Background: To investigate the effect of the care bundle in the nursing care of the type A aortic dissection (TAAD).
Methods: A total of 161 patients with TAAD were included in the study. They were divided into control group (n=79) and care bundle group (n=82). The patients in the control group received routine nursing, while the patients in the care bundle group received routine nursing and care bundle. IL-2, IL-6 and IL-10 levels in the three periods of T0 (before anesthesia), T1 (before anesthesia to 6 h after surgery) and T2 (6– 24 h after surgery), intraoperative blood loss, postoperative recovery, ICU stay time, intraoperative pressure ulcer rate, postoperative delirium rate, bloodstream infection rate and doctor satisfaction.
Results: The postoperative T and pH levels in two groups were all in the normal range. The levels of IL-2, IL-6 and IL-10 in the care bundle group at different periods were also significantly different. The levels of IL-2 and IL-10 showed an increased trend, while that of IL-6 showed a downward trend. The intraoperative blood loss, postoperative recovery and ICU stay time, intraoperative pressure sore rate, postoperative delirium rate, and bloodstream infection rate were lower, whereas doctor satisfaction was all significantly higher in care bundle group.
Conclusion: Care bundle increased the safety of the operation, and it was beneficial to the postoperative rehabilitation for TAAD patients.
Relevance to Clinical Practice: Patients with TAAD who underwent operation need higher quality care during the entire operation. Cluster nursing is the kind of the nursing model that can better meet the requirements of the intraoperative nursing quality. The intervention methods in this study include 5 core nursing measures. These measures are implemented together in a synergistic manner to effectively improve the quality of nursing care in operating room and the health outcomes of patients with TAAD. Care bundle is worthy of clinical application.



中文翻译：

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护理包在A型主动脉夹层围手术期护理中的应用

背景：探讨护理包在A型主动脉夹层（TAAD）护理中的作用。
方法：本研究共纳入 161 名 TAAD 患者。分为对照组（n=79）和护理包组（n=82）。对照组患者接受常规护理，护理捆绑组患者接受常规护理和捆绑护理。T0（麻醉前）、T1（麻醉前至术后6 h）和T2（术后6～24 h）三个时段IL-2、IL-6、IL-10水平、术中失血量、术后恢复情况、ICU停留时间、术中压疮率、术后谵妄率、血流感染率和医生满意度。
结果：两组术后T和pH值均在正常范围内。护理束组不同时期的IL-2、IL-6、IL-10水平也存在显着差异。IL-2、IL-10呈上升趋势，IL-6呈下降趋势。护理束组术中失血量、术后恢复及入住ICU时间、术中压疮发生率、术后谵妄发生率、血流感染率均较低，而医生满意度均显着较高。
结论：护理包增加了手术的安全性，有利于TAAD患者的术后康复。
与临床实践的相关性：接受手术的TAAD患者在整个手术过程中需要更高质量的护理。集群护理是一种更能满足术中护理质量要求的护理模式。本研究的干预方法包括5项核心护理措施。这些措施协同实施，有效提高手术室护理质量和TAAD患者的健康结局。护理束值得临床应用。