在高风险产妇参考中心遵守败血症协议
Marianny Medeiros de Moraes1, Amuzza Aylla Pereira Dos Santos1, Juliana Duque da Silva de Sá Leitão1
1Universidade Federal de Alagoas. Maceió, Alagoas, Brazil.
Revista brasileira de enfermagem
|September 11, 2024
概括
产科护士为所有符合条件的孕妇患者启动了败血症协议. 然而,并非所有协议步骤,包括广泛抗生素的管理,都已完全完成.
科学领域:
- 产科和妇科 产科和妇科
- 传染病管理 传染病管理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 败血症是一种危及生命的疾病,需要迅速识别和管理.
- 遵守败血症协议对于改善高风险产妇环境中的患者结果至关重要.
- 产科选是孕妇早期败血症检测的关键点.
研究的目的:
- 评估产科护士在高风险产妇参考中心遵守败血症协议的程度.
- 确定毒症协议中具有高和低合规率的特定领域.
主要方法:
- 量化,回顾性和文献研究设计.
- 涉及对符合败血症标准的105名孕妇电子医疗记录的分析.
- 使用结构化表格收集的数据,并使用描述性统计数据进行分析.
主要成果:
- 对所有105例确诊病例的败血症协议启动得到确认.
- 乳酸收集 (97.1%) 和血液培养 (98.1%) 的高合规性.
- 抗生素治疗 (94.3%) 和补水 (51.4%) 显示了较低的坚持率.
结论:
- 虽然已经启动了败血症协议,但尚未完全实施所有推的步骤.
- 具体的协议元素,如水化和广泛的抗生素的管理,需要改进.
- 调查结果强调需要加强培训和资源配置,以确保全面的败血症管理.
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