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首页> 外文期刊>Journal of advanced nursing >Empowering surgical nurses improves compliance rates for antibiotic prophylaxis after caesarean birth.
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Empowering surgical nurses improves compliance rates for antibiotic prophylaxis after caesarean birth.

机译:为手术护士赋权可以提高剖腹产后抗生素预防的依从率。

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TITLE: Empowering surgical nurses improves compliance rates for antibiotic prophylaxis after caesarean birth. AIM: This paper is a report of a study of the effect of empowering surgical nurses to ensure that patients receive antibiotic prophylaxis after caesarean birth. BACKGROUND: Despite the consensus that single dose antibiotic prophylaxis is beneficial for women have either elective or non-elective caesarean delivery, hospitals need methods to increase compliance rates. METHOD: In a study in Israel in 2007 surgical nurses were empowered to ensure that a single dose of cefazolin was given to the mother after cord clamping. A computerized system was used to identify women having caesarean births, cultures sent and culture results. Compliance was determined by chart review. Rates of compliance, suspected wound infections, and confirmed wound infections in 2007 were compared to rates in 2006 before the policy change. Relative risks were calculated dividing 2007 rates by those in 2006, and 95% confidence intervals were calculated using Taylor's series that does not assume a normal distribution. Statistical significance was assessed using the chi-square test. FINDINGS: The compliance rate was increased from 25% in 2006 to 100% in 2007 (chi-square test, P < 0.001). Suspected wound infection rates decreased from 16.8% (186/1104) to 12.6% (137/1089) after the intervention (relative risk 0.75, 95% confidence interval, 0.61-0.92). CONCLUSION: Surgical nurses can ensure universal compliance for antibiotic prophylaxis in women after caesarean birth, leading to a reduction in wound infections.
机译:标题:授权外科护士可以提高剖腹产后抗生素预防的依从率。目的:该论文是一项有关授权外科护士确保患者在剖腹产后接受抗生素预防效果的研究报告。背景:尽管人们普遍认为单剂量抗生素预防对剖宫产手术是选择性的还是非选择性的,对妇女都是有益的,但医院仍需要提高依从性的方法。方法:2007年在以色列进行的一项研究中,外科护士被授权确保在脐带夹紧后给母亲服用单剂量的头孢唑林。使用计算机系统来识别有剖腹产,传出的文化和文化结果的妇女。通过图表审查确定是否符合要求。将2007年政策变更之前的依从率,疑似伤口感染率和确诊伤口感染率与2006年的发生率进行了比较。相对风险的计算方法是将2007年的比率除以2006年的比率,并使用不采用正态分布的泰勒级数计算95%的置信区间。使用卡方检验评估统计学显着性。结果:达标率从2006年的25%提高到2007年的100%(卡方检验,P <0.001)。干预后,可疑伤口感染率从16.8%(186/1104)降至12.6%(137/1089)(相对风险0.75,95%置信区间0.61-0.92)。结论:手术护士可以确保剖腹产后妇女预防性使用抗生素的普遍依从性,从而减少伤口感染。

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