Development and application of a transitional care practice protocol for neurosurgical ICU patients based on the SEC model
10.3760/cma.j.cn115682-20240315-01370
- VernacularTitle:基于SEC模式的神经外科ICU患者过渡期护理实践方案的构建与应用
- Author:
Yuxin ZHAN
1
;
Gefen YUE
1
;
Bing LI
1
;
Peng YU
1
;
Xianke WANG
1
;
Pei WANG
1
;
Bing LI
1
;
Danfeng LI
1
;
Yali WAN
1
Author Information
1. 华中科技大学同济医学院附属协和医院神经外科，武汉 430022
- Publication Type:Journal Article
- Keywords:
Intensive care unit;
Neurosurgery;
ICU transitional care;
Protocol development;
Application effectiveness
- From:
Chinese Journal of Modern Nursing
2024;30(35):4814-4820
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a transitional care practice protocol for neurosurgical intensive care unit (ICU) patients based on the Secure-Encourage-Collaborate (SEC) model and to explore its effectiveness, providing a reference for clinical practice.Methods:Through literature analysis, expert verification in our hospital, core group discussions, and the Delphi expert consultation method, a transitional care practice protocol for neurosurgical ICU patients based on the SEC model was developed. A convenience sampling method was used to select 160 patients admitted to the Neurosurgical ICU of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, from March 2022 to October 2023. Eighty patients admitted from March to December 2022 were designated as the control group, and eighty patients admitted from January to October 2023 were designated as the experimental group. The control group received the routine post-discharge follow-up care protocol, while the experimental group received the transitional care practice protocol based on the SEC model. The ICU quality control indicators, rehabilitation outcomes, adverse events were compared between the two groups.Results:The experimental group had significantly shorter ICU stay and total hospitalization days compared to the control group, and fewer cases of readmission within 48 hours after ICU discharge ( P<0.05). The experimental group showed lower pain scores, higher scores for self-care in daily activities, shorter time to first ambulation after ICU discharge, and longer daily ambulation time within the first week post-discharge compared to the control group, with statistically significant differences ( P<0.05). No statistically significant differences were observed between the two groups in the incidence of stage II or higher pressure injuries, falls/bed falls, unplanned extubations, aspiration, and lower limb deep vein thrombosis ( P>0.05) . Conclusions:The transitional care practice protocol for neurosurgical ICU patients based on the SEC model can effectively improve the quality of care.
