在使用物质的患者中,导致住院感染性内心炎的贡献者
Christine Kociszewski1,2, Christina J Ezemenaka3, Susan J Appel4
1Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL, USA ckociszewski@gmail.com.
Journal of doctoral nursing practice
|March 27, 2024
概括
吸食物质 (SU) 和传染性内心炎 (IE) 的患者经常违背医疗建议 (DAMA) 离开. 阿片类药物和兴奋剂的使用,医疗补助和更短的住院时间与DAMA有关,但不是30天的再入院.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 成 药物 药物 药物 药物
背景情况:
- 吸食物质 (SU) 和传染性内心炎 (IE) 患者面临高率的出院,尽管医疗建议 (DAMA) 和30天再入院.
- 了解导致这些不良结果的因素对于改善患者护理至关重要.
研究的目的:
- 确定与DAMA和SU和IE患者的30天再入院相关的人口和临床因素.
- 为这个脆弱的患者群体提供有针对性的干预信息.
主要方法:
- 在2018年1月至2020年12月期间接受了SU和IE的18岁以上患者的回顾性图表审查.
- 用描述性统计和后勤回归分析来评估与DAMA和30天再入院的关联.
主要成果:
- 在144名患者中,38.2%的患者经历了DAMA,61.1%的患者在30天内重新入院.
- 与DAMA显著相关的因素包括年龄较小,逗留时间较短,医疗补助保险,阿片类药物使用和兴奋剂使用.
- 这些因素与30天的再录取没有显著的关联.
结论:
- 特定的患者特征和物质使用模式与SU和IE患者的DAMA有关.
- 需要进行进一步的研究,以制定减少DAMA的策略,并改善这一群体的治疗坚持.
- 护理干预对于解决SUIE患者的独特需求至关重要,以优化治疗结果.
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