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手术室护士对Time out程序认知和态度的质性研究 被引量:2
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作者 郭燕 张丹 +1 位作者 龙维平 李亚敏 《全科护理》 2023年第8期1110-1113,共4页
目的:深入了解手术室护士对Time out程序认知和态度,并对Time out程序的执行提供建议。方法:采用现象学研究法,于2021年8月—2021年10月对14名手术室护士进行半结构访谈,采用Colaizzi 7步分析法对资料进行分析,提炼主题。结果:执行Time ... 目的:深入了解手术室护士对Time out程序认知和态度,并对Time out程序的执行提供建议。方法:采用现象学研究法,于2021年8月—2021年10月对14名手术室护士进行半结构访谈,采用Colaizzi 7步分析法对资料进行分析,提炼主题。结果:执行Time out程序的意义有促进手术安全、减轻护士工作压力、优化手术流程;执行Time out程序的障碍因素有手术医生不配合、担心耽误手术进度、缺乏Time out程序正确认知;执行Time out程序的相关建议有展开相关宣教、争取管理层支持、采用多方式提醒。结论:建议医院对手术团队展开相关宣教,并争取管理层支持以期提高Time out程序执行率。 展开更多
关键词 time out程序 手术安全核查 护理管理 质性研究
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Time out程序在手术安全核查中的应用研究进展 被引量:4
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作者 郭燕 李亚敏 张丹 《护理研究》 北大核心 2022年第16期2928-2931,共4页
综述了Time out程序内容、国内外应用现状,建议在国内广泛应用Time out程序,树立手术室安全文化,提高Time out程序执行率,减少手术不良事件,提高手术安全,为推动手术室护理安全管理发展提供参考。
关键词 time out程序 手术安全核查 手术室 护理管理 综述
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TIME OUT在手术安全核查中的应用 被引量:6
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作者 张忠兰 《全科护理》 2011年第12期1092-1093,共2页
"Time out"即"术前暂停"期,是2004年6月由医疗机构评审联合委员会(JCAHO)提出的一个新概念。它认为,所有的错误手术都是可以且必须预防的,并制定了旨在预防错误手术的通用方案(Universal Protocol),强制要求通过其认证的医疗机... "Time out"即"术前暂停"期,是2004年6月由医疗机构评审联合委员会(JCAHO)提出的一个新概念。它认为,所有的错误手术都是可以且必须预防的,并制定了旨在预防错误手术的通用方案(Universal Protocol),强制要求通过其认证的医疗机构予以执行。 展开更多
关键词 time out”程序 手术核查
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品管圈应用于提高手术室Time out执行力的临床效果 被引量:1
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作者 沈慕陶 《中外医学研究》 2020年第25期118-120,共3页
目的:探讨品管圈活动对手术室Time out执行力的影响。方法:选择2019年1-4月笔者所在医院开展品管圈活动前收治的41例手术患者作为对照组,选择2019年7-10月笔者所在医院开展品管圈后收治的41例手术患者作为研究组。比较两组手术室Time ou... 目的:探讨品管圈活动对手术室Time out执行力的影响。方法:选择2019年1-4月笔者所在医院开展品管圈活动前收治的41例手术患者作为对照组,选择2019年7-10月笔者所在医院开展品管圈后收治的41例手术患者作为研究组。比较两组手术室Time out执行情况。结果:开展后手术室护士责任心、团队精神、沟通能力、解决问题能力评分均显著高于开展前,差异有统计学意义(P<0.05)。开展后手术室护士NPGA评分、CSES评分均显著高于开展前,差异有统计学意义(P<0.05)。研究组Time out执行内容准确率、填写准确率均显著高于对照组,差异有统计学意义(P<0.05)。结论:品管圈活动可改善手术室护士的核心自我评价及行为水平,提高其综合素质,有利于提高手术室Time out执行力,值得进一步推荐使用。 展开更多
关键词 品管圈活动 手术室 time out执行力 综合素质
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PDCA循环在Time out执行管理中的应用 被引量:4
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作者 毛镇伟 季晓辉 《中国医院》 2015年第3期59-61,共3页
目的:推广手术和有创性操作术前暂停(Time out)程序,落实国际患者安全目标,确保正确的手术部位、操作和患者。方法:根据JCI评审标准(第4版)国际患者安全目标章节中的要求,应用PDCA循环,结合镇江市第一人民医院实际情况,提出手术和有创... 目的:推广手术和有创性操作术前暂停(Time out)程序,落实国际患者安全目标,确保正确的手术部位、操作和患者。方法:根据JCI评审标准(第4版)国际患者安全目标章节中的要求,应用PDCA循环,结合镇江市第一人民医院实际情况,提出手术和有创性操作术前暂停可执行性方案。结果:自实施手术和有创性操作术前暂停程序以来,未发生一例错误操作或手术事件,手术和有创性操作前Time out执行率由实施PDCA循环前的40%上升至实施后的100%,正确执行率由实施PDCA循环前的52.08%上升至实施后的83.75%。结论:术前暂停程序是保障正确的病人、正确的部位、正确的操作方式的重要手段之一,是至关重要的相互交流的手段或平台,能够减少甚至杜绝错误手术事件发生。 展开更多
关键词 PDCA time out 患者安全目标 医疗安全
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“time out”,温柔的惩罚
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作者 刘晓红 《早期教育(家庭教育)》 2009年第9期24-25,共2页
一、什么是“Time out” “Time out”一词本用于体育比赛中,表示“暂停”。一位美国的心理学家将其引用到家庭及幼儿教育中,成为父母及老师用于“惩罚”一时不规矩孩子的方法。
关键词 惩罚 温柔 time 幼儿教育 心理学家 孩子 老师
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“Time Out”程序在手术室的应用及启示 被引量:3
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作者 陈小荣 张勤 《内蒙古中医药》 2012年第22期95-96,共2页
"Time Out"程序作为手术核对制度的重要内容之一,是杜绝错误手术发生的必要前提,我院手术室参照医疗机构评审联合委员会提出的防止错误手术的通用方案,建立并实施"Time Out"程序,并取得了良好的临床效果。但在实施... "Time Out"程序作为手术核对制度的重要内容之一,是杜绝错误手术发生的必要前提,我院手术室参照医疗机构评审联合委员会提出的防止错误手术的通用方案,建立并实施"Time Out"程序,并取得了良好的临床效果。但在实施中也发现了一些问题,从中我们得到一些启示。 展开更多
关键词 time out”程序 手术核对
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PDCA循环在提高基于JCI标准手术前Time Out执行率中的应用观察 被引量:7
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作者 徐洁 任国琴 卞春 《护理研究》 北大核心 2019年第4期685-687,共3页
[目的]基于国际联合委员会(JCI)标准推广执行术前Time out程序,确保正确的手术/操作、正确的部位和正确的病人。[方法]根据第5版JCI标准制定Time out程序的执行规范,应用PDCA循环对我院手术前Time out程序执行情况进行持续质量改进,提... [目的]基于国际联合委员会(JCI)标准推广执行术前Time out程序,确保正确的手术/操作、正确的部位和正确的病人。[方法]根据第5版JCI标准制定Time out程序的执行规范,应用PDCA循环对我院手术前Time out程序执行情况进行持续质量改进,提出更加规范、合理的手术Time out程序执行方案。[结果]自按照规范执行术前Time out程序以来,手术室未发生1例错误的手术事件。术前Time out执行率由执行PDCA循环前60.77%上升到100.00%,正确执行率由46.15%上升到96.15%。[结论]根据JCI标准制定的术前Time out程序,能确保正确的病人、正确的手术、正确的部位,减少甚至避免错误的手术事件。 展开更多
关键词 time out 手术错误 手术安全核查表 病人安全 执行率 PDCA循环
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Iterative identification of discrete-time output-error model with time delay 被引量:3
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作者 CHEN Feng-wei LIU Tao 《Journal of Central South University》 SCIE EI CAS CSCD 2017年第3期647-654,共8页
The problem of discrete-time model identification of industrial processes with time delay was investigated.An iterative and separable method is proposed to solve this problem,that is,the rational transfer function mod... The problem of discrete-time model identification of industrial processes with time delay was investigated.An iterative and separable method is proposed to solve this problem,that is,the rational transfer function model parameters and time delay are alternately fixed to estimate each other.The instrumental variable technique is applied to guarantee consistent estimation against measurement noise.A noteworthy merit of the proposed method is that it can handle fractional time delay estimation,compared to existing methods commonly assuming that the time delay is an integer multiple of the sampling interval.The identifiability analysis for time delay is addressed and correspondingly,some guidelines are provided for practical implementation of the proposed method.Numerical and experimental examples are presented to illustrate the effectiveness of the proposed method. 展开更多
关键词 system identification output-error model instrumental variable method time delay
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手术安全核查制度提高手术室Time out执行力的临床应用 被引量:4
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作者 刘春晓 何丹玉 吴延菊 《齐鲁护理杂志》 2019年第20期83-85,共3页
目的:探讨手术安全核查制度提高手术室Time out执行力的临床应用效果。方法:将2018年1月1日~6月30日(实施强化手术安全核查制度前)抽查的106例手术患者作为对照组,将2018年7月1日~12月31日(实施强化手术安全核查制度后)抽查的112例手术... 目的:探讨手术安全核查制度提高手术室Time out执行力的临床应用效果。方法:将2018年1月1日~6月30日(实施强化手术安全核查制度前)抽查的106例手术患者作为对照组,将2018年7月1日~12月31日(实施强化手术安全核查制度后)抽查的112例手术患者作为观察组,分析实施强化手术安全核查制度前后手术室Time out执行情况。结果:观察组手术医生、麻醉医生、手术室护士Time out执行内容准确率、填写准确率均高于对照组(P<0.05)。实施后护理人员核心自我评价问卷(CSES)、中文版护士行为目标达成度评价量表(NPGA)评分高于实施前(P<0.05)。结论:强化手术安全核查制度在提高手术室Time out执行力中发挥重要作用,可改善护理人员核心自我评价、行为水平,保障手术安全。 展开更多
关键词 手术安全核查制度 time out 执行 核心自我评价 行为水平
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《Time Out》:内容至上
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作者 崔莹 《青年记者》 2006年第15期43-47,共5页
关键词 time 伦敦市长 爆炸事件 生活 公交车 刊首语 杂志 证明 地铁 读者
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Time Out行会,图书出版商还是图书杂志社?
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作者 宋立华 《出版参考》 2002年第15期34-34,共1页
Time Out(世界旅游娱乐导向)行会在世界范围内出版由优质纸印刷并载有大量时装照片的图书,而且通过英国和美国的企鹅公司发行。它还在图书博览会上频频亮相,并为书商们印制季节性图书目录。
关键词 图书出版 图书目录 杂志社 time 出版商 世界旅游 优质纸 旅游者 税收模式 世界范围内
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TIME OUT的神秘互动之旅
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作者 王筱筱 《现代广告》 2013年第16期72-73,共2页
目前,网络的在线互动充斥在大多数的广告项目中,在线分享人数成为衡量一个广告项目是否成功的重要标准。这种广告实然有效,但千篇一律的互动形式却弱化了创意在广告中的角色地位。如何才能走出这样的创意泥沼?何不放弃多媒体技术,... 目前,网络的在线互动充斥在大多数的广告项目中,在线分享人数成为衡量一个广告项目是否成功的重要标准。这种广告实然有效,但千篇一律的互动形式却弱化了创意在广告中的角色地位。如何才能走出这样的创意泥沼?何不放弃多媒体技术,“裸身”来一次纯粹的创意。 展开更多
关键词 time 广告项目 多媒体技术 创意 在线 网络
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关于Time Out时段的护理措施改进研究
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作者 何百花 饶坚 章文秀 《中国科技期刊数据库 医药》 2021年第10期126-128,共3页
提高手术时段手术医师、麻醉医师、巡回护士三方安全核查的依从性及准确性,杜绝错误手术发生,提高医疗安全。方法:手术开始切皮前使用有Time out 标识的手术洞单,直观提醒三方核查人员在手术开始前对患者信息、手术部位、手术方式进行... 提高手术时段手术医师、麻醉医师、巡回护士三方安全核查的依从性及准确性,杜绝错误手术发生,提高医疗安全。方法:手术开始切皮前使用有Time out 标识的手术洞单,直观提醒三方核查人员在手术开始前对患者信息、手术部位、手术方式进行核对。结果:我院手术室从2019年11月实施Time out 标识提醒安全核对制度以来,截止至2021年5月,没有一例包括错误手术部位、错误手术患者等相关不良事件的发生,明显提高手术参与人员的安全核查依从性。结论:Time-out实行标识管理能提高手术相关医务人员的依从性,能督导术中正确核查,减少手术不良事件,避免手术差错。 展开更多
关键词 核对制度 time out洞单 依从性
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Prescribed Performance Tracking Control of Time-Delay Nonlinear Systems With Output Constraints 被引量:1
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作者 Jin-Xi Zhang Kai-Di Xu Qing-Guo Wang 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2024年第7期1557-1565,共9页
The problem of prescribed performance tracking control for unknown time-delay nonlinear systems subject to output constraints is dealt with in this paper. In contrast with related works, only the most fundamental requ... The problem of prescribed performance tracking control for unknown time-delay nonlinear systems subject to output constraints is dealt with in this paper. In contrast with related works, only the most fundamental requirements, i.e., boundedness and the local Lipschitz condition, are assumed for the allowable time delays. Moreover, we focus on the case where the reference is unknown beforehand, which renders the standard prescribed performance control designs under output constraints infeasible. To conquer these challenges, a novel robust prescribed performance control approach is put forward in this paper.Herein, a reverse tuning function is skillfully constructed and automatically generates a performance envelop for the tracking error. In addition, a unified performance analysis framework based on proof by contradiction and the barrier function is established to reveal the inherent robustness of the control system against the time delays. It turns out that the system output tracks the reference with a preassigned settling time and good accuracy,without constraint violations. A comparative simulation on a two-stage chemical reactor is carried out to illustrate the above theoretical findings. 展开更多
关键词 Nonlinear systems output constraints prescribed performance reference tracking time delays
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Prediction of three-dimensional ocean temperature in the South China Sea based on time series gridded data and a dynamic spatiotemporal graph neural network
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作者 Feng Nan Zhuolin Li +3 位作者 Jie Yu Suixiang Shi Xinrong Wu Lingyu Xu 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2024年第7期26-39,共14页
Ocean temperature is an important physical variable in marine ecosystems,and ocean temperature prediction is an important research objective in ocean-related fields.Currently,one of the commonly used methods for ocean... Ocean temperature is an important physical variable in marine ecosystems,and ocean temperature prediction is an important research objective in ocean-related fields.Currently,one of the commonly used methods for ocean temperature prediction is based on data-driven,but research on this method is mostly limited to the sea surface,with few studies on the prediction of internal ocean temperature.Existing graph neural network-based methods usually use predefined graphs or learned static graphs,which cannot capture the dynamic associations among data.In this study,we propose a novel dynamic spatiotemporal graph neural network(DSTGN)to predict threedimensional ocean temperature(3D-OT),which combines static graph learning and dynamic graph learning to automatically mine two unknown dependencies between sequences based on the original 3D-OT data without prior knowledge.Temporal and spatial dependencies in the time series were then captured using temporal and graph convolutions.We also integrated dynamic graph learning,static graph learning,graph convolution,and temporal convolution into an end-to-end framework for 3D-OT prediction using time-series grid data.In this study,we conducted prediction experiments using high-resolution 3D-OT from the Copernicus global ocean physical reanalysis,with data covering the vertical variation of temperature from the sea surface to 1000 m below the sea surface.We compared five mainstream models that are commonly used for ocean temperature prediction,and the results showed that the method achieved the best prediction results at all prediction scales. 展开更多
关键词 dynamic associations three-dimensional ocean temperature prediction graph neural network time series gridded data
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Quality-adjusted time without symptoms or toxicity analysis of haploidentical-related donor vs.identical sibling donor hematopoietic stem cell transplantation in acute myeloid leukemia
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作者 Yuewen Wang Xianli Gao +12 位作者 Ting Wang Xiaohui Zhang Lanping Xu Yu Wang Chenhua Yan Huan Chen Yuhong Chen Wei Han Fengrong Wang Jingzhi Wang Xia Yan Xiaodong Mo Xiaojun Huang 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2024年第5期530-544,共15页
Objective:We aimed to compare the quality-adjusted time without symptoms or toxicity(Q-TWiST)in acute myeloid leukemia(AML)patients who received haploidentical-related donor(HID)and identical sibling donor(ISD)hematop... Objective:We aimed to compare the quality-adjusted time without symptoms or toxicity(Q-TWiST)in acute myeloid leukemia(AML)patients who received haploidentical-related donor(HID)and identical sibling donor(ISD)hematopoietic stem cell transplantation(HSCT).Methods:Five clinical health states were defined:toxicity(TOX),acute graft-versus-host disease(GVHD),chronic GVHD(cGVHD),time without symptoms and toxicity(TWiST)and relapse(REL).The equation used in this study was as follows:Q-TWiST=UTOX×TOX+UTWiST×TWiST+UREL×REL+UaGVHD×aGVHD+UcGVHD×cGVHD.Results:A total of 239 AML patients were enrolled.We established a mathematical model,i.e.,Q-TWiST HID HSCT>Q-TWiST ISD HSCT,to explore the range of utility coefficients satisfying the inequality.Based on the raw data,the utility coefficient is equivalent to the following inequality:10.57067UTOX-46.27733UREL+105.9374+3.388078UaGVHD-210.8198UcGVHD>0.The model showed that when UTOX,UREL,and UaGVHD were within the range of 0-1,as well as when UcGVHD was within the range of 0-0.569,the inequality Q-TWiST HID HSCT>Q-TWiST ISD HSCT was valid.According to the results of the ChiCTR1800016972 study,the median coefficients of TOX,acute GVHD(aGVHD),and cGVHD were 0.56(0.41-0.76),0.56(0.47-0.72),and 0.54(0.37-0.79),respectively.We selected a series of specific examples of the coefficients,i.e.,UTOX=0.5,UREL=0.05,UaGVHD-0.5,and UcGVHD-0.5.The Q-TWiST values of ISD and HID HSCT were 896 and 900 d,respectively(P=0.470).Conclusions:We first observed that Q-TWiST was comparable between AML patients receiving HID HSCT and those receiving ISD HSCT. 展开更多
关键词 Quality-adjusted time without symptoms or toxicity acute myeloid leukemia allogeneic hematopoietic stem cell transplantation HAPLOIDENTICAL
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Vehicle routing optimization algorithm based on time windows and dynamic demand
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作者 LI Jun DUAN Yurong +1 位作者 ZHANG Weiwei ZHU Liyuan 《Journal of Measurement Science and Instrumentation》 CAS CSCD 2024年第3期369-378,共10页
To provide the supplier with the minimizum vehicle travel distance in the distribution process of goods in three situations of new customer demand,customer cancellation service,and change of customer delivery address,... To provide the supplier with the minimizum vehicle travel distance in the distribution process of goods in three situations of new customer demand,customer cancellation service,and change of customer delivery address,based on the ideas of pre-optimization and real-time optimization,a two-stage planning model of dynamic demand based vehicle routing problem with time windows was established.At the pre-optimization stage,an improved genetic algorithm was used to obtain the pre-optimized distribution route,a large-scale neighborhood search method was integrated into the mutation operation to improve the local optimization performance of the genetic algorithm,and a variety of operators were introduced to expand the search space of neighborhood solutions;At the real-time optimization stage,a periodic optimization strategy was adopted to transform a complex dynamic problem into several static problems,and four neighborhood search operators were used to quickly adjust the route.Two different scale examples were designed for experiments.It is proved that the algorithm can plan the better route,and adjust the distribution route in time under the real-time constraints.Therefore,the proposed algorithm can provide theoretical guidance for suppliers to solve the dynamic demand based vehicle routing problem. 展开更多
关键词 vehicle routing problem dynamic demand genetic algorithm large-scale neighborhood search time windows
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融入中华优秀传统文化的Checkout time板块教学探索
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作者 张鹏 《教育研究与评论(小学教育教学)》 2024年第9期66-68,共3页
译林版小学英语教材在每个单元的最后设置了Checkout time板块。Checkout time板块承载着整合、融合、延伸教学内容的使命。融入中华优秀传统文化的Checkout time板块教学,是围绕单元主题意义拓展传统文化知识,并将单元教学重难点融入... 译林版小学英语教材在每个单元的最后设置了Checkout time板块。Checkout time板块承载着整合、融合、延伸教学内容的使命。融入中华优秀传统文化的Checkout time板块教学,是围绕单元主题意义拓展传统文化知识,并将单元教学重难点融入文化教学的过程,能够促使学生灵活运用单元核心语言知识,在提升语言能力的同时,发展文化意识。具体可以从三方面出发:活动探究,丰富关于中华优秀传统文化的知识;问题引领,延展围绕中华优秀传统文化的讨论;资料引入,深化对于中华优秀传统文化的认识。 展开更多
关键词 小学英语 中华优秀传统文化 Checkout time板块
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Time to recovery from severe pneumonia and its predictors among pediatric patients admitted in Mizan-Tepi University Teaching Hospital,South West Ethiopia,2022
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作者 Belete Fenta Kebede Aynalem Yetwale Hiwot +2 位作者 Tsegaw Biyazin Tesfa Yalemtsehay Dagnaw Genie Nigatu Dessalegn Mulu 《Frontiers of Nursing》 2024年第3期343-353,共11页
Objective:Despite trials and programs for the prevention of childhood mortality due to pneumonia,Ethiopia is among the top five countries with the highest number of deaths due to pneumonia.Although the prevalence of p... Objective:Despite trials and programs for the prevention of childhood mortality due to pneumonia,Ethiopia is among the top five countries with the highest number of deaths due to pneumonia.Although the prevalence of pneumonia has increased in the abovementioned trials,little is known about the recovery time from severe pneumonia and its predictors in the study area.Therefore,this study aimed to assess the time to recovery from severe pneumonia and its predictors among pediatric patients admitted to Mizan-Tepi University Teaching Hospital,Ethiopia,in 2022.Methods:A total of 591 children admitted for severe pneumonia were selected using simple random sampling.Data were entered into Epi-data version 4.4.2.1 and expor ted to STATA version 14 for analysis,and the assumptions of Cox propor tional hazard models and goodness of fit were assessed through Shoenfeld residual and Cox-Snell residual,respectively.Bivariate and multivariable Cox regression models were used to identify the predictors of mor tality.Results:This study revealed that 91.54%(95%confidence interval[CI]:89.00–93.53)of participants recovered with an incidence rate of 24.10(95%CI:22.15–26.21)per 100 person-day–observations.The hmedian recovery time of children was 4 days(95%CI:2–6).Children who were not exclusively breastfed(AHR=1.3;95%CI:1.03–1.66),who had a history of inability to suck/feed(AHR=0.81;95%CI:0.65–0.99)were independent predictors of the time to recovery.Conclusions:Children with severe pneumonia who had not exclusively breastfed and who had a history of inability to suck/feed were independent predictors of time to recovery.Therefore,all stakeholders and concerned health care providers should focus more on early diagnosis and management and hasten early recovery based on the identified factors. 展开更多
关键词 Mizan-Tepi University Teaching Hospital pediatric patients PREDICTORS severe pneumonia Southwest Ethiopia time to recovery
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