Document Details

Document Type : Thesis 
Document Title :
The Effect of Implementing Sepsis Bundle on Critically Ill Patients Outcomes
تأثير تطبيق حزمه التعفن على نتائج المرضى الحرجين
 
Subject : Faculty of Nursing 
Document Language : Arabic 
Abstract : Abstract Background: Sepsis is a prevalent disease worldwide and still exhibits high rates of mortality. The use of managed care sepsis bundles was one of the main ones that integrate the systemization of diagnosis and treatment, such as standardization of oxygen administration, serum lactate, cultures prior to administering antibiotics, fluid replacement, administer broad spectrum antibiotics therapy and if patient deterioration condition start mechanical ventilation. Aim: To evaluate the effect of implementing sepsis bundle on critically ill patient’s outcomes. Methods: A quasi experimental design was conducted on a convenient sample of 100 patients admitted to the emergency department at King Abdulaziz university hospital and the East Jeddah General hospital. The sample divided In two groups, the bundle group patients (Intervention group patient who received septic bundle care at King abdulaziz university hospital ) and non-bundle care (Control group patient who received routine care at the East Jeddah General hospital). Tools: Septic bundle outcomes evaluation sheets were utilized to collect data from patients in intervention group. In the first hour of sepsis diagnosis, used 3-h the bundle against the patient outcomes consisted of obtaining lactates and culture, oxygen supply, the commencement of broad-spectrum antibiotics, volume replacement with crystalloid if hypotension or lactate ≥2 mmol/L and mechanical ventilation if patient condition deteriorated. Results: There was a statistically significant reduction (p≤ 0.05) in mortality rate among bundle groups of patients who received 3hours bundle as well as a shorter emergency department stay and ICU admission versus non bundle group but show not significant differences regarding use mechanical ventilation between bundle and not bundle groups. Conclusion: Nurses play a vital role in identifying patients with sepsis and starting essential treatment to prevent harm and significantly improve outcomes. The compliance with a sepsis bundle starting in the emergency department was positively associated with the outcomes of the septic patients. Recommendation: the researchers recommend using the sepsis bundle in the emergency department, as well as conduction of further clinical trials research. 
Supervisor : Dr. Mona Mohamed Elhady 
Thesis Type : Master Thesis 
Publishing Year : 1442 AH
2020 AD 
Co-Supervisor : Dr. Elham Alnagshabandi 
Added Date : Saturday, March 6, 2021 

Researchers

Researcher Name (Arabic)Researcher Name (English)Researcher TypeDr GradeEmail
داليا زكي رهبينيRehbeini, Dalia ZakiResearcherMaster 

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