Impact of Comprehensive Rehabilitation Nursing Combined With Refined Airway Management and Nutritional Support on Prognosis and Care Delivery Models in Critically Ill Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 101
- 试验地点
- 1
- 主要终点
- ICU Length of Stay (LOS)
研究概览
简要总结
This combined intervention protocol effectively improves the prognosis of critically ill patients and optimizes nursing management models
详细描述
To investigate the impact of comprehensive rehabilitation nursing combined with refined airway management and nutritional support on the prognosis of critically ill patients and nursing management models, and to develop a new care management protocol. Critically ill patients were divided into a control group (routine nursing) and an intervention group (comprehensive rehabilitation nursing combined with refined airway management and nutritional support). Complications such as pulmonary infection and gastrointestinal bleeding, as well as clinical indicators including oxygen saturation (SpO₂), mechanical ventilation time (MVT), and length of stay (LOS), were compared between the two groups. Logistic regression and XGBoost models were constructed to analyze key influencing factors.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Fulfillment of ICU admission standards with critical illness confirmed by attending physicians or senior specialists
- •Age ≥ 18 years
- •Stable vital signs:
- •Systolic blood pressure ≥ 90 mmHg and ≤ 180 mmHg
- •Heart rate ≤ 120 beats/min
- •Oxygen saturation (SpO₂) ≥ 85% under ≤ 60% fraction of inspired oxygen (FiO₂)
- •Intact or tolerable gastrointestinal (GI) function for enteral nutrition
- •Informed consent from both patients and families
排除标准
- •Terminal malignancies
- •Brain death
- •Irreversible organ failure (e.g., end-stage cirrhosis, advanced heart failure)
- •Comorbidities potentially confounding study outcomes
- •Contraindications to interventions (e.g., laryngeal edema, complete intestinal obstruction)
- •Pregnancy or lactation
研究组 & 干预措施
control group
干预措施: Standard Critical Care Nursing Protocol (Other)
intervention group
干预措施: ICU-PRO Nursing Protocol (Integrated Critical Care Protocol for Rehabilitation Outcomes) (Behavioral)
结局指标
主要结局
ICU Length of Stay (LOS)
时间窗: From randomization to ICU discharge, up to 60 days
Calendar days from ICU admission to discharge criteria met (APACHE II score ≤10, hemodynamic stability for ≥24h).
次要结局
- Incidence of Pulmonary Infections(From ICU admission to 48 hours post-extubation or 14-day intervention period)
研究者
Peibei zhang
Principal Investigator
Taizhou Hospital of Traditional Chinese Medicine