nursing plus. The patients' respiratory function, inflammatory factor levels, hospital stay durations, mechanical ventilation times, complication rates, and nursing satisfaction levels were compared between the two groups. RESULTS: Before the nursing, there were no significant differences in the FVC, TLC, MVV, or VC levels between the two groups (P>0.05). After the nursing, the FVC, TLC, MVV, and VC levels in the research group were all lower than they were in the control group (all P<0.05). Before the nursing, the WBC, CRP, and PCT levels in the two groups were similar (P>0.05). After the nursing, the WBC, CRP, and PCT levels in the research group were significantly lower than they were in the control group (P<0.05). The hospital stay durations and mechanical ventilation times in the research group were shorter than they were in the control group (P<0.05). The complication rate in the research group was lower than it was in the control group (5.56% vs. 27.78% P<0.05). The nursing satisfaction level in the research group was higher than it was in the control group (97.22% vs. 77.78% P<0.05). CONCLUSION:EBN combined with integrated hierarchical accountability nursing has a good application effect on patients with SP. It can significantly improve patients' respiratory function and inflammatory factor levels, reduce the duration of patient hospital stays, reduce their mechanical ventilation times, and complication rate, and enhance their satisfaction with the nursing. Thus, it is worthy of further promotion. AJTR
RCT Entities:
OBJECTIVE: To explore the effects of evidence-based nursing (EBN) combined with integrated hierarchical accountability nursing on patients with severe pneumonia (SP). METHODS: 72 SP patients admitted to our hospital from March 2019 to March 2020 were recruited as the study cohort and randomly divided into control group (36 patients) or research group (36 patients). The control group underwent conventional nursing, and the research group underwent EBN combined with integrated hierarchical accountability nursing plus. The patients' respiratory function, inflammatory factor levels, hospital stay durations, mechanical ventilation times, complication rates, and nursing satisfaction levels were compared between the two groups. RESULTS: Before the nursing, there were no significant differences in the FVC, TLC, MVV, or VC levels between the two groups (P>0.05). After the nursing, the FVC, TLC, MVV, and VC levels in the research group were all lower than they were in the control group (all P<0.05). Before the nursing, the WBC, CRP, and PCT levels in the two groups were similar (P>0.05). After the nursing, the WBC, CRP, and PCT levels in the research group were significantly lower than they were in the control group (P<0.05). The hospital stay durations and mechanical ventilation times in the research group were shorter than they were in the control group (P<0.05). The complication rate in the research group was lower than it was in the control group (5.56% vs. 27.78% P<0.05). The nursing satisfaction level in the research group was higher than it was in the control group (97.22% vs. 77.78% P<0.05). CONCLUSION: EBN combined with integrated hierarchical accountability nursing has a good application effect on patients with SP. It can significantly improve patients' respiratory function and inflammatory factor levels, reduce the duration of patient hospital stays, reduce their mechanical ventilation times, and complication rate, and enhance their satisfaction with the nursing. Thus, it is worthy of further promotion. AJTR
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