EVALUATION OF THE CLINICAL EFFECT OF "CLUSTER" COLLABORATIVE PROGRAM IN ICU PATIENTS WITH TRACHEAL INTUBATION AND EXTUBATION

Xiumei Liu, Haibo Ren^{*, #}, Surui He^{*, #}

Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116001, China

Introduction: The effect of "clustering" medical and nursing collaborative care program on the clinical efficacy of tracheal intubation and extubation in ICU patients. 

Materials and methods: 76 patients admitted to our hospital from June 2019 to December 2020 after tracheal extubation were randomly divided into 38 cases each in the control group and the observation group, and the patients in the control group were managed according to the traditional nursing care, while the patients in the observation group were managed by the "clustering" integrated nursing care intervention. The complications, blood gas analysis, nursing satisfaction and changes in patients' negative emotions were compared between the two groups before and after the intervention. 

Results: Aftercare, the PaO₂ of patients in the observation group was higher than that of patients in the control group, and their PaCO₂ was lower than that of patients in the control group, and the difference was statistically significant, P <0.05; the psychological status of patients in both the control and observation groups was better after care than before care, and the anxiety and depression scores of patients in the observation group were lower, P<0.05; the overall incidence of complications in patients in the observation group was lower than that of patients in the control group, but the satisfaction of care was higher than that of patients in the control group, and the difference was statistically significant (P<0.05). 

Conclusion: "Clustered" medical and nursing collaborative care can effectively reduce the incidence of complications, improve the patient's ventilation, and increase nursing satisfaction, thus improving the patient's clinical symptoms.