Application of Hierarchical Nursing Management Based on the Intensive Care Nursing Scoring System in Patients with Stanford Type A Aortic Dissection
WU Dan
WANG Jinjin
OU Ling
HONG Liping
HAO Tongyu
WANG Anli
QIU Bingmei
Abstract：Objective To evaluate the effect of hierarchical nursing management constructed based on the intensive care nursing scoring system(ICNSS)on the perioperative nursing outcomes of patients with Stanford type A aortic dissection.Methods A total of 366 surgical patients with Stanford type A aortic dissection at the Department of Cardiothoracic Surgery of the Eastern Theater Command General Hospital from June 2023 to June 2025 were selected as research subjects.They were ran-domly divided(using a random number table method)into an experimental group(n=183,receiving ICNSS-based hierarchical nursing)and a control group(n=183,receiving routine nursing).The study observed changes in blood pressure levels(including systolic and diastolic pressures)and Brief Health Interview(SF-36)scores before and after intervention,while also analyzing complication rates,hospital stays,and nursing satisfaction scores.Results Before the intervention,there was no significant difference in blood pressure levels between groups(P>0.05).After intervention,both groups showed lower systolic and diastolic pressures than pre-intervention levels(P<0.05),with the experimental group achieving significantly lower values than the control group(P<0.05).SF-36 scores showed no statistically significant differences before intervention(P>0.05).Post-intervention,SF-36 scores increased across all dimensions compared to pre-intervention levels(P<0.05).The experimental group demonstrated a significantly lower postoperative complication rate(12.57%vs.30.05%,P<0.05),the hospitalization time(9.2±1.5 d)was significantly shorter than that of the control group(14.3±2.1 d),and a marked improvement in nursing satisfaction scores(98.4%vs.90.2%,P<0.05)compared to the control group.Conclusion ICNSS-based hierarchical nursing can effectively improve the clinical outcomes for surgical patients with Stanford type A aortic dissection and optimize the allocation of nursing resources.
Keywords：intensive care nursing scoring systemstratified nursing managementstanford type A aortic dissectionclini-cal outcomes
Publication Date：2025-10-28
Online Publishing Date：2025-11-20(First online date of this platform, not the publication date of the document)
Pages：6( 413-418 )