Application of hierarchical management system based on ICNSS in traumatic brain injury patients
10.3760/cma.j.issn.1674-2907.2016.20.022
- VernacularTitle:基于ICNSS系统的分层管理在脑外伤患者中的应用效果
- Author:
Xiaoli SU
1
;
Jiangning ZHAO
;
Wei HU
;
Jie SUN
;
Hongfei MI
Author Information
1. 710068 西安，陕西省人民医院急诊外科
- Keywords:
Intensive Care Nursing Scoring System;
Intensive care unit;
Brain injury;
Prognosis;
Satisfaction
- From:
Chinese Journal of Modern Nursing
2016;22(20):2906-2908
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore application effect of hierarchical management based on Intensive Care Nursing Scoring System ( ICNSS) in intensive care unit ( ICU) patients with brain injury .Methods A total of 65 ICU patients with brain injury from June 2013 to May 2014 were treated as control group;another 60 cases of ICU patients with brain injury from June 2014 to May 2015 were treated as observation group .Patients in the control group were implemented with routine nursing , while the observation group with hierarchical management based on ICNSS system.Prognosis, complications, nurse-patient disputes events, nursing risk events, and patient satisfaction of two groups were compared .Results In observation group, plant survival rate (3.33%), incidence of complications (6.67%), nurse dispute event rate (3.33%), incidence of nursing risk events (5.00%) were lower than those of the control group (χ2 =4.296,4.720,4.296,5.354;P<0.05).Among patient satisfaction of the observation group , scores of health education ( 3.85 ±0.45 ) points, medical environment(3.79 ±0.53)points, psychological nursing(3.65 ±0.78)points, service attitude(3.38 ±0.56) points, operational care(3.49 ±0.29)points were higher than those of the control group (t=40.821,36.362, 23.801,24.972,43.465;P<0.01).Conclusions Based on the ICNSS, hierarchical management model can allocate human resources in ICU reasonably and effectively , improve quality of care for patients with traumatic brain in ICU , reduce the incidence nursing risk events and elevate patient and family satisfaction .
