ArticleInternational journal of general medicine2021
Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Preventing pressure injury in open-heart surgical patients: A systematic review.Health science reports · 2023Article
- The Efficacy of Targeted Perioperative Management for Diabetic Patients with Traumatic Calcaneal Fractures.Evidence-based complementary and alternative medicine : eCAM · 2022Article
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5 authors.
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Abstract
backgroundTo investigate the effect of the care bundle in the nursing care of the type A aortic dissection (TAAD).
methodsA total of 161 patients with TAAD were included in the study. They were divided into control group (n=79) and care bundle group (n=82). The patients in the control group received routine nursing, while the patients in the care bundle group received routine nursing and care bundle. IL-2, IL-6 and IL-10 levels in the three periods of T0 (before anesthesia), T1 (before anesthesia to 6 h after surgery) and T2 (6-24 h after surgery), intraoperative blood loss, postoperative recovery, ICU stay time, intraoperative pressure ulcer rate, postoperative delirium rate, bloodstream infection rate and doctor satisfaction.
resultsThe postoperative T and pH levels in two groups were all in the normal range. The levels of IL-2, IL-6 and IL-10 in the care bundle group at different periods were also significantly different. The levels of IL-2 and IL-10 showed an increased trend, while that of IL-6 showed a downward trend. The intraoperative blood loss, postoperative recovery and ICU stay time, intraoperative pressure sore rate, postoperative delirium rate, and bloodstream infection rate were lower, whereas doctor satisfaction was all significantly higher in care bundle group.
conclusionCare bundle increased the safety of the operation, and it was beneficial to the postoperative rehabilitation for TAAD patients. RELEVANCE TO CLINICAL PRACTICE: Patients with TAAD who underwent operation need higher quality care during the entire operation. Cluster nursing is the kind of the nursing model that can better meet the requirements of the intraoperative nursing quality. The intervention methods in this study include 5 core nursing measures. These measures are implemented together in a synergistic manner to effectively improve the quality of nursing care in operating room and the health outcomes of patients with TAAD. Care bundle is worthy of clinical application.
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