Clinical Deterioration, Nurse's Role, Postoperative Complications
Conditions
Keywords
Clinical deterioration, early warning score, nursing assessment, postoperative care, surgical nursing
Brief summary
In this study, it was aimed to determine the effect of HRU and HG on patient outcomes in the care process in surgical patients followed according to MEUSS. The sample of the study, which was conducted as a randomized-controlled clinical trial, consisted of 252 patients who underwent surgical intervention under general anesthesia in a university hospital between 29 July 2022 and 31 October 2022.
Detailed description
Postoperative patients are at risk of clinical worsening and minimizing this is vital. Nurses play a vital role in the early detection and management of clinical deterioration as they are the group of professionals with the highest patient contact. MEUSS is stated as a simple risk management tool based on physiological parameters that can allow early detection of clinical deterioration and initiation of the relevant intervention, improving the quality of care and patient safety provided to surgical patients. In this study, with a larger sample, patients will be followed up with MEUSS and a nursing guide for 2 hours in the clinic where they are transferred both after and after ASBU. Our study is a research with the highest sample in this field, in which patients are followed for the longest period of time, and it is thought that MEUSS and nursing guide applications can identify risky patients in the postoperative period and reduce postoperative complications with strict follow-up applied to these patients. The aim of this study; To determine the effect of Nursing Guide Practice (HRU) and Nursing Interventions (HG) on patient outcomes in the care process in surgical patients followed according to MEUSS.
Interventions
OTHERMEWSS and Nursing Guide Application
MEWSS and Nursing Guide application will be used for the patients in the experimental group. According to the Nursing Guide application, patients with MEWS above 4 will be monitored every 5 minutes, while those with a score below 4 will be monitored for 10 minutes. will be followed intermittently. Nursing interventions will be made in accordance with the problems experienced by patients with a score above 4.
Sponsors
Kocaeli University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Intervention model description
Randomized-controlled clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Having operated under general anesthesia * transferred to the post-anesthesia care unit (ASBU) and then to the service/ICU followed for 2 hours, * between 18-65 years old, * who have not had an operation with general anesthesia in the last six months, * no serious life-threatening complications developed during surgery, * patients willing to participate in the study
Exclusion criteria
* data unavailable, * complications during surgery, * patients who did not undergo general anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effects of MEWSS and NGA use on complications and clinical status | From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour | Length of stay in ASBU (minutes), complications developed in ASBU, intervention time to complications (minutes), and where it was transferred after ASBU (clinical or intensive care unit) |
| Effect of MEWSS and NGA use on vital signs and MEWS | From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour | Heart rate (beats per minute), respiratory rate (respiratory rate / min.), systolic blood pressure (mmHg), temperature (centigrade degree -°C), level of consciousness (AVPU) and the score obtained from these measurements show MEWS. |
| Effect of MEWSS and NGA use on nursing interventions | From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour | Nursing interventions include practices such as oxygen saturation, blood pressure, pulse, respiration, body temperature, alertness, pain monitoring by nurses, positioning and giving medication. |
Countries
Turkey (Türkiye)
Outcome results
None listed