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| 基于循证的日常检查表在预防上消化道出血院内感染中的应用 |
| Application of evidence-based daily checklist in preventing gastrointestinal bleeding nosocomial infection |
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| DOI：10.3969/j.issn.1007-8134.2019.06.019 |
| 中文关键词: 循证护理 检查表 消化道出血院内感染 |
| 英文关键词: evidence nursing checklist gastrointestinal bleeding nosocomial infection |
| 基金项目:青海省（应用）基础研究计划项目（2014-ZJ-575） |
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| 中文摘要: |
| 目的 探讨基于循证的日常检查表在预防上消化道出血患者院内感染中的作用。方法 采用随机数字表法将我院消化内科150例患者随机分为对照组和干预组，对照组患者实施常规护理，干预组患者采用在循证基础上设计的日常检查表进行干预，比较2组患者院内感染发生率、样本培养结果、再出血率、住院费用、住院时间的差异。结果 干预组患者自发性腹膜炎、泌尿系统感染及呼吸系统感染的发生率均低于对照组，差异具有统计学意义（P均＜0.05）；病原菌主要为大肠埃希菌、肺炎克雷伯菌、金黄色葡萄球菌；干预组患者再出血率、住院费用、住院时间均显著低于对照组，差异具有统计学意义（P均＜0.05）。结论 基于循证的日常检查表在上消化道出血患者中的使用，可显著降低该类患者院内感染的发生率。 |
| 英文摘要: |
| Objective To investigate the effect of evidence-based daily checklist on preventing nosocomial infection in patients with gastrointestinal bleeding. Methods Totally 150 patients collected from department of gastroenterology in our hospital were randomly divided into control group and interventional group. In the control group, patients received routine nursing, while patients in the intervention group were given evidence-based daily checklist. The differences of nosocomial infection incidence, culture results of samples, rebleeding rate, hospitalization expenses and hospital stays between 2 groups were compared. Results The incidences of spontaneous peritonitis, urinary tract infection and respiratory system infection in the interventional group were significantly lower than those in control group (P＜0.05). The main pathogenic bacteria distributed were Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus. The rebleeding rate, hospitalization expenses and hospital stays in the intervention group were significantly lower than those in the control group (P＜0.05). Conclusions Evidence-based daily checklist can significantly decrease the incidence of nosocomial infection in patients with gastrointestinal bleeding. |
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