Effect of bundle management on preventing pulmonary infection in patients after liver transplantation
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R181.3+2 R563.1

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    Abstract:

    ObjectiveTo investigate the effect of bundle management on preventing pulmonary infection(PI) in patients after liver transplantation, and reduce the incidence of PI.MethodsPatients who underwent liver transplantation in the department of hepatobiliary surgery of a hospital between January 2016 and December 2017 were selected as studied subjects. Patients who underwent liver transplantation between January 2016 and March 2017 were in control group, they were given routine nursing measures, and patients who underwent liver transplantation in AprilDecember 2017 were in trial group, they were given bundle management. Incidences of PI and atelectasis, first ambulation time, hospitalization cost, and patients’ satisfaction were compared between two groups.ResultsThere were 110 patients in control group and 67 in trial group with liver transplantation. Two groups of patients all successfully completed surgery. Incidence of PI in trial group was lower than control group (6.0% vs 16.4%, P<0.05). Incidence of atelectasis in trial group was lower than control group (7.5% vs 18.2%, P<0.05). The first ambulation time in trial group was shorter than control group([83.81±7.56] h vs [91.67±13.93] h, P<0.01). Length of hospital stay in trial group was shorter than control group([30.22±3.23] d vs [31.49±4.34] d,P<0.05). The total rate of patients’ satisfaction for nursing in trial group was higher than control group (92.5% vs 78.2%, P<0.05).ConclusionBundle management can effectively reduce the incidences of PI and atelectasis, shorten the first ambulation time and length of hospital stay, and improve patients’ satisfaction.

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王苑, 吕少诚, 张雪静,等.集束化管理预防肝移植患者术后肺部感染的效果[J].中国感染控制杂志英文版,2018,17(12):1037-1041. DOI:10.3969/j. issn.1671-9638.2018.12.001.
WANG Yuan, LV Shaocheng, ZHANG Xuejing, et al. Effect of bundle management on preventing pulmonary infection in patients after liver transplantation[J]. Chin J Infect Control, 2018,17(12):1037-1041. DOI:10.3969/j. issn.1671-9638.2018.12.001.

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History
  • Received:February 07,2018
  • Revised:April 22,2018
  • Adopted:
  • Online: December 28,2018
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