Application effect of eCASH nursing model in patients undergoing PCI surgery for coronary heart disease
10.3760/cma.j.cn115682-20210604-02430
- VernacularTitle:eCASH护理模式在冠心病PCI术患者中的应用效果
- Author:
Wei WANG
1
;
Lin TAO
;
Yanchao MA
;
Liumei SUN
;
Yinping YI
Author Information
1. 河南省人民医院心脏重症监护病房 河南省护理医学重点实验室 郑州大学人民医院 河南大学人民医院,郑州 450003
- Keywords:
Intensive Care Unit;
Percutaneous coronary intervention;
eCASH nursing model;
Coronary heart disease;
Delirium
- From:
Chinese Journal of Modern Nursing
2022;28(3):366-370
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of eCASH nursing model on the prevention of delirium and quality of care for patients with coronary heart disease in ICU after percutaneous coronary intervention (PCI) .Methods:A total of 188 patients with coronary heart disease who underwent PCI in Henan Provincial People's Hospital from January 2019 to December 2020 were selected by the convenient sampling method and they were admitted to ICU after surgery. Patients admitted from January to December 2019 were set as the control group ( n=94) and received routine care. Patients admitted from January to December 2020 were set as the observation group ( n=94) and received eCASH nursing mode. The incidence of delirium [Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) ], hospitalization (bed time, ICU stay time, total length of stay) , nursing quality (Inpatient Nursing Job Satisfaction Scale) and complications during hospitalization were compared between the two groups. Results:The incidence of delirium, bed time, length of stay in ICU and total length of stay in observation group were lower than those in control group and the score of Inpatient Nursing Job Satisfaction Scale was lower than that in control group, and the differences were statistically significant ( P<0.05) . During hospitalization, there was no statistically significant difference in the incidence of puncture site hematoma, skin blister, infection and limb venous thrombosis between 2 groups ( P>0.05) . The incidence of urinary retention in observation group was lower than that in control group, and the difference was statistically significant ( P<0.05) . Conclusions:The eCASH nursing mode can help ICU patients with coronary heart disease to prevent delirium after PCI, shorten the length of hospital stay, improve quality of nursing and help to reduce complications during the hospital stay.