Application of nursing based on comprehensive geriatric assessment in the prevention of nursing adverse events in elderly patients undergoing cardiac surgery
10.3760/cma.j.cn115682-20191025-03853
- VernacularTitle:基于老年综合评估的护理在心脏外科高龄手术患者护理不良事件预防中的应用
- Author:
Ying DU
1
;
Yuan HE
;
Xiumei CHEN
;
Hui PENG
;
Yuan LIU
;
Xuemei LI
Author Information
1. 首都医科大学附属北京安贞医院心脏外科 100029
- Keywords:
Aged;
Cardiac surgery;
Comprehensive geriatric assessment;
Elderly;
Nursing plan
- From:
Chinese Journal of Modern Nursing
2020;26(14):1845-1850
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of nursing measures based on comprehensive geriatric assessment in the prevention of nursing adverse events in elderly patients undergoing cardiac surgery.Methods:56 elderly patients who underwent cardiac surgery in Beijing Anzhen Hospital Affiliated to Capital Medical University from June 2018 to May 2019 were selected as the observation group. According to the principle of reciprocity, 51 elderly patients who underwent cardiac surgery from June 2017 to May 2018 were selected as the control group. The control group was given routine nursing while the observation group carried out comprehensive geriatric assessment based on routine nursing and formulated nursing plans and measures based on assessment results. The incidence of adverse nursing events during hospitalization and length of hospital stay were compared between the two groups.Results:The unplanned extubation rate, aspiration rate and fall rate in the observation group were respectively 1.79% (1/56) , 1.79% (1/56) and 0 (0/56) , which were lower than 13.73% (7/51) , 15.69% (8/51) and 9.80% (5/51) in the control group, and the differences were statistically significant ( P<0.05) . The incidence of stress injury was 0 (0/56) in the observation group and 1.96% (1/51) in the control group, and the difference was not statistically significant ( P>0.05) . The infection rate of tube incision in the observation group was 0 (0/56) , which was lower than 9.80% (5/51) in the control group, and the difference was statistically significant ( P<0.05) . The length of hospital stay in the observation group was shorter than that in the control group, and the difference was statistically significant ( Z=8.068, P<0.01) . Conclusions:Application of comprehensive geriatric assessment in elderly patients undergoing cardiac surgery can reduce the incidence of unplanned extubation, aspiration, falls and other nursing adverse events, reduce the infection rate of incision and shorten the length of hospital stay.
