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实施护士关于护理包的培训计划对预防新生儿呼吸机相关肺炎的影响
Basma Ibrahim Khamis Elsaeed1, Mohamed Hussein Ramadan Atta2,3, Maha Ebrahim Fouda1
1Pediatric Nursing Department, Faculty of Nursing, Damanhur University, Damanhur City, Egypt.
Nursing in critical care
|March 12, 2025
概括
一个结构化的培训计划显著改善了护士在新生儿重症监护室 (NICU) 预防呼吸机相关肺炎 (VAP) 的实践. 这导致新生儿中VAP发病率大幅降低,突显了持续护士教育的重要性.
科学领域:
- 新生儿重症监护中心
- 预防感染 预防感染
- 护理教育 护理教育
背景情况:
- 呼吸机相关肺炎 (VAP) 是新生儿重症监护室 (NICU) 的严重并发症,增加了发病率,死亡率和医疗费用.
- 护士在实施基于证据的VAP预防策略方面发挥着至关重要的作用.
- 结构化的培训计划对于加强护士遵守VAP预防协议至关重要.
研究的目的:
- 评估结构化培训计划对护士在NICU中的VAP预防实践的影响.
- 评估加强护理实践对呼吸器新生儿VAP发病率的影响.
主要方法:
- 一项前性,干预前后研究,涉及新生儿重症监护室的27名护士.
- 收集关于护士VAP预防实践和新生儿VAP发病率在干预前,干预后立即和干预后3个月的数据.
- 多变量物流回归分析以确定与VAP风险相关的因素.
主要成果:
- 护士的VAP预防实践得分显著增加,从干预前的50.67%增加到干预后的89.26%和3个月后的73.33% (p < .001).
- VAP发病率从干预前的85.3%下降到干预后的10.5%和3个月后的19.5% (p < .001).
- 经过对混杂因素进行调整后,改善的整体护理实践与减少的VAP风险 (OR = 0.819,p = .001) 有显著的关联.
结论:
- 一个结构化的教育计划有效地改善护士在NICU的VAP预防实践.
- 改进的护理实践导致呼吸器新生儿中VAP发病率显著降低.
- 定期培训对于维持高标准的护理和改善新生儿结果至关重要.
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