Application of bundle care in artificial airway management in critical neurosurgical patients

Abstract

Objective To explore the effects of bundle care protocols on artificial airway management in critical neurosurgical patients. Methods Totally 100 critical neurosurgical patients with artificial airways from June 2017 to June 2018 were selected by convenient sampling and divided into the observation group (n=50) and the control group (n=50) according to the random number table. Patients in the control group received conventional nursing care, while patients in the observation group received bundle care. The pulmonary infection rate, comfort and average length of hospital stay were compared between the two groups. Results The pulmonary infection rate of the observation group was 8%, while that of the control group was 24% (χ2=4.762, P<0.05) ; the comfort rate of the observation group was 64%, while that of the control group was 30% (χ2=11.60, P<0.01) ; the length of hospital stay of the observation group was (14.34±2.88) d, whereas that of the control group was (17.28±2.70) d (t=20.617, P<0.01) . Conclusions The bundle care protocol can reduce the incidence of infection and the length of hospital stay and improve the comfort among critical neurosurgical patients. Key words: Neurosurgery; Critical diseases; Artificial airway; Bundle management; Pulmonary infection