Application value of checklist-based transitional care on patients relatives relocation stress in patients undergoing cardiac surgery
10.3760/cma.j.cn211501-20200902-03759
- VernacularTitle:以服务清单为指导的过渡期护理在ICU转出心脏手术迁移应激家属中的应用研究
- Author:
Juan GONG
1
;
Yang ZHOU
;
Jun WANG
;
Luqun DOU
;
Xue XIAO
;
Bing CHEN
Author Information
1. 四川省乐山市人民医院胸心外科 614000
- Keywords:
Intensive care unit;
Cardiac surgery;
Checklist;
Relocation stress
- From:
Chinese Journal of Practical Nursing
2021;37(23):1811-1816
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of checklist-based transitional care on patients relatives relocation stress in patients undergoing cardiac surgery.Methods:A total of 92 patients who undergoing cardiac surgery were assigned to experimental group ( n=46) and control group ( n=46). Patients in the control group received routine ICU transitional care, the experiment group carried out checklist-based ICU transitional care. The transfer time, time of early ambulation, length of hospitalization and incidence of postoperative complications were compared between two groups. Meanwhile, the relatives stress levels were assessed by family relocation stress scale. Results:The transfer time, time of early ambulation and post-intensive care syndrome rate were (11.80±3.58) min, (18.65±4.63) min and 4.35% (2/46) in the experimental group, significantly lower than those in the control group [(13.83±3.49)min, (21.37±4.97) min, 17.39% (8/46)], the difference was statistically significant ( t value was 2.739, 2.713, χ2 value was 3.866, P<0.05). After ICU transferring, the scores of preparation for relocation, family burden, satisfaction with the relocation process and total relocation stress were 21.11±2.57, 13.83±2.10, 7.57±1.11 and 7.57±1.11, significantly higher than in the control group (19.65±3.28, 19.65±3.28, 6.76±1.62, 46.43±4.11), the difference was statistically significant ( t value was 9.222-20.187, P<0.05). Conclusions:Checklist-based transitional care can reduce ICU transfer time, decrease postoperative pain and complications in patients undergoing cardiac surgery, which can also alleviate the levels of relatives relocation stress.
