随机可行性试验用于评估初级护理对重症监护室住院期间妄持续时间的影响
Lars Krüger1, Armin Zittermann2, Thomas Mannebach3
1Project and Knowledge Management/Care Development Intensive Care, Care Directorate, Heart and Diabetes Center NRW, Ruhr University Bochum, Georgstrasse 11, 32345 Bad Oeynhausen, Germany.
随机试验比较初级护理与心脏手术患者的标准护理是可行的. 虽然在统计学上不显著,但初级护理显示了减少妄想发病率的趋势,这表明它可能是比持续时间更好的结果指标.
科学领域:
- 心血管外科心血管外科
- 密集护理医学 密集护理医学
- 护理研究 护理研究
背景情况:
- 评估新的护理模式对于改善重症监护中的患者结果至关重要.
- 初级护理,以患者为中心的方法,有可能提高护理质量.
研究的目的:
- 评估随机对照试验的可行性,将初级护理与标准护理进行比较.
- 探索初级护理对心脏手术患者妄,焦虑和患者相对满意度的影响.
主要方法:
- 一个为期一年的随机对照试验在两个大学医院的重症监护病房进行.
- 招募了选择性心脏手术患者,并对那些重症监护室停留时间≥3天的患者进行了随访.
- 结果包括招募和分娩率,妄想持续时间和发生率,焦虑程度和相对满意度.
主要成果:
- 招聘和交付率分别为73%和26%.
- 在18名接受初级护理的患者和24名接受标准护理的患者中观察到 Delirium 发病率 (P=0.10).
- 焦虑和患者相对满意度在两组之间没有显著差异.
结论:
- 一个随机的临床试验,比较初级护理和标准护理是可行的.
- 在未来的试验中, Delirium 发病率可能是一个比持续时间更强大的初级结果.
- 对患者招募,数据评估和功率计算的有效规划对于护理组织试验至关重要.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
相关概念视频
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Nursing Evaluation
Current Trends in Nursing II
Planning Nursing Care I
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Nursing Interventions I: Taxonomy of Nursing Interventions
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
