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      2. west china medical publishers
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        find Author "方旭" 2 results
        • Current status investigation of full-time personnel in healthcare-associated infection management department of secondary or above medical institutions in Yunnan Province

          Objective To investigate the staffing status of full-time personnel for healthcare-associated infection (HAI) management department in secondary or above medical institutions in Yunnan Province, analyze the factors affecting the stability of the HAI workforce, and provide a scientific basis for strengthening the department of HAI professionals and improving the standard of the full-time personnel team. Methods In April 2023, a questionnaire survey was conducted to investigate the staffing status of full-time HAI management department personnel across 394 secondary or above medical institutions in Yunnan Province. Results A total of 394 secondary or above medical institutions were included in this survey. Among the institutions participating in the survey, 393 (99.75%) had established a separate hospital-acquired infection management, and 303 (76.90%) met the requirement of having at least one full-time infection control personnel for every 200 beds. Among the 689 full-time HAI management department practitioners surveyed, the majority were female (94.34%), those aged 41-50 were the largest age group (34.69%), the predominant educational background was a bachelor’s degree (72.42%), the primary specialty was nursing (80.84%), and the most common professional title was intermediate level (36.14%). There were statistically significant differences between the full-time HAI practitioners in secondary medical institutions and those in tertiary medical institutions in educational background (Z=–6.220, P<0.001), specialty (χ2=41.612, P<0.001), professional title (Z=–2.432, P=0.015), and years of engagement (χ2=47.298, P<0.001). There was no statistically significant difference in gender or age (P>0.05). The primary reason for full-time practitioners engaging in HAI work was “following leadership arrangements” (79.97%). Tertiary medical institutions had a significantly higher proportion of full-time HAI management personnel who took up their positions due to “graduation recruitment” or “major matching” than secondary medical institutions (P<0.05), while the proportion of those who entered the field due to “leadership arrangement” was significantly lower than that in secondary medical institutions (P<0.05). In the survey on factors contributing to the instability of the full-time personnel team, the top three factors identified were excessive work pressure, difficulties in professional title promotion, and an overwhelming amount of required learning content. Conclusions There is an insufficient allocation of full-time HAI control personnel in secondary or above medical institutions in Yunnan Province, and the professional composition of this workforce requires greater diversification. The primary factors contributing to the instability of the dedicated personnel team are high work pressure and difficulties in professional title promotion. It is recommended to expedite the improvement of career advancement pathways for HAI control personnel to provide support and guarantees for building a robust full-time infection control workforce.

          Release date:2025-12-26 02:31 Export PDF Favorites Scan
        • 持續封閉式負壓引流治療嚴重軟組織損傷致出血的臨床觀察

          目的 總結持續封閉式負壓引流(vacuum sealing drainage,VSD)治療嚴重軟組織損傷過程中發生創面大量快速出血的原因。 方法 2008 年8 月- 2011 年8 月,收治9 例四肢嚴重軟組織損傷患者。男7 例,女2 例;年齡25 ~ 51 歲,平均39.2 歲。損傷原因:電燒傷2 例,交通事故傷6 例,其他傷1 例。創面污染及軟組織損傷嚴重;伴動脈損傷6 例,神經損傷6 例,骨筋膜室綜合征3 例,骨折7 例。傷后至入院時間1 ~ 12 h,平均3.5 h。入院后急診清創,對應處理合并傷后行VSD 治療。 結果 患者于VSD 治療后7 ~ 14 d 出現數分鐘內吸出大量血性液體,拆開VSD 敷料見創面新鮮肉芽組織少,動脈血管壁及移植血管糜爛、破潰出血。再次徹底清創止血后,7 例采用皮瓣或皮片修復后創面愈合;2 例截肢。 結論 VSD 治療嚴重軟組織損傷出現創面大量快速出血,與損傷嚴重程度及部位有關。對于伴主要血管、神經嚴重損傷的四肢,尤其關節周圍軟組織損傷慎用VSD 治療。

          Release date:2016-08-31 04:23 Export PDF Favorites Scan
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          2. 射丝袜