Xiaowei Xu, Liqin Wei, Weiwei Wang, Yu Sun, Li Zheng, Yan Wang
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引用次数: 0
Abstract
Objective: This study aims to investigate the effects of bundle-based preventive care on the control of healthcare-associated infections (HAIs) in patients undergoing neurosurgical procedures.
Methods: One hundred and twenty patients who underwent neurosurgery were enrolled and randomly assigned, using a random number table method, to either the control group (n = 60), which received routine nursing care, or the observation group (n = 60), which bundle-based preventive care. The incidence of HAIs, antibiotic usage, and pathogen detection rates were compared between the two groups. In addition, adverse events and length of hospital stay were recorded. Nursing quality and patient satisfaction were also evaluated.
Results: The observation group showed significantly better outcomes than the control group. Specifically, its HAI rate (6.67% vs. 21.67%) and total pathogen detection rate (6.67% vs. 20.00%) were significantly lower (p < 0.05). The use of dual and triple antibiotic regimens was also reduced (p < 0.05). Moreover, the observation group experienced fewer adverse events and a shorter hospital stay (p < 0.05). Nursing quality scores - including hand hygiene, disinfection and isolation, nursing communication, and documentation - were all higher in the observation group (p < 0.05). Patient satisfaction was significantly improved as well (95.00% vs. 83.33%, p < 0.05).
Conclusion: Bundle-based preventive care can effectively reduce postoperative HAIs and antibiotic usage in neurosurgical patients, lower the incidence of adverse events, and significantly improve nursing quality and patient satisfaction.
目的：本研究旨在探讨基于捆绑预防保健对神经外科手术患者卫生保健相关感染（HAIs）控制的影响。方法：选取120例行神经外科手术的患者，采用随机数字表法随机分为对照组（n = 60）和观察组（n = 60），对照组采用常规护理，观察组采用捆绑式预防护理。比较两组患者HAIs发生率、抗生素使用情况及病原菌检出率。此外，还记录了不良事件和住院时间。同时对护理质量和患者满意度进行评价。结果：观察组患者治疗效果明显优于对照组。其中，其HAI率（6.67% vs. 21.67%）和总病原体检出率（6.67% vs. 20.00%）显著低于对照组（p p p p p p）。结论：捆绑预防保健可有效降低神经外科患者术后HAI和抗生素使用，降低不良事件发生率，显著提高护理质量和患者满意度。
期刊介绍：
Neurological Research is an international, peer-reviewed journal for reporting both basic and clinical research in the fields of neurosurgery, neurology, neuroengineering and neurosciences. It provides a medium for those who recognize the wider implications of their work and who wish to be informed of the relevant experience of others in related and more distant fields.
The scope of the journal includes:
•Stem cell applications
•Molecular neuroscience
•Neuropharmacology
•Neuroradiology
•Neurochemistry
•Biomathematical models
•Endovascular neurosurgery
•Innovation in neurosurgery.
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