eCASH护理模式在冠心病PCI术患者中的应用效果

目的探究eCASH护理模式对ICU冠心病患者经皮冠状动脉介入治疗(PCI)术后谵妄预防及护理质量的影响。方法采用便利抽样法,选择2019年1月—2020年12月河南省人民医院收治的188例行PCI的冠心病患者,术后入住ICU,2019年1—12月纳入的患者设为对照组(n=94),予以常规护理;2020年1—12月纳入的患者设为观察组(n=94),予以eCASH护理模式。比较两组患者谵妄发生情况ICU意识模糊评估法(CAM-ICU)]、住院情况(卧床时间、ICU住院时间、总住院时间)、护理质量(住院患者护理工作满意度调查量表)、住院期间并发症发生情况。结果观察组患者谵妄发生率、卧床时间、ICU住院时间、总住院时间均低于对照组,住院患者护理工作满意度调查量表得分低于对照组,差异均有统计学意义(P<0.05);住院期间,两组患者穿刺部位血肿、皮肤水疱、感染、肢体静脉血栓发生率差异无统计学意义(P>0.05),观察组患者尿潴留发生率低于对照组,差异有统计学意义(P<0.05)。结论eCASH护理模式有助于ICU冠心病患者PCI术后谵妄预防,缩短患者住院时间,提升护理质量,对减少患者住院期间并发症发生有一定帮助。

Application effect of eCASH nursing model in patients undergoing PCI surgery for coronary heart disease

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 deliriumConfusion 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.