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...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.展开更多
Objective:To systematically evaluate the clinical effects of cluster nursing intervention in preventing central venous catheter-related infection in intensive care unit.Methods:A randomized controlled study was search...Objective:To systematically evaluate the clinical effects of cluster nursing intervention in preventing central venous catheter-related infection in intensive care unit.Methods:A randomized controlled study was searched from China National Knowledge Internet(CNKI),Wanfang,Chinese Scientific Journals Database(VIP),Chinese Biomedical Literature Service System(SinoMed),PubMed,Embase and Cochrane library databases from the establishment to May 1,2020.Two reviewers independently evaluated and cross checked the quality of the study.Revman 5.3 was used to conduct the meta-analysis.Results:A total of 21 randomized controlled trials with 6,030 patients were included.Meta-analysis showed that the incidence of central venous catheter-related infection(relative risk(RR)=0.29,95%confidence interval(CI)[0.23,0.37]),the incidence of catheter plugging(RR=0.25,95%CI[0.16,0.39])and catheter prolapse(RR=0.18,95%CI[0.11,0.29])were significantly different between the two groups.Conclusion:Cluster nursing intervention could prevent central venous catheter-related infection in intensive care unit.展开更多
Background: Pathogens surveillance and antimicrobial resistance are essential for the prompt organization of therapeutic and preventive action in healthcare settings. Objectives: The aim of this study was to determine...Background: Pathogens surveillance and antimicrobial resistance are essential for the prompt organization of therapeutic and preventive action in healthcare settings. Objectives: The aim of this study was to determine the profile of pathogens isolated among patients admitted to an intensive care unit of a major urban Moroccan city that presented nosocomial infection during their hospitalisation. Results: During the study period, 34 patients developed a nosocomial infection during hospitalisation in ICU. The mean age of patients was 42.3 ± 18.3 years (range: 18.0 - 86.0 years) and 68% were males. The main diagnoses were multiple trauma injuries (47%) and thermal burns (18%). In terms of morbidities, 9% of the patients presented diabetes. The most common sites were central line-associated bloodstream infection (38%), bloodstream infection (35%), ventilator-associated pneumonia (32%), urinary catheter-related infection (29%), and soft tissue infection (21%). Most frequently isolated pathogens were: Acinetobacter baumani (25%), followed by Klebsiella spp. (12%), Pseudomonas aeruginosa (8%), coagulase negative Staphylococcus aureus (6%), E. coli (6%), Providencia spp. (6%), Enterococcus faecalis (6%), Raoultella terrigena (4%). Conclusion: The bloodstream was the most common site and Gram-negatives were the most commonly reported causes of ICU infections. The incidence found was high, the mortality was strong, corresponding with that of developing countries. These results will allow to set up a targeted program of prevention and to estimate the efficiency of interventions.展开更多
目的探究强化康复干预对重症颅脑外伤患者院内感染的预防作用及对功能康复和预后的影响。方法选取2019年4月至2021年4月重症医学科收治重症颅脑外伤患者100例,根据随机数字表法分为强化组和常规组,每组50例,常规组采用常规护理干预措施...目的探究强化康复干预对重症颅脑外伤患者院内感染的预防作用及对功能康复和预后的影响。方法选取2019年4月至2021年4月重症医学科收治重症颅脑外伤患者100例,根据随机数字表法分为强化组和常规组,每组50例,常规组采用常规护理干预措施,强化组在此基础上应用强化康复护理干预措施,比较干预前后2组重症颅脑外伤患者院内感染发生率、功能康复状况以及预后效果。结果干预前,2组患者生活质量、神经功能缺损评分量表(national institutes of health stroke scale,NIHSS)评分Barthel指数评分;Fugl-Meyer运动功能积分和神经功能比较差异无统计学意义(P>0.05);干预后,强化组患者院内感染率,常规组,差异有统计学意义(P<0.05);强化组患者功能康复状况(NIHSS、BI、FMA评分)显著优于常规组,差异有统计学意义(P<0.05);强化组总体护理满意度高于常规组(P<0.05)。结论强化康复护理干预对重症颅脑外伤患者降低院内感染发生率,促进患者功能康复提高预后的疗效。展开更多
目的:评价重症监护病房(intensive care unit,ICU)实施医院感染目标性监测与干预措施的效果。方法:通过目标性监测,同时推行综合性感染控制干预措施,掌握2011-2012年综合性ICU的住院患者医院感染发生情况、危险因素及医院感染变化趋势...目的:评价重症监护病房(intensive care unit,ICU)实施医院感染目标性监测与干预措施的效果。方法:通过目标性监测,同时推行综合性感染控制干预措施,掌握2011-2012年综合性ICU的住院患者医院感染发生情况、危险因素及医院感染变化趋势。结果:2011年和2012年ICU的感染率分别为21.8%、16.7%,例次感染率分别为22.7%、18.0%,经病人病情平均严重程度调整,调整后的日感染率分别为5.7‰、4.4‰(χ2=0.321,P=0.865),调整的日感染例次率5.9‰、4.7‰(χ2=0.560,P=0.454)。2011年和2012年呼吸机相关性肺炎的感染率分别为29.0‰、20.1‰,中心静脉导管相关血流感染分别为1.8‰、1.2‰,导尿管相关泌尿道感染率分别为1.3‰、0.7‰。采取干预措施后,2012年多重耐药菌的检出率总体呈下降趋势,耐甲氧西林金黄色葡萄球菌的检出率明显下降,且有统计学差异(χ2=9.05,P=0.029)。结论:实施目标性监测,采取有效干预措施,利于降低ICU医院感染的发生。展开更多
文摘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.
文摘Objective:To systematically evaluate the clinical effects of cluster nursing intervention in preventing central venous catheter-related infection in intensive care unit.Methods:A randomized controlled study was searched from China National Knowledge Internet(CNKI),Wanfang,Chinese Scientific Journals Database(VIP),Chinese Biomedical Literature Service System(SinoMed),PubMed,Embase and Cochrane library databases from the establishment to May 1,2020.Two reviewers independently evaluated and cross checked the quality of the study.Revman 5.3 was used to conduct the meta-analysis.Results:A total of 21 randomized controlled trials with 6,030 patients were included.Meta-analysis showed that the incidence of central venous catheter-related infection(relative risk(RR)=0.29,95%confidence interval(CI)[0.23,0.37]),the incidence of catheter plugging(RR=0.25,95%CI[0.16,0.39])and catheter prolapse(RR=0.18,95%CI[0.11,0.29])were significantly different between the two groups.Conclusion:Cluster nursing intervention could prevent central venous catheter-related infection in intensive care unit.
文摘Background: Pathogens surveillance and antimicrobial resistance are essential for the prompt organization of therapeutic and preventive action in healthcare settings. Objectives: The aim of this study was to determine the profile of pathogens isolated among patients admitted to an intensive care unit of a major urban Moroccan city that presented nosocomial infection during their hospitalisation. Results: During the study period, 34 patients developed a nosocomial infection during hospitalisation in ICU. The mean age of patients was 42.3 ± 18.3 years (range: 18.0 - 86.0 years) and 68% were males. The main diagnoses were multiple trauma injuries (47%) and thermal burns (18%). In terms of morbidities, 9% of the patients presented diabetes. The most common sites were central line-associated bloodstream infection (38%), bloodstream infection (35%), ventilator-associated pneumonia (32%), urinary catheter-related infection (29%), and soft tissue infection (21%). Most frequently isolated pathogens were: Acinetobacter baumani (25%), followed by Klebsiella spp. (12%), Pseudomonas aeruginosa (8%), coagulase negative Staphylococcus aureus (6%), E. coli (6%), Providencia spp. (6%), Enterococcus faecalis (6%), Raoultella terrigena (4%). Conclusion: The bloodstream was the most common site and Gram-negatives were the most commonly reported causes of ICU infections. The incidence found was high, the mortality was strong, corresponding with that of developing countries. These results will allow to set up a targeted program of prevention and to estimate the efficiency of interventions.
文摘目的探究强化康复干预对重症颅脑外伤患者院内感染的预防作用及对功能康复和预后的影响。方法选取2019年4月至2021年4月重症医学科收治重症颅脑外伤患者100例,根据随机数字表法分为强化组和常规组,每组50例,常规组采用常规护理干预措施,强化组在此基础上应用强化康复护理干预措施,比较干预前后2组重症颅脑外伤患者院内感染发生率、功能康复状况以及预后效果。结果干预前,2组患者生活质量、神经功能缺损评分量表(national institutes of health stroke scale,NIHSS)评分Barthel指数评分;Fugl-Meyer运动功能积分和神经功能比较差异无统计学意义(P>0.05);干预后,强化组患者院内感染率,常规组,差异有统计学意义(P<0.05);强化组患者功能康复状况(NIHSS、BI、FMA评分)显著优于常规组,差异有统计学意义(P<0.05);强化组总体护理满意度高于常规组(P<0.05)。结论强化康复护理干预对重症颅脑外伤患者降低院内感染发生率,促进患者功能康复提高预后的疗效。
文摘目的:评价重症监护病房(intensive care unit,ICU)实施医院感染目标性监测与干预措施的效果。方法:通过目标性监测,同时推行综合性感染控制干预措施,掌握2011-2012年综合性ICU的住院患者医院感染发生情况、危险因素及医院感染变化趋势。结果:2011年和2012年ICU的感染率分别为21.8%、16.7%,例次感染率分别为22.7%、18.0%,经病人病情平均严重程度调整,调整后的日感染率分别为5.7‰、4.4‰(χ2=0.321,P=0.865),调整的日感染例次率5.9‰、4.7‰(χ2=0.560,P=0.454)。2011年和2012年呼吸机相关性肺炎的感染率分别为29.0‰、20.1‰,中心静脉导管相关血流感染分别为1.8‰、1.2‰,导尿管相关泌尿道感染率分别为1.3‰、0.7‰。采取干预措施后,2012年多重耐药菌的检出率总体呈下降趋势,耐甲氧西林金黄色葡萄球菌的检出率明显下降,且有统计学差异(χ2=9.05,P=0.029)。结论:实施目标性监测,采取有效干预措施,利于降低ICU医院感染的发生。
