中国体外生命支持2025，Vol.23Issue(5)：413-418,6.DOI:10.13498/j.cnki.chin.j.ecls.2025.05.08
基于重症护理评分系统构建分层护理管理在主动脉夹层患者中的应用
Application of Hierarchical Nursing Management Based on the Intensive Care Nursing Scoring System in Patients with Stanford Type A Aortic Dissection
摘要
Abstract
Objective To evaluate the effect of hierarchical nursing management constructed based on the intensive care nursing scoring system(ICNSS)on the perioperative nursing outcomes of patients with Stanford type A aortic dissection.Methods A total of 366 surgical patients with Stanford type A aortic dissection at the Department of Cardiothoracic Surgery of the Eastern Theater Command General Hospital from June 2023 to June 2025 were selected as research subjects.They were ran-domly divided(using a random number table method)into an experimental group(n=183,receiving ICNSS-based hierarchical nursing)and a control group(n=183,receiving routine nursing).The study observed changes in blood pressure levels(including systolic and diastolic pressures)and Brief Health Interview(SF-36)scores before and after intervention,while also analyzing complication rates,hospital stays,and nursing satisfaction scores.Results Before the intervention,there was no significant difference in blood pressure levels between groups(P>0.05).After intervention,both groups showed lower systolic and diastolic pressures than pre-intervention levels(P<0.05),with the experimental group achieving significantly lower values than the control group(P<0.05).SF-36 scores showed no statistically significant differences before intervention(P>0.05).Post-intervention,SF-36 scores increased across all dimensions compared to pre-intervention levels(P<0.05).The experimental group demonstrated a significantly lower postoperative complication rate(12.57%vs.30.05%,P<0.05),the hospitalization time(9.2±1.5 d)was significantly shorter than that of the control group(14.3±2.1 d),and a marked improvement in nursing satisfaction scores(98.4%vs.90.2%,P<0.05)compared to the control group.Conclusion ICNSS-based hierarchical nursing can effectively improve the clinical outcomes for surgical patients with Stanford type A aortic dissection and optimize the allocation of nursing resources.关键词
重症护理评分系统/分层护理管理/Standford A型主动脉夹层/临床结局Key words
intensive care nursing scoring system/stratified nursing management/stanford type A aortic dissection/clini-cal outcomes引用本文复制引用
吴丹,王金金,欧玲,洪丽萍,郝同玉,王安立,仇冰梅..基于重症护理评分系统构建分层护理管理在主动脉夹层患者中的应用[J].中国体外生命支持,2025,23(5):413-418,6.基金项目
东部战区总医院院管课题(2023LCZLXB052) （2023LCZLXB052）
