Abstract: Objective To explore the effect of cluster nursing intervention in the management of upper respiratory tract in the elderly patients with non-artificial airway in Department of Neurosurgery. Methods A total of 110 elderly patients in Department of Neurosurgery with non-artificial airway were selected and divided into the control group and the intervention group by the order of admission, with 55 cases in each group. The control group received routine non-artificial airway nurse,and the intervention group was treated by the cluster management of non-artificial airway nursing mode. The incidence of pulmonary infection and tracheal intubation,the time of Glasgow score increase in the patients with acute disturbance of consciousness,the hospitalization time of the two groups were observed and analyzed. Results After the intervention,the incidence rate of pulmonary infection and tracheal intubation in the intervention group were significantly decreased than those in the control group(P＜0.05). The hospitalization time and the time of Glasgow score increase in the patients with acute disturbance of consciousness in the intervention group were significantly lower than those in the control group(P＜0.05). Conclusions Appling the cluster nursing can not only effectively reduce respiratory tract complications,but also avoid further increase of intracranial pressure and shorten hospitalization time in the elderly with non-artificial airway.

Key words: cluster nursing, non-artificial airway, aged