感染重症病房护理人员专科培训效果探讨

[目的]探讨感染重症病房护理人员专科培训后的效果。[方法]随机抽取感染重症病房住院病人128例,比较护理人员专科培训前后病人住院时间、院内感染发生率、满意度及焦虑评分;对护理人员专科培训前后的理论、操作考核成绩及职业暴露高危行为进行比较。[结果]护理人员专科培训后病人住院时间、院内感染及焦虑评分均低于培训前,满意度高于培训前,差异有统计学意义(P<0.05);护理人员培训后理论、操作考核成绩高于培训前,职业暴露高危行为少于培训前。[结论]专科培训对提高感染重症护理水平及治疗效果有积极作用。

关于对重症监护病房急性重症脑梗死并发肺部感染患者实施综合护理的疗效评价

探究重症监护病房内,具有肺部感染以及脑梗死特性的重症患者采取综合护理的有效性。方法 回顾性分析2022.3-2023.3期间本院接诊的60名脑梗死、肺部感染急重症患者,平均划分成不同的小组,常规护理、综合护理分别应用于对照组、研究组患者,仔细比较其护理效果。结果 相比较研究组,对照组患者肺部感染指标、并发症发生率显著较高,(P<0.05);而对比两组患者的护理满意度、疗效,研究组100.00%、90.00%,显著较优(P<0.05)。结论 综合护理在重症监护病房急性重症脑梗死并发肺部感染中的应用疗效较为显著,可以提升患者的护理满意度,降低临床并发症发生率,临床推广价值较高。

重症加强护理病房重症感染患者病原菌分布及延长亚胺培南输注时间的疗效观察

目的:分析重症加强护理病房(ICU)重症感染患者病原菌分布情况,并探讨延长亚胺培南输注时间的治疗效果。方法:选取2021年5月~2022年5月本院收治的96例ICU重症感染患者为研究对象,入院后对其进行病原菌的分离与鉴定,分析病原菌的分布情况。依据入院建档单双号分为对照组和观察组,每组48例。两组均采用相同浓度的注射用亚胺培南西司他丁钠进行治疗,对照组给予常规输注时间治疗(30min),观察组给予延长输注时间治疗(3h),两组均连续治疗1周。比较两组治疗前后白细胞介素-6(IL-6)、降钙素原(PCT)、肿瘤坏死因子-α(TNF-α)水平,比较两组主要病原菌清除率、临床疗效及不良反应发生率。结果:96例ICU重症感染患者中共检出病原菌126株,包括革兰阴性菌81株(64.29%)、革兰阳性菌41株(32.54%)、真菌4株(3.17%)。其中,革兰阴性菌以铜绿假单胞菌(23株,18.25%)、肺炎克雷伯菌(21株,16.67%)、鲍曼不动杆菌(18株,14.29%)为主;革兰阳性菌以金黄色葡萄球菌(17株,13.49%)、肠球菌属(12株,9.52%)为主;真菌以白假丝酵母菌(4株,3.17%)为主。治疗后两组IL-6、PCT、TNF-α水平均降低,且观察组低于对照组(P<0.05)。观察组的主要病原菌总清除率(93.18%)高于对照组(46.81%,P<0.05)。观察组的治疗总有效率(93.75%)高于对照组(72.92%,χ^(2)=7.500,P<0.05);两组不良反应发生率比较无统计学差异(P>0.05)。结论:ICU重症感染患者病原菌主要以铜绿假单胞菌、肺炎克雷伯菌、鲍曼不动杆菌等革兰阴性菌以及金黄色葡萄球菌、肠球菌属等革兰阳性菌为主,建议临床治疗ICU重症感染患者时可适当延长亚胺培南输注时间,不仅可有效改善炎症,还能提高对病原菌的清除率,且疗效优于常规时间输注,安全性较高。

ICU血管内导管相关性血流感染的因素及护理

目的研究重症监护病房(ICU)血管内导管相关性血流感染的因素及护理方法。方法 68例患者按照护理方法分为观察组和对照组,各34例,观察组采取综合护理,对照组采取常规护理。比较两组的护理效果。结果观察组患者ICU血管内导管相关性血流感染病情控制总有效率显著高于对照组(88.24%VS 67.65%),且病情控制时间、ICU治疗时间和住院时间均显著短于对照组,差异均有统计学意义(P<0.01)。结论在对ICU血管内导管相关性血流感染患者护理时综合护理措施效果显著,可改善患者预后。临床可积极采用。

Role of social distancing in tackling COVID-19 during the first wave of pandemic in Nordic region:Evidence from daily deaths,infections and needed hospital resources

Objectives:To measure the effect of social distancing on reducing daily deaths,infections and hospital resources needed for coronavirus disease 2019(COVID-19)patients during the first wave of the pandemic in Nordic countries.Methods:The observations of social distancing,daily deaths,infections along with the needed hospital resources for COVID-19 patient hospitalizations including the numbers of all hospital beds,beds needed in ICUs and infection wards,nursing staffs needed in ICUs and infection wards were collected from the Institute for Health Metrics and Evaluation(IHME)by the University of Washington.The observations of social distancing were based on the reduction in human contact relative to background levels for each location quantified by cell phone mobility data collected from IHME.The weighted data per 100,000 population gathered in a 40-day period of the first wave of the pandemic in Denmark,Finland,Iceland,Norway and Sweden.Statistical technique of panel data analysis is used to measure the associations between social distancing and COVID-19 indicators in long-run.Results:Results of dynamic long-run models confirm that a 1%rise in social distancing by reducing human contacts may decline daily deaths,daily infections,all hospital beds needed,beds/nurses needed in ICUs and beds/nurses needed in infection wards due COVID-19 pandemic by 1.13%,15.26%,1.10%,1.17%and 1.89%,respectively.Moreover,results of error correction models verify that if the equilibriums between these series are disrupted by a sudden change in social distancing,the lengths of restoring back to equilibrium are 67,62,40,22 and 49 days for daily deaths,daily infections,all hospital beds needed,nurses/beds needed in ICUs and nurses/beds needed in infection wards,respectively.Conclusion:Proper social distancing was a successful policy for tackling COVID-19 with falling mortality and infection rates as well as the needed hospital resources for patient hospitalizations in Nordic countries.The results alert governments of the need for continuously implementing social distancing policies while using vaccines to prevent national lockdowns and reduce the burden of patient hospitalizations.