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find Author "张凤鸣" 2 results
  • 教育干预对提高小儿重症监护室医护人员手卫生依从性的影响

    目的分析小儿重症监护室(ICU)内对医护人员进行手卫生教育培训的效果,并探讨医护人员手卫生依从性及影响因素,提出管理对策。 方法通过加强手卫生培训,选择2013年10月-2014年3月小儿ICU医护人员77名,对其手卫生进行干预,比较干预措施前后医护人员对手卫生知识掌握情况及手卫生执行率。由感染控制护士床旁隐蔽观察手卫生依从性情况,并将结果进行统计学分析。 结果对医护人员进行教育干预后,医护人员手卫生执行率提高了35.89%,手卫生相关知识考试合格率提高了41.56%。 结论对医护人员进行常规教育培训、再教育和手卫生依从性监测应作为医院感染预防策略的一部分。

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  • Urgent recommendation and practice of prevention and control of novel coronavirus disease 2019 (COVID-19) in intensive care units in West China Hospital of Sichuan University during the epidemics

    ObjectiveTo provide recommendations for the management of intensive care unit patients without novel coronavirus disease 2019 (COVID-19).MethodsWe set up a focus group urgently and identified five key clinical issues through discussion. Total 23 databases or websites including PubMed, National Guideline Clearing-House, Chinese Center for Disease Control and Prevention and so on were searched from construction of the library until February 28, 2020. After group discussion and collecting information, we used GRADE system to classify the evidence and give recommendations. Then we apply the recommendations to manage pediatric intensive care unit in the department of critical care medicine in our hospital. ResultsWe searched 13 321 articles and finally identified 21 liteteratures. We discussed twice, and five recommendations were proposed: (1) Patients should wear medical surgical masks; (2) Family members are not allowed to visit the ward and video visitation are used; (3) It doesn’t need to increase the frequency of environmental disinfection; (4) We should provide proper health education about the disease to non-medical staff (workers, cleaners); (5) Medical staff do not need wear protective clothing. We used these recommendations in intensive care unit management for 35 days and there was no novel coronavirus infection in patients, medical staff or non-medical staff. ConclusionThe use of evidence-based medicine for emergency recommendation is helpful for the scientific and efficient management of wards, and is also suitable for the management of general intensive care units in emergent public health events.

    Release date:2020-04-26 03:44 Export PDF Favorites Scan
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