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Open Access Article

Journal of Advances in Clinical Nursing. 2025; 4: (10) ; 127-129 ; DOI: 10.12208/j.jacn.20250534.

Observation of the COSO-ERM nursing pathway in the perioperative nursing of ICU patients undergoing cardiac surgery
COSO-ERM护理路径在ICU心脏手术患者围术期护理中的观察

作者: 兰倩 *

南华大学附属南华医院 湖南衡阳

*通讯作者: 兰倩,单位:南华大学附属南华医院 湖南衡阳;

发布时间: 2025-10-20 总浏览量: 54

摘要

目的 浅析ICU心脏手术患者采用COSO-ERM护理路径行围术期护理的优势。方法 选取2023年4月-2025年4月本院接受治疗的ICU心脏手术患者80例,采取随机原则将纳入本次研究患者平均分成选择COSO-ERM护理路径的观察组和常规护理的对照组,对比临床护理效果。结果 观察组患者术后康复指标优于对照组,对比差异显著(P<0.05);此外,观察组术后并发症率低于对照组,对比差异显著(P<0.05)。结论 针对ICU心脏手术患者实施COSO-ERM护理路径的效果显著,有助于改善术后指标,降低并发症率,干预效果确切。

关键词: ICU心脏手术;COSO-ERM护理路径;围术期护理

Abstract

Objective To briefly analyze the advantages of perioperative care for ICU patients undergoing cardiac surgery using the COSO-ERM nursing pathway.
Methods Eighty patients who underwent cardiac surgery in the ICU of our hospital from April 2023 to April 2025 were selected. According to the principle of randomization, the patients included in this study were evenly divided into the observation group that chose the COSO-ERM nursing pathway and the control group that received conventional care, and the clinical nursing effects were compared.
Results The postoperative rehabilitation indicators of the observation group were better than those of the control group, and the difference was significant (P < 0.05). In addition, the postoperative complication rate of the observation group was lower than that of the control group, and the difference was significant (P < 0.05).
Conclusion   The implementation of the COSO-ERM nursing pathway for patients undergoing cardiac surgery in the ICU has a significant effect, which is helpful to improve postoperative indicators, reduce the complication rate, and the intervention effect is definite.

Key words: ICU cardiac surgery; COSO-ERM nursing pathway; Perioperative care

参考文献 References

[1] 宋培,孟雪莲.基于COSO-ERM框架的互联网医院风险管理研究[J].卫生经济研究,2025,42(07):86-89.

[2] 周然然,邵倩倩,王明珠,等.以COSO-ERM为框架的护理路径对感染性发热患者遵医行为和并发症的影响[J].江苏卫生事业管理,2025,36(01):79-82.

[3] 王燕,赵佳,李萍.基于COSO-ERM框架下MDT团队对脑卒中患者发生误吸的干预效果[J].新疆医学,2024, 54(11): 1377-1380.

[4] 赵小红.成人心脏手术患者围术期焦虑抑郁的影响因素及护理措施[J].山西卫生健康职业学院学报,2024,34(01): 96-97.

[5] 于小税,陈亚君.快速康复外科理念在ICU心脏手术患者围术期护理中的应用效果研究[J].临床医学工程,2023, 30(08):1117-1118.

[6] 宋冰菁,杨华琴,付凯悦.PDCA循环管理模式结合针对性护理干预应用于完全胸腔镜心脏手术患者围术期的效果分析[J].心血管病防治知识,2022,12(20):62-65.

[7] 肉孜姑丽·艾克木,邢娟,盖宁,等.PDCA循环管理模式结合针对性护理干预在完全胸腔镜下心脏手术围术期的应用效果评价[J].新疆医科大学学报,2021,44(07):860-864.

[8] 周艳秋,王欢,陈娇,等.护理干预时机对心脏手术后患者家属焦虑程度的影响[J].中国冶金工业医学杂志,2021, 38(02):174-175.

[9] 朱世芳,袁超.加速康复外科理念在体外循环心脏手术患者围术期护理中的应用[J].齐鲁护理杂志,2020,26(12): 68-70.

[10] 陈晓华,杨晓娜.预见性护理在再次心脏手术行三尖瓣置换患者围术期护理中的应用及对并发症的影响[J].中外医学研究,2020,18(12):111-113.

引用本文

兰倩, COSO-ERM护理路径在ICU心脏手术患者围术期护理中的观察[J]. 临床护理进展, 2025; 4: (10) : 127-129.