Objective To develop a transitional care practice protocol for neurosurgical intensive care unit(ICU)patients based on the Secure-Encourage-Collaborate(SEC)model and to explore its effectiveness,providing a reference for clinical practice.Methods Through literature analysis,expert verification in our hospital,core group discussions,and the Delphi expert consultation method,a transitional care practice protocol for neurosurgical ICU patients based on the SEC model was developed.A convenience sampling method was used to select 160 patients admitted to the Neurosurgical ICU of Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,from March 2022 to October 2023.Eighty patients admitted from March to December 2022 were designated as the control group,and eighty patients admitted from January to October 2023 were designated as the experimental group.The control group received the routine post-discharge follow-up care protocol,while the experimental group received the transitional care practice protocol based on the SEC model.The ICU quality control indicators,rehabilitation outcomes,adverse events were compared between the two groups.Results The experimental group had significantly shorter ICU stay and total hospitalization days compared to the control group,and fewer cases of readmission within 48 hours after ICU discharge(P＜0.05).The experimental group showed lower pain scores,higher scores for self-care in daily activities,shorter time to first ambulation after ICU discharge,and longer daily ambulation time within the first week post-discharge compared to the control group,with statistically significant differences(P＜0.05).No statistically significant differences were observed between the two groups in the incidence of stage Ⅱ or higher pressure injuries,falls/bed falls,unplanned extubations,aspiration,and lower limb deep vein thrombosis(P＞0.05).Conclusions The transitional care practice protocol for neurosurgical ICU patients based on the SEC model can effectively improve the quality of care.
关键词
重症监护病房/神经外科/ICU过渡期护理/方案构建/应用效果
Key words
Intensive care unit/Neurosurgery/ICU transitional care/Protocol development/Application effectiveness
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