护士敏感指标作为预测创伤患者出院处置的预测指标
Lily A Silverstein1, Debra K Moser, Mary Kay Rayens
1Author Affiliations: College of Nursing, University of Kentucky, Lexington, Kentucky (Ms. Silverstein and Drs. Moser and Rayens).
概括
导管相关的尿路感染 (CAUTI) 和医院获得的压力损伤 (HAPI) 预测在创伤后需要更多的进一步护理. 预防这些护士敏感指标可能会改善患者的治疗结果.
科学领域:
- 创伤护理的护理人员.
- 护理敏感指标护理敏感指标
- 患者的治疗结果.
背景情况:
- 每年有350万创伤患者被住院治疗,其中35%-40%需要出院后的护理.
- 护士敏感指标 (CAUTI,CLABSI,HAPI) 对创伤患者出院倾向的影响尚不清楚.
- 这些指标可能反映了提供护理服务的质量.
研究的目的:
- 为了确定通过CAUTI,CLABSI和HAPI测量的护理是否预测创伤患者的出院倾向.
- 调查特定护士敏感指标与出院后进一步护理需求之间的关系.
主要方法:
- 2021年国家创伤数据库的二次分析.
- 使用后勤回归分析来评估CAUTI,CLABSI和HAPI对排放处置的预测效应.
- 对患者特征进行控制的分析.
主要成果:
- 这项研究包括29,642名创伤患者.
- 导管相关的尿路感染 (CAUTI) 增加了出院的可能性,以进一步护理为1.4-1.5倍.
- 医院获得的压力损伤 (HAPI) 增加了进一步护理出院的几率2.1倍;CLABSI没有显著影响.
结论:
- CAUTI和HAPI是释放的重要预测因素,以进一步照顾创伤患者.
- 通过高质量的护理护理来预防创伤性并发症,可以改善创伤幸存者的长期结果.
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