The unique contribution of the nursing intervention pain management on length of stay in older patients undergoing hip procedures

被引:3
作者
Kerr, Peg [1 ]
Shever, Leah [2 ]
Titler, Marita G. [2 ]
Qin, Rui [3 ]
Kim, Taikyoung
Picone, Debra M. [2 ]
机构
[1] Univ Iowa, Coll Nursing, Iowa City, IA 52242 USA
[2] Univ Iowa Hosp & Clin, Dept Nursing Serv & Patient Care, Iowa City, IA 52242 USA
[3] Mayo Clin, Div Biostat, Rochester, MN 55905 USA
基金
美国国家卫生研究院;
关键词
PROPENSITY SCORE; CARE; DISCHARGE; MORTALITY; BLOCK;
D O I
10.1016/j.apnr.2008.03.007
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:36 / 44
页数:9
相关论文
共 44 条
[1]  
*3M HLTH INF SYST, 1993, ALL PAT REF DIAGN RE
[2]  
Agency Healthc. Res. Quality (AHRQ), NAT QUAL MEAS CLEAR
[3]   Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [J].
Aiken, LH ;
Clarke, SP ;
Sloane, DM ;
Sochalski, J ;
Silber, JH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16) :1987-1993
[4]  
[Anonymous], 2001, The practice of nursing research, conduct, critique, and utilization
[5]   Lack of opioid administration in older hip fracture patients (CE) [J].
Ardery, G ;
Herr, K ;
Hannon, BJ ;
Titler, MG .
GERIATRIC NURSING, 2003, 24 (06) :353-359
[6]  
BERNSTEIN BB, 2003, HLTH CARE AM TRENDS
[7]  
Budreau G, 1999, NURS ECON, V17, P317
[8]   Anesthesia and postoperative analgesia: Outcomes following orthopedic surgery [J].
Chelly, JE ;
Ben-David, B ;
Williams, BA ;
Kentor, ML .
ORTHOPEDICS, 2003, 26 (08) :S865-S871
[9]  
CHELLY JE, 2001, AM J ANESTHESIOL, V28, P192
[10]  
Closs S.J., 1993, Journal of Clinical Nursing, V2, P41