Improved management of the intake and output in patients after cardiac surgery
Min-ying Wang, Rui Wang · Zhonghua xiandai huli zazhi · 2013
Objective To explore the effects of the improved management of the intake and output on the nursing in the cardiac surgery ward.Methods Totals of 87 patients hospitalized in March 2011 before the improvement of intake and output management were chose as the control group,and 83 patients hospitalized in March 2012 after the improvement were recruited as the observation group.Then,compared the intake and output after surgery,the times of using diuretics,complications of fluid infusion and the time in hospital after surgery.Results Compared with the control group,the average volume of intake and output in 3 days after surgery [(596 ± 217) vs (762 ± 225) ml],the times of using diuretics in night [(0.7 ± 0.6) vs (1.2 ± 0.6) times],the off bed time [(2.7 ± 2.6) vs (3.9 ± 2.1) days] in observation group were significantly improved (t=4.891,5.431,3.312,respectively ;P ＜ 0.05).There was no significant difference between the two groups in complications such as dehydration and frothy sputum (P ＞ 0.05).Conclusions After detailing the management of intake and output,the management plan is quantified and maneuverable,which promote the recovery of patients efficiently,decrease the frequency of using diuretics during the night and the relevant complications,and make the nursing work more methodical and efficient. Key words: Cardiac surgery; Nursing methodology research; Intake and output management