RESUMEN
Objective To explore the application effect of ICU checklist of medical cooperation on prevention of ventilator-associated pneumonia. Methods Totally 728 patients with mechanical ventilation from July 2015 to July 2016 in ICU were assigned to the experimental group with using of the checklist; and 685 patients with mechanical ventilation from June 2014 to June 2015 were set as the control group who did not use the checklist. The incidence of ventilator-associated pneumonia and medical cooperation were compared before and after the implementation of the checklist. Results The incidence of ventilator associated pneumonia were 6.72% (46/685) and 3.02% (22/728), the intervention strategy execution rates were 63.36% (434/685) and 84.89% (618/728) before and after the application of checklist, there was significant difference between two groups (χ2=10.51, 86.03, P<0.01). Medical cooperation (doctors and nurses) and satisfaction scored 18.53 ± 2.39, 21.91 ± 2.16, 30.93 ± 2.18 and 26.71 ± 2.21, 28.64 ± 2.55, 45.33 ± 1.74 before and after the application of checklist, there was significant difference between two groups (t=6.14, 14.25, 2.39, P<0.01 or 0.05). Conclusions The application of checklist can improve the medical cooperation on prevention of ventilator-associated pneumonia management, reduce the incidence of ventilator-associated pneumonia, improve medical cooperation, nursing satisfaction and the management efficiency, which is worthy of popularization and application.
RESUMEN
Objective To investigate the function and effect of early rehabilitation for patients with low position paraplegia and refractory pressure sore. Methods 15 patients with low position paraplegia and refractory pressure sores were given modified vacuum-assisted closure treatment, at the same time, rehabilitation and intervention for functional training of limbs, bladder, intestinal was carried out to enhance capacity of psychosocial adjustment in patients. Results 15 cases of paraplegia patients with refractory low pressure sores were all cured, no pressure sores relapsed at follow-up visit six months later. Conclusions Early intervention can improve the rehabilitation of self-care capabilities, improve patients' individual skin-care ability, speed up the healing of pressure sores in patients with paraplegia, so as to reduce pressure sore recurrence.