| Abstract [eng] |
Research objective – to analyze the influence of intensive care patients nursing on their hospital outcomes. Research tasks: To evaluate the results of treatment of intensive care unit patients (mortality, duration of stay in a hospital, frequency of repeated admissions to department of intensive care and other complications). To determine the influence of intensity of care delivered to intensive care patients to their hospital outcome. To compare hospital outcomes of intensive care unit patients according to intensity of care delivered to them in department of intensive care. Object of research: Nursing of patients in unit of intensive care. Method of research: There was a retrospective research accomplished and statistic analysis of document content chosen. The research included 261 surveyed patients who were treated in fifteen-bed Ist Department of Reanimation and Intensive Therapy of Vilnius University Hospital Santariškių klinikos and who continued treatment in general-purpose wards of Santariškių klinikos after transferring from Ist ICU. Patients who stayed in Ist ICU for less than 8 hours, i.e. those whose state was actively observed for a short period or those who died because of their particularly critical state and those who were transferred from Ist ICU to other hospitals, were excluded from the research. Nursing process in ICU was evaluated for each patient individually using Therapeutic Intervention Scoring System -28 (TISS-28). Main results of research: Evaluation of patient treatment results in Ist ICU showed that mortality, comparing with the results of other studies, was slightly lower (17%); repeated admission to Ist ICU also corresponded results of other studies (8%). Reliable correlation was found between duration of stay in Ist ICU and frequency of complications. The longer the duration of treatment in ICU the higher the possibility for complications to arise. Positive correlation was found between intensity of care in ICU and hospital outcome. High intensity of care relates with darker survival prognosis. Most of the patients, who had high care intensity in ICU, had longer durations of stay in the hospital. Most of the patients with minimal nursing activity delivered, stayed in hospital for less than 7 days. |
