University of Iowa College of Nursing, Iowa City, Iowa 52242, USA.
Appl Nurs Res. 2010 Feb;23(1):36-44. doi: 10.1016/j.apnr.2008.03.007. Epub 2009 Jan 15.
The purpose of this study was to examine the unique contribution of the nursing intervention pain management on length of stay (LOS) for 568 older patients hospitalized for hip procedures. Propensity-score-adjusted analysis was used to determine the effect of pain management on LOS. The LOS for hospitalizations that received pain management was 0.78 day longer than that for hospitalizations that did not receive pain management. Other variables that were predictors of LOS included several context-of-care variables (e.g., time spent in the intensive care unit, registered nurse skill mix, etc.), number of medical procedures and unique medications, and several other nursing interventions.
本研究旨在探讨护理干预疼痛管理对 568 名接受髋关节手术的老年患者住院时间(LOS)的独特贡献。采用倾向评分调整分析来确定疼痛管理对 LOS 的影响。接受疼痛管理的住院患者的 LOS 比未接受疼痛管理的住院患者长 0.78 天。其他预测 LOS 的变量包括护理环境变量(例如,在重症监护病房的时间、注册护士技能组合等)、医疗程序和独特药物的数量以及其他几个护理干预措施。