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时间:2020-04-12
《《规范化培训对基础医院脓毒症集束化治疗依从性的影响》.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、当代医学2015年7月第21卷第2O期总第391期ContemporaryMedicine,Ju1.2015,Vo1.21No.20IssueNo.391doi:10.3969/J.issn.1009—4393.2015.20.001规范化培训对基础医院脓毒症集束化治疗依从性的影响戴新贵付春来蔡业平张圣岸【摘要】目的探讨规范化培训对基层医院脓毒症集束化治疗依从性的影响。方法采用定点理论培训和对口支援的方法对郴州市7个县级医院重症医学科医护人员进行培训。回顾性调查培训前所有脓毒症患者388例和前瞻性收集培训后4
2、23例的一般资料,分析医护人员对脓毒症集束化治疗的依从性。结果培训前调查结果显示,2h内放置深静脉依从性最好,双上肢同时留取病原茵标本和液体复苏6h内EGDT达标依从性最差,其余依次为1h内完成乳酸测定、12h内乳酸下降、晶体液复苏为主、5h使用抗生素、3h内留取病原菌标本、使用抗生素之前留取病原菌标本、使用碳青霉烯类抗生素。培训后调查结果显示,Ih内完成乳酸测定依从性最好,双上肢同时留取病原菌标本,依从性最差,其余依次为2h内放置深静脉、3h内留取病原茵标本、5h使用抗生索、12h内乳酸下降或原乳酸≤2mm
3、ol/k、在使用抗生素前留取病原茵标本、使用碳青霉烯类抗生素、液体复苏6h内EODT达标。培训前后比较,1h内完成乳酸测定、2h内放置深静脉、12h内乳酸下降、双上肢同时留取病原菌标本等方面差异无统计学意义,3h使用抗生素、使用碳青霉烯类抗生素、3h内留取病原菌标本、使用抗生素之前留取病原菌标本、液体复苏6h内EgDT达标、晶体液复苏为主等方面培训前后比较均有显著提高(p4、ct]ObjectiveToinvestigatetheeffectofstandardtrainingonsepsisbundletreatmentinprimaryhospitals.MethodsIntensivecareunits(ICU)workersin7primaryhospitalsweretrainedthroughfixedpointtheoretictrainingaswellaspartingassistance.Dataof338septiccasesbeforetrainingan5、d423casesafter-trainingwereusedforanalyzingthecomplianceofsepsisbundletreatment.ResultsAccordingtothesurveyresults,venipuncturein2hoursshowedthebestcompliance,andcollectingbacterialsamplesfromtwohandsatthesametimeaswellasEGDTuptostandardshowedtheworsebefore6、training.Intherestoftheordegweremeasuringlacticacidin1hour,down-regulatinglacticacidin12hours,fluidresuscitationusedcrystalloidsolutionmainly,usingantibioticsin3hours,collectingbacterialsamplesin3hours,collectingbacterialsamplesbeforeantibioticstreatment,us7、ingcarbapenemsantibiotic.Aftertraining,theresultsshowedthebestcompliancewasmeasuringlacticacidin1hourandtheworsewascollectingbacterialsamplesfromtwohandsatthesametime.Intherestoftheorder,venipuncturein2hours,usingantibioticsin3hours,collectingbacterialsampl8、esin3hours,down-regulatinglacticacidin12hours,collectingbacterialculturebeforeantibioticstreatment,usingcarbapenemsantibiotic,EGDTuptostandard.Contrasttobeforetraining,therewerenosignificantchangesduri
4、ct]ObjectiveToinvestigatetheeffectofstandardtrainingonsepsisbundletreatmentinprimaryhospitals.MethodsIntensivecareunits(ICU)workersin7primaryhospitalsweretrainedthroughfixedpointtheoretictrainingaswellaspartingassistance.Dataof338septiccasesbeforetrainingan
5、d423casesafter-trainingwereusedforanalyzingthecomplianceofsepsisbundletreatment.ResultsAccordingtothesurveyresults,venipuncturein2hoursshowedthebestcompliance,andcollectingbacterialsamplesfromtwohandsatthesametimeaswellasEGDTuptostandardshowedtheworsebefore
6、training.Intherestoftheordegweremeasuringlacticacidin1hour,down-regulatinglacticacidin12hours,fluidresuscitationusedcrystalloidsolutionmainly,usingantibioticsin3hours,collectingbacterialsamplesin3hours,collectingbacterialsamplesbeforeantibioticstreatment,us
7、ingcarbapenemsantibiotic.Aftertraining,theresultsshowedthebestcompliancewasmeasuringlacticacidin1hourandtheworsewascollectingbacterialsamplesfromtwohandsatthesametime.Intherestoftheorder,venipuncturein2hours,usingantibioticsin3hours,collectingbacterialsampl
8、esin3hours,down-regulatinglacticacidin12hours,collectingbacterialculturebeforeantibioticstreatment,usingcarbapenemsantibiotic,EGDTuptostandard.Contrasttobeforetraining,therewerenosignificantchangesduri
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