Application of hierarchical management system based on ICNSS in traumatic brain injury patients

Abstract

Objective To explore application effect of hierarchical management based on Intensive Care Nursing Scoring System (ICNSS) in intensive care unit (ICU) patients with brain injury. Methods A total of 65 ICU patients with brain injury from June 2013 to May 2014 were treated as control group; another 60 cases of ICU patients with brain injury from June 2014 to May 2015 were treated as observation group. Patients in the control group were implemented with routine nursing, while the observation group with hierarchical management based on ICNSS system. Prognosis, complications, nurse-patient disputes events, nursing risk events, and patient satisfaction of two groups were compared. Results In observation group, plant survival rate (3.33%), incidence of complications(6.67%), nurse dispute event rate(3.33%), incidence of nursing risk events (5.00%) were lower than those of the control group(χ2=4.296, 4.720, 4.296, 5.354; P<0.05). Among patient satisfaction of the observation group, scores of health education(3.85±0.45)points, medical environment(3.79±0.53)points, psychological nursing(3.65±0.78)points, service attitude(3.38±0.56)points, operational care(3.49±0.29)points were higher than those of the control group (t=40.821, 36.362, 23.801, 24.972, 43.465; P<0.01). Conclusions Based on the ICNSS, hierarchical management model can allocate human resources in ICU reasonably and effectively, improve quality of care for patients with traumatic brain in ICU, reduce the incidence nursing risk events and elevate patient and family satisfaction. Key words: Intensive Care Nursing Scoring System; Intensive care unit; Brain injury; Prognosis; Satisfaction