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| Efficacy of standardized nursing on patients with multi-drug resistant bacteria infection |
| CHEN Gen-xiu1, DENG Wu-xiu2, ZHONG Mei-xing3, ZHANG Qiao-ling1, CHEN Guan-feng4 |
1.First Department of Pneumology,the First Affiliated Hospital of Gannan Medical College in Jiangxi Province,Ganzhou 341000,China;
2.Second Department of Oncology,the First Affiliated Hospital of Gannan Medical College in Jiangxi Province,Ganzhou 341000,China;
3.Office of Disciplinary Inspection,the First Affiliated Hospital of Gannan Medical College in Jiangxi Province,Ganzhou 341000,China;
4.Department of Emergency,the First Affiliated Hospital of Gannan Medical College in Jiangxi Province,Ganzhou 341000,China |
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Abstract Objective To explore the efficacy of standardized nursing on patients with multi-drug resistant bacteria infection.Methods 120 patients treated in the Department of Pneumology in Gannan Medical College First Affiliated Hospital from January 2011 to December 2014,who were diagnosed with lower respiratory infection with more than twice positive results of sputum culture and treated by bacteria-sensitive antibiotics were selected.78 hospitalized patients (January 2011 to December 2012) meeting the inclusion criteria were divided into the control group,and 42 patients (January 2013 to December 2014) were divided into the observation group as standardized nursing had been conducted since January 2013 among patients with multi-drug resistant bacteria infection in respiratory tract.The implementation effect of two groups were compared.Results The general condition of patients,outcome of patients and sputum culturing results in the observation group were all significantly better than those in the control group,the incidence rate of multi-drug resistant bacteria lower than that in the control group,the satisfaction of patients and hand sanitation execution rate were higher than those in the control group,the number of days of antibiotics application and hospital days were shorter than those the control group,the hospital costs was less than that in the control group,and the differences were statistically significant (P<0.05).Conclusion Standardized nursing management can reduce the number of hospitalized days in patients with multi-drug resistant bacteria infection,increase the negative conversion ratio of sputum culturing,shorten the average days of antibiotic application,reduce the cost of hospitalization,improve the general condition of patients,promote the outcome of patients,improve patients′satisfaction,reduce the incidence of multi-drug resistant bacteria and improve hand sanitation execution rate among medical workers,which is worthy to be promoted.
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Received: 02 May 2017
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| [1] |
Arias CA,Murray BE.Antibiotic-resistant bugs in the 21st century——a clinical super-challenge[J].N Engl J Med,2009,360（5）：439-443.
|
| [2] |
孙春荣.我院呼吸科感染多重耐药菌的类型及相关因素分析[J].临床肺科杂志,2012,17（9）：1563-1564.
|
| [3] |
柯向群.122例多重耐药菌感染患者分析及护理[J].齐齐哈尔医学院学报,2015,36（4）：614-616.
|
| [4] |
于爱玲.综合干预措施对医院多重耐药菌感染的防控作用[J].山东医药,2016,56（5）：104-105.
|
| [5] |
田桂珍,高鸿敏,李小芳,等.呼吸内科病房多重耐药菌感染患者临床分析[J].中国临床药理学杂志,2013,29（6）：437-439.
|
| [6] |
邹燕兰,周瑾,孙彦婷,等.多重耐药菌的院内传播防控[J].中国临床护理,2016,8（2）：172-173..
|
| [7] |
黄丽君.多重耐药菌感染的护理进展[J].临床护理杂志,2013,12（6）：58-60.
|
| [8] |
孙淑娟.PDCA循环法在多重耐药菌医院感染管理中的应用[J].中外医疗,2013,32（21）：123-124.
|
| [9] |
Winters B,Dorman T.Patient-safety and quality initiatives in the intensive-care unit[J].Curr Opin Anaesthesiol,2006,19（2）：140-145.
|
| [10] |
赵丹丹,吴静,刘颖.集束化护理在下呼吸道多重耐药菌定植气管切开患者中的应用[J].解放军护理杂志,2015, 32（22）：39-41.
|
| [11] |
王晓青.住院患者多重耐药菌感染情况的分析及护理对策[J].解放军护理杂志,2010,27（10）：753-755.
|
| [12] |
虞相敏.乳腺术后多重耐药菌感染分析与护理[J].中华实验和临床感染病杂志（电子版）,2016,10（3）：315-318.
|
| [13] |
刘莉,王海明,陈松宽.静脉导管相关感染预防规范化护理流程的应用[J].中华医院感染学杂志,2015（8）：1803-1804.
|
| [14] |
杨会香.综合护理干预对控制ICU多重耐药菌感染的影响[J].护理管理杂志,2014,14（4）：271-272.
|
| [15] |
唐正利.多重耐药菌感染的临床分布特征及护理管理[J].中华现代护理杂志,2014,20（19）：2386-2387.
|
| [16] |
李秀华,小林寅喆,陈炜,等.医务人员手与医院环境物体表面分离多重耐药菌的同源性分析[J].中华护理杂志,2015,50（11）：1285-1290.
|
| [17] |
吴婷,商临萍,刘玲玉,等.三级甲等医院护士多重耐药菌感染防控知信行的调查分析[J].护理管理杂志,2014, 14（4）：232-234.
|
| [18] |
肖瑜,杨坚娥,黄少君,等.持续质量改进在多重耐药菌感染管理中的应用效果[J].护理研究,2016,30（15）：1880-1882.
|
| [19] |
Pittet D,Hugonnet S,Harbarth S, et al .Effectiveness of a hospital-wide programme to improve compliance with hand hygiene.Infection Control Programme[J].Lancet,2000,356（9238）：1307.
|
| [20] |
胡必杰.多重耐药菌感染控制最佳实践[M].上海：上海科学技术出版社,2012.
|
| [21] |
张曙,陈雪萍.多重耐药菌感染病人的护理与预防[J].护理研究,2014,28（9）：3393-3395.
|
| [22] |
欧希龙,孙为豪,曹大中,等.28例伪膜性肠炎临床分析[A]//国际治疗内镜和消化疾病学术会议[C].2008.
|
| [23] |
邹雪峰,肖琴,钟云天,等.HACCP在神经外科多重耐药菌感染防控中的应用研究[J].中华神经医学杂志,2015, 14（8）：839-842.
|
|
|
|
