摘要
目的探讨基于医院感染防控epic3指南护理终端对重症患者的护理效果及预防院内感染风险的效果。方法将2019-05/2021-05月作者医院重症医学科收治的重症患者202例进行研究。按照随机数表法分为应用组(n=101)和对照组(n=101)。应用组给予基于epic3指南的护理终端管理,对照组给予常规护理终端管理。比较两组一般资料、护理效果、治疗时间和院内感染发生率等情况。结果应用组101例患者中有7例病例脱落,剩余94例。对照组101例患者中有5例病例脱落剩余96例。两组患者年龄、性别等一般资料对比,差异无统计学意义(P>0.05)。应用组应用抗生素时间、入住重症监护病房(intensive care unit,ICU)时间、住院时间和院内感染发生后持续时间均明显短于对照组(P<0.05)。应用组院内感染发生率明显低于对照组(P<0.05)。应用组护理质量评分和护理满意度评分均高于对照组(P<0.05)。结论基于epic3指南的护理终端用于重症患者护理可明显改善护理质量,提高护理满意度,缩短治疗时间和院内感染发生后持续时间,降低院内感染的风险。
Objective To explore the effect of nursing effects and preventing nosocomial infection risk of nursing terminal on severe patients based on epic3 guidelines of prevention and control of hospital infection.Methods A total of 202 patients with severe illness admitted to emergency department in authors′hospital from May 2019 to May 2021 were studied and randomly divided into application group(n=101)and control group(n=101).The application group received epic3-based nursing terminal management,and the control group received routine nursing terminal management.The general data,nursing effect,treatment time and incidence of nosocomial infection were compared between the two groups.Results There were 7 cases fell off and 94 remained among 101 patients in the application group.In the control group,there were 5 cases fell off and 96 remained.There was no significant difference in age,gender and other general conditions between the two groups(P>0.05).The duration of antibiotic use,intensive care unit(ICU)stay,hospital stay and duration of nosocomial infection in the application group were significantly shorter than those in the control group(P<0.05).The incidence of nosocomial infection in application group was significantly lower than that in control group(P<0.05).The nursing quality score and nursing satisfaction score of the application group were higher than those of the control group(P<0.05).Conclusion epic3-based nursing terminal can significantly improve nursing quality,improve nursing satisfaction,shorten the duration of treatment and the duration of nosocomial infection,and reduce the risk of nosocomial infection.
作者
陆黎丽
徐英
LU Lili;XU Ying(Department of Emergency,Zhangjiagang Hospital of Traditional Chinese Medicine,Suzhou Jiangsu 215600,China)
出处
《华南国防医学杂志》
CAS
2021年第9期684-686,690,共4页
Military Medical Journal of South China
基金
张家港市卫生和计划生育委员会软科学研究计划(ZKS1804)
关键词
epic3指南
护理终端
重症患者
院内感染
epic3 guide lines
Nursing terminal
Severe patient
Nosocomial infection
