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隔离措施对新型冠状病毒肺炎疫情期间护理实践中医院感染率的影响:一项Meta分析

Effect of Isolation Measures on Nosocomial Infection Rates in Nursing Practice during COVID-19: A Meta-Analysis.

作者信息

Ma Lingfei, Ye Fuping

机构信息

Department of Nursing, Jiaozhou Central Hospital of Qingdao, Qingdao, 266300, China.

Department of Gastrointestinal Surgery, Jiaozhou Central Hospital of Qingdao, Qingdao, China.

出版信息

Iran J Public Health. 2025 Feb;54(2):297-308.

Abstract

BACKGROUND

Nosocomial infections represent a critical challenge in nursing practice, particularly during the COVID-19 pandemic. Isolation measures have been implemented widely to curb the spread of infections within healthcare settings. We aimed to evaluate the effectiveness of isolation measures in reducing nosocomial infection rates in nursing practice during the COVID-19 pandemic.

METHODS

A systematic search was conducted using keywords such as "isolation measures," "nosocomial infection," and "COVID-19" and their combinations in international databases, focusing on articles published between 2020 and 2024. Data were analyzed using meta-analysis and a random effects model. Heterogeneity between studies was assessed with the I test, and analyses were performed using STATA software.

RESULTS

The analysis of 8 selected articles with a total sample size of 10,532 individuals showed that the implementation of isolation measures significantly reduced nosocomial infection rates, with an average effect size of 0.58 (95% CI: 42.1-74.5).

CONCLUSION

Isolation measures are effective in reducing nosocomial infection rates in nursing practice during the COVID-19 pandemic. The findings support the continued use of these measures to enhance patient safety and control infection spread within healthcare facilities.

摘要

背景

医院感染是护理实践中的一项严峻挑战,尤其是在新冠疫情期间。隔离措施已被广泛实施,以遏制医疗机构内感染的传播。我们旨在评估隔离措施在新冠疫情期间护理实践中降低医院感染率的有效性。

方法

在国际数据库中使用“隔离措施”、“医院感染”和“新冠病毒病”等关键词及其组合进行系统检索,重点关注2020年至2024年发表的文章。使用荟萃分析和随机效应模型对数据进行分析。用I检验评估研究之间的异质性,并使用STATA软件进行分析。

结果

对8篇选定文章进行分析,总样本量为10532人,结果显示实施隔离措施显著降低了医院感染率,平均效应量为0.58(95%置信区间:42.1 - 74.5)。

结论

在新冠疫情期间,隔离措施在护理实践中能有效降低医院感染率。这些发现支持继续使用这些措施,以提高患者安全性并控制医疗机构内的感染传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c80/11992904/ce28f712d151/IJPH-54-297-g001.jpg

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