Analysis of the Influence of Operating Room Nursing Care Management on the Incidence Rate of Nosocomial Infection in Orthopedic Surgery Patients

Objective:To analysis the influence of operating room nursing care management on the incidence rate of nosocomial infection in orthopedic surgery patients.Methodology:Fifty six orthopedic surgery patients who admitted into the hospital between January to December 2018 were enrolled into this study and randomly divided into two groups,which were the control group(under general management)and the observation group(under the operating room nursing care management).Further,the incidence rate of nosocomial infections,the incidence rate of irregular nursing care phenomena,the satisfaction score of nursing care management,and the quality of life score were observed and recorded.Result:The incidence rate of nosocomial infection,the incidence rate of irregular nursing care management,the satisfaction score of nursing care management,and the quality of life score of the observation group were compared to that of the control group,and the result showed P<0.05,indicates the statistical significance between the data indicators.Conclusion:The use of operating room nursing care management in patients with orthopedic surgery has shown a significant effect.

Is every microorganism detected in the intensive care unit a nosocomial infection?Isn’t prevention more important than detection?

The present letter to the editor is related to the study entitled“Multidrug-resistant organisms in intensive care units and logistic analysis of risk factors.”Not every microorganism grown in samples taken from critically ill patients can be considered as an infectious agent.Accurate and adequate information about nosocomial infections is essential in introducing effective prevention programs in hospitals.Therefore,the development and implementation of care bundles for frequently used medical devices and invasive treatment devices(e.g.,intravenous catheters and invasive ventilation),adequate staffing not only for physicians,nurses,and other medical staff but also for housekeeping staff,and infection surveillance and motivational feedback are key points of infection prevention in the intensive care unit.

Infection management strategy based on prevention and control of nosocomial infections in intensive care units

Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection,which is clinical problem often faced by intensive care units (ICU) doctors.Without positive treatment,the incidence and mortality of sepsis are high.^[1]As hospital infection control plays an essential role in treating the nosocomial infections in the ICU,and according to the clinical presentation of critically ill patients,the biological characteristics of pathogenic microorganisms and the ICU environment,this article put forward a strategy for the nosocomial infections in the ICU.

Predictors of Clostridium difficile infection severity in patients hospitalised in medical intensive care

AIM:To describe and analyse factors associated with Clostridium difficile infection(CDI)severity in hospitalised medical intensive care unit patients.METHODS:We performed a retrospective cohort study of 40 patients with CDI in a medical intensive care unit(MICU)at a French university hospital.We include patients hospitalised between January 1,2007and December 31,2011.Data on demographics characteristics,past medical history,CDI description was collected.Exposure to risk factors associated with CDI within 8 wk before CDI was recorded,including previous hospitalisation,nursing home residency,antibiotics,antisecretory drugs,and surgical procedures.RESULTS:All included cases had their first episode of CDI.The mean incidence rate was 12.94 cases/1000admitted patients,and 14.93,8.52,13.24,19.70,and8.31 respectively per 1000 admitted patients annually from 2007 to 2011.Median age was 62.9[interquartile range(IQR)55.4-72.40]years,and 13(32.5%)were women.Median length of MICU stay was 14.0d(IQR 5.0-22.8).In addition to diarrhoea,the clinical symptoms of CDI were fever(>38℃)in 23 patients,abdominal pain in 15 patients,and ileus in 1 patient.The duration of diarrhoea was 13.0(8.0-19.5)d.In addition to diarrhoea,the clinical symptoms of CDI were fever(>38℃)in 23 patients,abdominal pain in 15 patients,and ileus in 1 patient.Prior to CDI,38patients(95.0%)were exposed to antibiotics,and 12(30%)received at least 4 antibiotics.Fluoroquinolones,3rdgeneration cephalosporins,coamoxiclav and tazocillin were prescribed most frequently(65%,55%,40%and 37.5%,respectively).The majority of cases were hospital-acquired(n=36,90%),with 5 cases(13.9%)being MICU-acquired.Fifteen patients had severe CDI.The crude mortality rate within 30 d after diagnosis was 40%(n=16),with 9 deaths(9 over 16;56.3%)related to CDI.Of our 40 patients,15(37.5%)had severe CDI.Multivariate logistic regression showed that male gender[odds ratio(OR):8.45;95%CI:1.06-67.16,P=0.044],rising serum C-reactive protein levels(OR=1.11;95%CI:1.02-1.21,P=0.021),and previous exposure to fluoroquinolones(OR=9.29;95%CI:1.16-74.284,P=0.036)were independently associated with severe CDI.CONCLUSION:We report predictors of severe CDI not dependent on time of assessment.Such factors could help in the development of a quantitative score in ICU’s patients.

Study on the Relationship between Nursing Staffing and Nosocomial Infection in Very Low Birth Weight Infants

Background: At present, there is no domestic research on the relationship between nurse staffing and hospital infection in very low birth weight infants. In this paper, we will explore the relationship between nurses of very low birth weight (VLBW) infants in neonatal intensive care unit (NICU) and nosocomial infections. Methods: The clinical data of 280 very low birth weight infants born in our hospital from January 2010 to January 2020 were collected, and the chi-square test and multiple logistic regression analysis were used to study the nursing staff of each very low birth weight infant who was admitted to the NICU The relationship between the number of infections and hospital infections. Results: On average, each nurse needs to care for 4.3 very low birth weight infants (lowest to highest: 2.50 - 8.42). In the univariate analysis, the higher the incidence of urinary tract infection (P < 0.05), the multivariate logistic regression analysis of neonatal nosocomial infection showed that nurse staffing was significantly related to the incidence of urinary tract infection (OR = 1.78;95% confidence interval, 1.17 - 2.35, P < 0.05). However, there was no significant correlation between nurse staffing and bloodstream infection (OR = 0.91;95% confidence interval, 0.74 - 1.06, P > 0.05) or Ventilator associated pneumonia (VAP) infection (OR = 1.17;95% confidence interval, 0.94 - 1.47, P > 0.05). Conclusion: Our research shows that in the neonatal intensive care unit, the reasonable deployment of nursing staff is an important factor in preventing urinary tract infections in very low birth weight infants. It is important for improving the survival rate of very low birth weight infants and reducing the occurrence of sequelae.

Clinical characteristics and outcomes of nosocomial COVID-19 in Turkey:A retrospective multicenter study

Objective:To identify the clinical characteristics and outcomes of hospital-acquired SARS-CoV-2 infection during the vaccination period nationwide in Turkey.Methods:COVID-19 patients followed in the pandemic services across Turkey between January 1,2021,and March 31,2022 were investigated retrospectively.Nosocomial COVID-19 was defined as a patient neither diagnosed with COVID-19 nor suspected COVID-19 at the hospital admission and was confirmed COVID-19≥5 days after hospital admission.The primary outcome of this study was in-hospital mortality;demographic features and vaccination status was compared between survivors and non-survivors.Results:During the study period,15573 COVID-19 patients were followed in 18 centers and 543(3.5%)patients were nosocomial COVID-19.Most patients with nosocomial COVID-19(80.4%)were transferred from medical wards.162(29.8%)of the patients with nosocomial COVID-19 admitted to the intensive care unit due to disease severity and 138(25.4%)of the patients died during hospital stay.Advanced age(≥65 years)and number of comorbid diseases(≥2)was found to be associated with mortality in nosocomial COVID-19(OR 1.74,95%CI 1.11-2.74 and OR 1.60,95%CI 1.02-2.56,respectively).Vaccination was associated with survival in nosocomial COVID-19(OR 0.25,95%CI 0.16-0.38).Conclusions:Patients with nosocomial COVID-19 had increased admission to intensive care units and higher mortality rate.Vaccination can decrease the in-hospital mortality rate.

Healthcare Quality According to ICU Level of Care

Introduction: Little is known about the quality of healthcare in intensive care units (ICUs) in Poland. Data on patients hospitalized in ICUs in Warsaw and the results of their treatment are scarce. This information, crucial for improving the quality of ICU healthcare services, is not collected routinely. Quality indicators are essential in the concept of holistic quality management. Implementation of these indicators in ICUs is a complex and time-consuming process. Systematic increase in demand for quality assessment tools that can reflect real conditions of the practices of ICUs, prompts the search for effective solutions. Methods: The study included 12,155 patients hospitalized in 16 ICUs of Warsaw hospitals (8 ICUs, n = 3293 of the first level of care, and 8 ICUs, n = 8862 of the second level) between 1st January 2017 and 31st December 2018. ICUs in pediatric and oncological hospitals were excluded from the study. Characteristics and demography of patients as well as the structure, treatment and human resources of the ICUs in Warsaw were analyzed. Length of stay, unexpected extubations, nosocomial infections, ICU readmissions and standardized mortality ratios (SMR) were retrieved from National Health Fund, Ministry of Health, and other public databases. Results: In primary level ICUs patients’ age (66.42 vs. 64.43 years;p = 0.005) and comorbidity rate (30.56% vs. 22.78%, p = 0.037) were higher when compared to ICUs of the second level of care. The crude mortality rate in ICUs in Warsaw was significantly higher than in other EU countries and differed between ICUs of the first and the second level (34.77% vs. 24.53%, respectively;p = 0.004). SMRs were however very low: 0.71 and 0.64 (ns), respectively. ICU readmission rate, unexpected extubations, central catheter related infections, and length of stay were identical in both groups. More patients were admitted to ICU form emergency department and/or discharged home in Level 1 ICUs (18.9% vs 12.9%, p Conclusions: There are no major differences in quality of care provided by Level 1 and Level 2 ICUs in Poland, although more rigorous adhesion to admission and discharge policies is needed. Implementation of the instruments for assessing quality of ICUs including benchmarking, self-assessment of departments and evaluation of changes resulting from audits according to the Deming cycle is of utmost importance. Standardization of quality measures and markers, communication, and cooperation in reporting and creation of ICU medical registers is necessary to improve the quality of healthcare.

ICU感染病原菌分布情况及耐药性分析

目的:分析重症监护室(ICU)感染病原菌分布情况及耐药性。方法:回顾性分析2019年12月—2022年12月阜宁县人民医院收治的120例ICU患者的病例资料。统计ICU患者院内感染发生情况及病原菌分布特征,分析ICU院内感染患者耐药情况。结果:120例ICU患者共有30例发生院内感染,院内感染的发生率为25.00%。120例ICU院内感染患者共检出菌株35株,其中20株为革兰阴性菌,占病原菌总株数的57.14%,12株为革兰阳性菌,占病原菌总株数的34.29%,3株为真菌,占病原菌总株数的8.57%。对肺炎克雷伯菌、大肠埃希菌两种主要革兰阴性菌进行耐药性分析:肺炎克雷伯菌对头孢唑啉、左旋氧氟沙星、头孢吡肟的耐药率均>50.00%;肺炎克雷伯菌对亚胺培南、红霉素的耐药率最低,均为20.00%,对头孢唑啉的耐药率最高,为100.00%。大肠埃希菌对氨苄西林、莫西沙星的耐药率均≥50.00%;大肠埃希菌对亚胺培南的耐药率最低,为0,对氨苄西林的耐药率最高,为75.00%。对金黄色葡萄球菌、表皮葡萄球菌两种主要革兰阳性菌进行耐药性分析;金黄色葡萄球菌对氨苄西林、左旋氧氟沙星、红霉素的耐药率均>50.00%;表皮葡萄球菌对氨苄西林、红霉素的耐药率均为100.00%;金黄色葡萄球菌对莫西沙星的耐药率为0;表皮葡萄球菌对利福平的耐药率为0。结论:ICU患者检出病原菌以革兰阴性菌为主,多数病原菌存在不同程度的耐药,在临床治疗中需根据药敏结果有针对性地进行合理用药。

ICU成人机械通气患者口渴管理的最佳证据总结

目的总结重症监护室(ICU)成人机械通气患者口渴管理的相关证据,同时归纳最佳证据。方法系统检索国内外数据库关于ICU成人机械通气患者口渴管理的相关文献,文献包括指南、临床决策、系统评价、证据总结、原始研究、推荐实践、最佳临床实践信息册。检索时限为建库至2023年6月30日。2名研究人员负责评价纳入医学文献数据库、PubMed、国际指南图书馆、中国指南网、英国国家临床医学研究文献的质量,同时负责与质量标准相符文献的证据提取。结果最终纳入证据10篇,其中4篇为系统评价,3篇为随机对照试验(RCT),1篇专家共识,2篇证据总结。分别从ICU成人机械通气患者口渴的影响因素、评估内容、评估工具、干预措施、效果评价及人员管理6个方面,形成16条最佳证据。结论在临床应用证据方面,应对所处医院的临床条件/环境、医护方应用证据的积极因素与消极因素、患者意愿等展开评估,开展有针对性的证据选择。在时间推移下,最佳证据持续更新,应用者还应持续更新证据,通过科学的护理手段有效应对成人危重症患者口渴管理问题,促进护理质量的提升。

ICU护士导尿管相关尿路感染预防知信行现况及影响因素

目的:调查重症监护室(ICU)护士导尿管相关尿路感染(CAUTI)预防知信行现况,并分析其影响因素。方法:选取2022年1月在上海交通大学医学院附属第一人民医院ICU工作的临床护士195人作为研究对象,采用一般资料调查表、CAUTI预防培训调查表、CAUTI预防知信行量表进行调查。结果:ICU护士在CAUTI知识中留置导尿适应证维度得分为(28.50±3.23)分,知识中CAUTI预防策略维度得分为(58.84±5.34)分,信念维度得分为(24.85±3.52)分,行为维度得分为(21.45±2.59)分;是否参加过培训的情况不同,我院ICU护士的CAUTI预防知识、行为得分不同(P<0.05);科室、工作年限、近3年参加培训的次数不同,我院ICU护士的CAUTI预防知信行得分不同(P<0.05)。结论:我院ICU护士整体的CAUTI预防知信行水平较高,但仍存在不足,医疗机构应扩大培训范围,改变ICU护士的经验性认知,提高ICU护士对于CAUTI的知信行水平。

项目综合管理策略在重症监护病房耐甲氧西林金黄色葡萄球菌感染防控中的应用

目的 探讨项目综合管理策略在重症监护病房(ICU)落实耐甲氧西林金黄色葡萄球菌(methicillin-resistant Staphylococcus aureus,MRSA)感染防控措施中的应用效果,为降低MRSA医院感染发生率提供循证依据。方法 选取2020-01-2021-12月某三甲医院5个ICU中住院患者送检标本并经微生物培养分离出MRSA的患者为研究对象。2020年为基线调查,2021年实施项目综合管理策略。比较干预前后各项防控措施落实执行情况、手卫生依从性、患者MRSA检出情况和MRSA检出科室分布情况。结果 实施项目综合干预管理策略后,MRSA防控措施的落实情况优于干预前,差异有统计学意义(P<0.05)。各类人员手卫生依从性均有提高,差异有统计学意义(P<0.05)。干预后患者MRSA检出率由35.71%降至27.73%。MRSA检出科室分布情况显示除呼吸内科ICU持平,其他ICU检出率均下降。结论 项目综合管理策略提高了MRSA感染防控措施的执行力和有效性,降低了MRSA检出率,减少了患者感染MRSA的风险,可保障医疗安全。

ICU护士对重型颅脑损伤患者目标体温管理知信行问卷的编制及信效度检验

目的编制ICU护士对重型颅脑损伤(severe traumatic brain injury,STBI)患者目标体温管理(target tem-perature management,TTM)知信行(knowledge,attitude and practice,KAP)问卷并检验其信效度。方法以知信行理论为框架,通过文献分析及小组讨论初步构建问卷条目池,再通过德尔菲法和预调查确定问卷初稿。采用便利抽样法,于2022年10月选取甘肃省4所医院240名ICU护士进行调查,进行问卷信效度检验。结果ICU护士对重型颅脑损伤患者目标体温管理知信行问卷共包含3个维度,32个条目。问卷整体内容效度指数为0.955,条目内容效度指数为0.800~1.000。探索性因子分析提取4个公因子,累积方差贡献率为58.889%,问卷整体Cronbach’sα系数为0.862,重测信度为0.890;知识、态度及行为维度的Cronbach’sα系数分别为0.713、0.925及0.924,重测信度分别为0.801、0.943及0.950。结论ICU护士对重型颅脑损伤患者目标体温管理知信行问卷具有良好的信效度,可作为ICU护士对重型颅脑损伤患者目标体温管理知信行水平的测评工具。

“10S”精细化管理在新生儿重症监护室呼吸机管理中的应用

目的:探讨“10S”精细化管理在新生儿重症监护室(NICU)呼吸机管理中的应用效果。方法:选取2021年12月—2022年11月NICU管理的呼吸机管道及配件为研究对象,以其中2021年12月—2022年5月采用常规管理模式处理的呼吸机管道及配件1287件数(119批次)为对照组,以2022年6月—2022年11月采用“10S”精细化管理模式处理的呼吸机管道及配件1351件(126批次)为观察组。对比两组消毒及清洁度质量合格率、清点错误及损坏发生率、每批次安装及回收时间、医护人员的满意度。结果:观察组消毒及清洁度质量合格率明显高于对照组(χ^(2)值分别为20.527,21.085,均P<0.001);观察组清点错误与损坏发生率均明显低于对照组(χ^(2)值分别为26.683,18.948,均P<0.001);观察组安装时间与回收时间均明显短于对照组(均P<0.05);医护人员对观察组的满意度明显高于对照组(P<0.05)。结论:在NICU呼吸机管理中应用“10S”精细化管理模式可明显提升呼吸机的消毒与清洁度质量,降低清点错误及损坏发生率,缩短每批次的安装及清点时间,提升医护人员满意度。

重症监护病房护士临床警报管理质性研究的Meta整合

目的系统评价和整合重症监护病房(ICU)护士临床警报管理的认知、体验及期望,为提高警报管理水平,促进警报管理安全提供依据。方法检索PubMed、CINAHL、Web of Science、Embase、The Cochrane Library、乔安娜布里格斯研究所(JBI)循证卫生保健中心数据、EBSCO、PsyclNFO、中国知网、中国生物医学文献数据库、万方数据库、维普数据库,收集从建库至2023年3月1日关于ICU护士临床警报管理相关质性研究。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准(2020版)对文献质量进行评价,采用汇集性整合方法整合结果。结果共纳入13篇文献,提炼出48个原始研究结果,综合为9个新的类别,整合得出4个整合结果,包括ICU护士对警报管理的认知;警报管理负性体验;警报管理影响因素;期望及建议。结论应对护理人员进行全阶段的教育或调适,循证建立警报管理流程,配合多学科合作并优化技术支持,促进患者安全。

三级谵妄护理管理流程在NICU急性脑卒中患者中的应用

目的 探讨三级谵妄护理管理流程在神经内科重症监护室(neurology intensive care unit,NICU)急性脑卒中患者中的应用效果。方法 选择2021年5月至9月本院NICU收治的50例急性脑卒中患者作为研究对象并设为对照组,采取NICU预防谵妄的常规护理措施;选择2021年12月至2022年4月收治NICU的50例急性脑卒中患者作为研究对象并设为试验组,试验组患者在对照组基础上实施三级谵妄护理管理流程,比较两组患者ICU谵妄(delirium in the intensive care unit,DICU)发生率、DICU持续时间、NICU住院时间、谵妄相关不良事件发生率;比较干预前后两组患者的谵妄水平和认知功能改善情况。结果 试验组患者DICU发生率较对照组低,两组比较,差异具有统计学意义(P<0.05)。试验组患者DICU持续时间、NICU住院时间较对照组短,谵妄相关不良事件发生率较对照组低;干预后试验组患者重症监护谵妄筛查量表(intensive care delirium screening checklist,ICDSC)评分低于对照组;试验组患者认知功能评分干预前后差值高于对照组,两组比较,差异有统计学意义(均P<0.05)。结论 在NICU急性脑卒中患者中实施三级谵妄护理管理流程可减少患者谵妄的发生,改善患者认知功能,缩短NICU住院时间,降低护理安全风险。

基于循证证据的标准化管理在ICU心电监护患者中的应用

目的探讨基于循证证据的标准化管理对重症加强护理病房(intensive care units,ICU)心电监护患者误警报率及护士警报疲劳的影响。方法随机选取2021年7月—2023年6月月福建医科大学附属泉州市第一医院中临床100台ICU心电监护仪器。2021年7月—2022年12月实施常规管理期间的临床50台ICU心电监护仪器纳为常规管理组,将2023年1—6月实施基于循证证据的标准化管理期间的临床50台ICU心电监护仪器纳为循证管理组。比较2组心电监护患者误警报率、报警能力处理评分和护士警报疲劳。结果循证管理组的心电监护仪器误警报率为16.13%,常规管理组为26.15%,差异有统计学意义(P<0.05)。循证管理组中护士报警能力处理评分较常规管理组高,差异有统计学意义(P<0.05)。循证管理组患者的ICU护士报警疲劳量表评分为(15.32±3.28)分,常规管理组为(21.56±4.64)分,差异有统计学意义(P<0.05)。结论基于循证证据的标准化管理可以降低ICU心电监护患者误警报率,提升护士处理能力,降低护士报警疲劳度。

前瞻性护理对改善ICU清醒患者睡眠质量的临床效果

目的:探究重症监护病房(ICU)清醒患者接受前瞻性护理的干预效果。方法:选取2022年8月至2023年4月福建中医药大学附属人民医院ICU收治的清醒患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组进行常规护理,观察组的护理方法是常规+前瞻性护理,比较2组的感染发生率,同时对比护理前后2组患者的焦虑程度、抑郁程度、睡眠质量改善情况。结果:与对照组比较,观察组的发生率更低,差异有统计学意义(P<0.05);护理前,2组的焦虑程度比较,差异无统计学意义(P>0.05),护理后2组的焦虑评分均小于护理前,护理后观察组的焦虑评分显著小于对照组,差异均有统计学意义(均P<0.05);3护理后2组的抑郁评分较护理前比较均有不同程度降低,护理后观察组的抑郁评分显著小于对照组,差异均有统计学意义(均P<0.05);护理后观察组的睡眠质量优于对照组,差异有统计学意义(P<0.05)。结论:对ICU清醒患者实施前瞻性护理既有利于预防感染的发生,又可以缓解患者的情绪障碍,提高其睡眠质量,可推广。

重症监护室智慧化管理措施减少临床虚假警报效果的整合性综述

目的医疗设备的频繁虚假警报可能导致护土警报疲劳,这可能导致反应行动延迟或错过警报,增加患者不良事件的风险。本综述旨在探讨重症监护室临床警报智慧化管理措施对减少临床虚假警报的应用效果。方法根据Whitmore 和Knaf的方法学框架,对6个数据库进行系统检索: PubMed, EMBASE,CINAHL,OVID,CochraneLibrary,Scopus,检索从每个数据库建库到2022年12月以英文或中文发表的临床警报的智慧化管理相关文章。采用乔安娜布里格斯研究所的评价工具(JBI-MAStARI)评估研究的质量,并对文献进行数据提取和分析。该研究已在PROSPERO完成注册(CRD42023411552)。结果共纳入7项研究。不同的警报智慧化管理措施有利于减少虚假警报数量和警报的持续时间,缩短护士对重要警报的应答时间,减轻护士的警报疲劳程度。在实践中,应用新的警报管理方式后取得了积极的效果。结论智慧化管理措施可能是警报减少的有效途径,医院迫切需要进行临床警报的智慧化管理。为确保更有效的患者监测、减少警报给护士带来的困扰,未来需要更多与人工智能相结合的警报管理手段,以实现关键警报的准确识别,确保护士对警报准确响应,并真正改善警报频繁的临床医疗环境。

细节化病区护理流程管理应用于ICU医院感染控制管理中的效果

目的 探讨细节化病区护理流程管理应用于ICU医院感染控制管理中的效果。方法 选取2021年1月至2023年1月我院ICU患者80例作为研究对象,按照随机数字表法进行分组,对照组(40例)给予常规ICU护理,观察组(40例)给予细节化病区护理流程管理,观察两组的感染率、护理人员护理质量及患者管理满意度。结果 观察组与对照组感染率对比无统计学意义(2.50%vs.7.50%,P=0.305)。观察组消毒隔离管理、病房环境管理、安全管理及工作效率评分均较对照组高(均P <0.05)。观察组患者管理满意度高于对照组(97.50%vs.80.00%,P=0.034)。结论 细节化病区护理流程管理应用于ICU医院感染控制管理可有效降低其感染事件发生率,提高护理人员护理质量及管理满意度。

重症监护室强化细节管理对护理管理质量的影响

目的研究重症监护室强化细节管理对护理管理质量的影响。方法选取2021年4月—2022年5月山东省烟台市烟台山医院东院收治的重症患者50例为研究对象,同时期选取12名护理人员对患者进行相关性管理措施。以随机数字表法将50例患者及护理人员随机分为对照组与研究组(重症患者各25例,护理人员各6例)。对照组予以常规护理,而研究组在此基础上添加强化细节管理。对比2组患者的护理质量、护理满意度评分以及护患纠纷事件发生率。结果采取强化细节管理后,研究组的护理质量评分明显高于对照组,护患纠纷发生率(0)少于对照组(36.00%),差异有统计学意义(P<0.05)。研究组护理满意度(96.0%)高于对照组(68.0%),差异有统计学意义(P<0.05)。结论强化细节管理可有效改善护理质量,降低护患纠纷发生率,提高护理满意度,临床运用价值显著。