强化基层护理人员医院感染防控意识的临床效果

Comprehensive intervention measures on strengthening the awareness of prevention and control of nurses

目的探讨强化基层护理人员医院感染防控意识的综合方法和手段，以减少医院感染。方法选取爱婴区、新生儿病室院内感染重点区域工作的32名护理人员作为研究对象，进行为期1年的综合干预，包括多渠道、多形式的培训考核，规范各项监测登记，制定工作标准，定期考核评价，实行医院感染查房和医院感染工作例会等干预措施，采用隐蔽性观察法和笔试考核两种方法收集干预前后相关资料。结果干预后32名护理人员医院感染防控意识较强、一般、差分别有21，10，1人，干预前分别有13，14，5人，干预前后比较差异有统计学意义（Z=-2．906，P〈0．05）；干预后医院感染相关知识掌握优良、合格、不合格分别有27，5，0人，干预前分别有16，10，6人，干预前后比较差异有统计学意义（Z=-4．970，P〈0．05）；干预后爱婴区的医院感染发生率从1．60％降低至0．99％，差异有统计学意义（Х^2=4．222，P〈0．05）。结论采取综合干预措施对护理人员进行干预，能够增强护理人员医院感染防控意识，提升其医院感染相关知识的掌握水平，有效降低医院感染的发生率。

Objective To discuss the method and means of strengthening infection prevention and control consciousness of the nursing staff in hospital, so as to reduce the hospital infection. Methods Totals of 32 nurses that in the key area of the nosocomial infection （baby zone, neonatal ward ）, received the comprehensive intervention for one year, including training and examination of multiple channels, standardize the registration form, monitoring, work standards, regular appraisal, the hospital ward round and hospital infection regular work interventions. Using covert observation and examination evaluation to collect relevant information before and after the intervention. Results After the intervention, the results indicated that there was significant difference for the awareness of prevention and control of nurses （Z = -2. 906,P 〈 0. 05）, as well as the knowledge master（Z = -4. 970,P 〈0. 05 ）. After the intervention, there was statistically significant difference for the nosocomial infection rate in the Baby-Friendly area, the nosocomial infection rate after the intervention was lower than that before the intervention （0. 99% vs 1. 60% ;Х^2 = 4. 222, P 〈 0. 05 ）. Conclusions The implementation of comprehensive intervention measures for the nursing staff can improve their awareness of prevention and control of nosocomial infection, enhance their knowledge level, and reduce the incidence of nosocomial hospital infection effectively.