|
Nursing Science 2024
多种护理模式对多重耐药菌患者的管理研究进展
|
Abstract:
多重耐药菌在最近几年里不仅数量、种类、危害都在持续增加,且这些对于现代社会的危害是不容小觑的。多重耐药菌的感染使得患者在原有疾病的基础上出现了新的潜在并发症,大大增加了患者的负担和治愈难度,对患者造成了各方面的问题,同时也是对现代医疗的挑战。本文通过探究多重耐药菌的本质与预防,将最新的几种护理模式与多重耐药菌的预防相结合,从而制定有效而具体的管理干预措施,降低在院患者感染多重耐药菌的概率,促进疾病的痊愈。本文重点分析了多重耐药菌患者的护理管理模式,以及通过多种护理模式的联合应用为管理多重耐药菌患者、合理使用抗菌药物以及提高相关护理质量提供借鉴与参考。
In recent years, not only the number, type, and harm of multi-drug-resistant bacteria are continuing to increase, but also the harm to modern society is not to be underestimated. The infection of multi-drug-resistant bacteria makes patients appear new potential complications on the basis of the original disease, which greatly increases the burden of patients and the difficulty of cure, causing various problems for patients and also a challenge to modern medical treatment. By exploring the nature and prevention of multi-drug-resistant bacteria, this paper combines the latest several nursing modes with the prevention of multi-drug-resistant bacteria, so as to formulate effective and specific management interventions to reduce the probability of in-hospital patients infected with multi-drug-resistant bacteria and promote the recovery of the disease. This paper focuses on the analysis of the nursing management mode of patients with multi-drug resistant bacteria, and provides a reference for the management of patients with multi-drug resistant bacteria, rational use of antibiotics and improvement of related nursing quality through the combined application of multiple nursing modes.
[1] | 杨洁, 李昌锦, 张宝华. 医院多重耐药菌的监测分析[J]. 世界最新医学信息文摘(连续型电子期刊), 2021, 21(19): 270-271, 358. |
[2] | 孙丽琴, 刘甲野, 王辉, 等. 多重耐药菌耐药机制及治疗概述[J]. 中国临床新医学, 2022, 15(10): 921-927. |
[3] | 徐丽. 多重耐药菌的耐药机制[J]. 中国保健营养, 2020, 30(2): 358-359. |
[4] | 李亚欣. 浅谈外科感染的因素及对策[J]. 养生保健指南, 2019(35): 347. |
[5] | Kurniawati, A.F.S., Satyabakti, P. and Arbianti, N. (2015) Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance. Jurnal Berkala Epidemiologi, 3, 277-289. https://doi.org/10.20473/jbe.v3i3.2015.277-289 |
[6] | Yang, X.W., Guo, R.S., Zhang, B., Xie, B.L., Zhou, S., Zhang, B. and Lai, Q. (2023) Retrospective Analysis of Drug Resistance Characteristics and Infection Related Risk Factors of Multidrug-Resistant Organisms (MDROs) Isolated from the Orthopedics Department of a Tertiary Hospital. Scientific Reports, 13, Article No. 2199. https://doi.org/10.1038/s41598-023-28270-3 |
[7] | 殷良田. 66株多重耐药菌监测分析[J]. 安徽卫生职业技术学院学报, 2021, 20(2): 98-99. https://doi.org/10.3969/j.issn.1671-8054.2021.02.040 |
[8] | 马立宗, 李福贵. 多重耐药菌株结果分析[J]. 河北医药, 2015(24): 3803-3804. https://doi.org/10.3969/j.issn.1002-7386.2015.24.044 |
[9] | 吕春兰, 丁志红, 杭国琴, 等. 医院多重耐药菌的耐药分析[J]. 中国感染控制杂志, 2015(5): 350-352. https://doi.org/10.3969/j.issn.1671-9638.2015.05.018 |
[10] | 封占辉, 程艳艳, 张汝敏. ICU患者多重耐药菌感染的相关影响因素分析[J]. 饮食保健, 2020, 7(10): 18-19. |
[11] | 陈招虹, 尤晓萍, 蔡媛媛, 等. 血流感染中多重耐药菌的耐药性及感染危险因素分析[J]. 中国热带医学, 2023, 23(2): 176-180, 209. http://kns.cnki.net/kcms/detail/46.1064.R.20221202.1556.001.html |
[12] | 张朝辉, 陈玉, 王家辉. ICU多重耐药菌感染的防控与治疗进展[J]. 巴楚医学, 2022, 5(3): 114-117. |
[13] | 黄勋, 邓子德, 倪语星, 等. 多重耐药菌医院感染预防与控制中国专家共识[J]. 中国感染控制杂志, 2015(1): 1-9. https://doi.org/10.3969/j.issn.1671-9638.2015.01.001 |
[14] | 王维凤, 王艳波, 王帆, 等. 5A护理模式临床应用新进展[J]. 中国医药科学, 2022, 12(1): 47-50, 124. https://doi.org/10.3969/j.issn.2095-0616.2022.01.013 |
[15] | 王娇, 商临萍. 基于COSO-ERM框架的多重耐药菌医院感染风险管理研究[J]. 中国感染控制杂志, 2022, 21(5): 499-504. https://doi.org/10.12138/j.issn.1671-9638.20221439 |
[16] | 王轶飞, 赖德英, 陈秀. 5A护理模式对妊娠期糖尿病患者的影响[J]. 齐鲁护理杂志, 2020, 26(19): 93-96. https://doi.org/10.3969/j.issn.1006-7256.2020.19.031 |
[17] | 杜叶会, 颜辉, 裴菊红, 等. 共享门诊在慢性病管理中的应用研究进展[J]. 中国护理管理, 2021, 21(12): 1905-1909. https://doi.org/10.3969/j.issn.1672-1756.2021.12.031 |
[18] | 李逗逗, 姚瑶, 曹琳, 等. 专科护士主导的2型糖尿病患者共享门诊的构建及应用[J]. 中华护理杂志, 2022, 57(1): 17-22. https://doi.org/10.3761/j.issn.0254-1769.2022.01.002 |
[19] | 郭雪莲. 探讨PDCA护理模式在异位妊娠患者围术期的应用效果[J]. 中外女性健康研究, 2021(14): 167-168. |
[20] | 李玉荣. PDCA护理模式对小儿哮喘护理质量的临床影响[J]. 中华养生保健, 2022, 40(4): 64-66. |
[21] | Lorenzo, O., Caterina, M., Salvatore, C., Pierantonio, G. and Nicola, C. (2022) Prevalence and Therapeutic Management of Infections by Multi-Drug-Resistant Organisms (MDROs) in Patients with Liver Cirrhosis: A Narrative Review. Antibiotics, 11, Article 232. https://doi.org/10.3390/antibiotics11020232 |
[22] | 陈鹏飞. 抗菌药物的使用原则[J]. 世界最新医学信息文摘(连续型电子期刊), 2016, 16(49): 234-234, 236. https://doi.org/10.3969/j.issn.1671-3141.2016.49.168 |
[23] | 杨秀敏, 高哲敏, 付素红, 等. 社区医生主导的共享门诊模式在糖尿病管理中的应用[J]. 药店周刊, 2022, 31(3): 37-39. |
[24] | 张露露, 王娅平, 王凤玲, 等. 蒙台梭利法: 一种新型老年痴呆症非药物疗法[J]. 中国临床保健杂志, 2021, 24(6): 850-854. https://doi.org/10.3969/J.issn.1672-6790.2021.06.029 |
[25] | 王良. 95例糖尿病患者萨提亚模式协同护理观察[J]. 河南医学高等专科学校学报, 2018, 30(5): 488-490. https://doi.org/10.3969/j.issn.1008-9276.2018.05.024 |
[26] | 李博. 机械通气治疗急性心梗合并左心衰及呼衰的临床价值[J]. 中国医疗器械信息, 2020, 26(18): 59-60, 132. https://doi.org/10.3969/j.issn.1006-6586.2020.18.027 |
[27] | 王丽君. 急性心梗患者心理特征与护理干预措施[J]. 中外健康文摘, 2011, 8(30): 185-186. https://doi.org/10.3969/j.issn.1672-5085.2011.30.184 |
[28] | 刘苏兰, 代文文, 李新超. 多学科协作模式对预防ICU多重耐药菌医院感染的效果分析[J]. 养生保健指南, 2021(48): 160-162. |
[29] | 张倩, 卢瑞杰, 王新露. 闭环管理模式在ICU病房多重耐药菌医院感染预防中的应用[J]. 护理实践与研究, 2020, 17(24): 47-50. https://doi.org/10.3969/j.issn.1672-9676.2020.24.012 |
[30] | 洪维艳. 多种护理服务模式对老年冠心病心律失常患者的影响[J]. 中国当代医药, 2021, 28(4): 235-237. https://doi.org/10.3969/j.issn.1674-4721.2021.04.067 |
[31] | 龚丹丹. 多模式护理对预防压疮的影响[J]. 中国保健营养, 2017, 27(20): 212-213. https://doi.org/10.3969/j.issn.1004-7484.2017.20.305 |