在精神疾病住院患者中减少医院获得的肺炎的捆绑管理策略
Jingjing Han1, Dan Li2, Yan Rao3
1Department of Infection Control, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Frontiers in psychiatry
|June 19, 2023
概括
医院获得的肺炎 (HAP) 是精神卫生机构的一个重大问题. 实施HAP捆绑管理策略有效降低了精神疾病住院患者的HAP率.
科学领域:
- 医学研究 医学研究
- 预防传染病 预防传染病
- 心理健康护理 心理健康护理
背景情况:
- 医院获得的肺炎 (HAP) 在精神疾病治疗机构的患者中发生率很高.
- 目前,在这个脆弱的患者群体中缺乏HAP的有效预防策略.
研究的目的:
- 评估HAP捆绑管理策略在减少HAP发生率方面的有效性.
- 在干预之前和之后评估住院精神障碍患者的HAP率.
主要方法:
- 一项准实验性研究分为两个阶段进行:基线 (2017年1月至2019年12月) 和干预 (2020年5月至2022年4月).
- 在干预阶段实施了HAP捆绑管理战略.
- 在两个阶段收集和分析了HAP发生的数据.
主要成果:
- 在干预后,HAP总体发病率从0.95%降至0.52% (P < 0.001).
- 在封闭病房 (1.70%至0.95%) 和开放病房 (0.63%至0.35%) 均观察到显著的减少.
- 在各个小组中,HAP的发病率下降,包括精神分裂症谱系障碍患者,有机精神障碍患者和65岁及以上的患者.
结论:
- HAP捆绑管理策略在减少HAP发生方面是有效的.
- 该战略提供了一种可行的方法来提高精神卫生机构的患者安全.
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