Risk factors for secondary infection after liver failure and effect of comprehensive nursing intervention
作者机构：Department of Infectious DiseasesThe First Affiliated Hospital of Soochow UniversitySuzhou 215000Jiangsu ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2024年第12卷第22期
页 面：4956-4964页
学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学]
主 题：Liver failure Secondary infection Comprehensive nursing Risk factors Intervention effect
摘 要：BACKGROUND In patients with liver failure(LF),the high rate of secondary infections,which are associated with poor prognosis,highlights the clinical significance of understanding the underlying risk factors and implementing targeted intervention *** To investigate risk factors for secondary infections in patients with LF and evaluate the effectiveness of comprehensive nursing *** This retrospective study included 64 patients with LF,including 32 with and 32 without secondary infections.A questionnaire was used to collect data on age;laboratory parameters,including total and direct bilirubin,prothrombin time,blood ammonia,and other biochemical parameters;invasive procedures;and *** with secondary infections received comprehensive nursing intervention in addition to routine nursing care,whereas those without secondary infections received only routine nursing care to compare the effect of nursing intervention on *** The infection rate,which was not associated with age or complications,was significantly associated with biochemical parameters and invasive procedures(P0.05).The infection rate was 61.6%in patients who had undergone invasive procedures and 32.1%in those who had not undergone invasive procedures during the hospital *** infection rate was also significantly associated with the type of LF(P0.05),with the lowest rate observed in patients with acute LF and the highest rate observed in those with subacute *** nursing satisfaction rate was 58.3%in the uninfected group and 91.7%in the infected group,indicating significantly higher satisfaction in the infected group(P0.05).CONCLUSION In patients with LF,the rate of secondary infections was high and associated with biochemical parameters and type of *** nursing intervention can improve patient satisfaction.
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