首页|基于循证的临床感控路径在预防ICU患者气管切开术后呼吸道感染的应用研究

基于循证的临床感控路径在预防ICU患者气管切开术后呼吸道感染的应用研究

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目的 探讨循证支持下感染路径控制在预防ICU患者气管切开术后呼吸道感染的应用效果.方法 选取2020年1月至2022年12月在我院接受气管切开术的ICU患者236 例,根据入院时间分为对照组与研究组各 118 例,其中对照组给予常规干预,研究组给予基于循证支持的感染路径控制干预.比较两组患者干预结束后ICU住院情况(机械通气时间、平均住院时间)和护理质量各维度评分,患者家属护理满意度和并发症发生情况.结果 干预结束后,研究组机械通气时间和ICU平均住院时间较对照组短,护理质量各维度评分均较对照组高(P<0.05);研究组并发症总发生率低于对照组,患者家属护理满意度高于对照组(P<0.05).结论 循证支持下感染路径控制更能减少术后呼吸道感染等并发症发生率,提高护理质量和患者呼吸品质,提升临床护理满意程度.
Application of clinical infection pathway control based on evidence-based support in preventing respiratory tract infections in ICU patients after tracheostomy
Objective To explore the application effect of infection pathway control based on evidence-based support in preventing respiratory tract infection in ICU patients after tracheotomy.Methods A total of 236 ICU patients undergoing tracheotomy in our hospital were enrolled between January 2020 and December 2022.According to admission time,they were divided into a control group and a study group,118 in each group.The control group was given routine intervention.The study group was given infection pathway control intervention based on evidence-based support.After intervention,ICU stay status such as mechanical ventilation time and average hospitalization time,scores of nursing quality,nursing satisfaction of family members and complications were compared between the two groups.Results After intervention,the mechanical ventilation time and average stay time in ICU in the study group were shorter than those in the control group,and the scores of nursing quality were higher than those in the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group,and nursing satisfaction of family members was higher than that in the control group(P<0.05).Conclusions The infection pathway control based on evidence-based support can better reduce the incidence of postoperative respiratory tract infection and other complications.It also improves the nursing quality,respiratory quality and clinical nursing satisfaction.

Evidence-based supportInfection pathway controlIntensive care unitRespiratory tract infection

张华容、吕宇、肖妤

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四川省仪陇县人民医院感染管理科,四川 仪陇 637600

四川省医学科学院·四川省人民医院(电子科技大学附属医院)感染控制中心,四川 成都 610072

四川省社会科学院,四川 成都 610071

循证支持 感染路径控制 重症监护室 呼吸道感染

四川省自然科学基金资助项目四川省卫健委科研基金资助项目

2023NSFSC053418PJ571

2024

实用医院临床杂志
四川省医学科学院 四川省人民医院

实用医院临床杂志

CSTPCD
影响因子:1.179
ISSN:1672-6170
年,卷(期):2024.21(3)
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