15 March 2024 : Clinical Research
[In Press] Impact of Cluster Nursing Intervention on ICU Patients' Psychological Well-being and Complications Associated with Tracheal Intubation and Extubation
Xuezhong Yi1ABCE, Junjun Li1BCD, Yuyou Huang1CF, Ran Liu1CEF, Zhiyuan Zhong1AEFDOI: 10.12659/MSM.942855
Med Sci Monit In Press; DOI: 10.12659/MSM.942855
Available online: 2024-03-15, In Press, Corrected Proof
Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule
Abstract
BACKGROUND
Nurses in the Intensive Care Unit (ICU) play a critical role in recognizing patients who are at risk of deterioration by conducting continual assessments and taking suitable measures in response to changing health status. The validity of the cluster nursing intervention has been studied previously, but its use among ICU patients with tracheal intubation and extubation has not been examined. This study assessed the effectiveness of cluster nursing intervention in ICU patients with tracheal intubation and extubation.
MATERIAL AND METHODS
In this retrospective study, 80 patients on mechanical ventilation in the ICU ward were randomly assigned to control and intervention groups (40 patients each). The control group received the routine nursing mode, while the intervention group was given 5 sessions of cluster nursing intervention. Tracheal intubation and extubation-associated complications, blood gas analysis, patient nursing satisfaction, and changes in patients' negative emotions were compared before and after the intervention.
RESULTS
After the nursing intervention, the levels of PaO2 were higher, while PaCO2 levels were lower in the intervention group compared to the control group (P<0.05). Importantly, anxiety and depression scores in the intervention group were lower than in the control group (P<0.05). Moreover, the overall incidence of complications in the intervention group was lower than in the control group, whereas patient satisfaction with nursing services was higher (P<0.05).
CONCLUSIONS
Cluster nursing intervention can effectively reduce the incidence of complications and improve patients’ physiological and psychological conditions. Moreover, it enhances patient satisfaction with nursing services, thus improving patients' clinical symptoms.
Keywords: Intensive Care Units; Airway Extubation; Intubation, Intratracheal; Critical Care Nursing; Psychology
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