强化妇产科医务人员医院感染预防控制意识降低母婴感染

Strengthening awareness of infection control of medical staff in department of gynecology and obstetrics to reduce incidence of maternal and infant infections

目的强化妇产科医务人员医院感染预防控制意识的具体措施,以降低母婴医院感染率。方法选取2011年5月-2013年6月妇产科28名护理人员为研究对象,采用多种形式对其进行医院感染预防控制的培训,各项监测的登记均要规范化,并定期进行考核评价,实行医院感染查房及工作例会等综合干预,采用观察及考核两种方法收集干预前(2011年5月-2012年5月)、干预后(2012年6月-2013年6月)的相关资料,用SPSS19.0软件进行统计分析。结果护理人员的医院感染相关知识的掌握:干预前优良、合格、不合格率分别为50.0%、28.6%、21.4%,干预后分别为85.7%、14.3%、0,干预前后比较差异有统计学意义(z=-2.978,P<0.05);医院感染预防控制意识:干预前较强、一般、差分别占39.3%、42.9%、17.8%,干预后分别占67.9%、32.1%、0,干预前后比较差异有统计学意义(Z=-3.725,P<0.05);母婴感染率干预后从1.97%降低至0.57%,干扰前后比较差异有统计学意义(χ2=5.215,P<0.05)。结论对护理人员实施综合干预措施,既可以增强护理人员的医院感染预防控制意识,又可以提高护理人员的医院感染知识的掌握水平,最终降低了母婴感染率。

OBJECTIVE To strengthen the awareness of infection control of medical staff in department of gynecology and obstetrics so as to reduce the incidence of maternal and infant infections. METHODS From May 2011 to Jun 2013, a total of 28 nursing staff in the department of gynecology and obstetrics were enrolled in the study, then the training of control of nosocomial infections was conducted by using various approaches, the registration of all monitoring items should be standardized, the regular assessment was performed, the comprehensive interventions including ward check up and regular work meeting were carried out, the related data were colleted before the interventions （from May 2011 to May 2012） and after the interventions （from Jun 2012 to Jun 2013） by means of the observation and assessment approaches, and the statistical analysis was performed with the use of spssl9.0 software. RESULTS The excellent rate of the nursing staff＇s mastering the knowledge of infections control was 50.0 % before the interventions, 85.7 % after the interventions; the qualified rate was 28.6 % before the interventions, 14.3 % after the interventions; the unqualified rate was 21.4% before the interventions, 0 after the interventions （Z= 2. 978, P〈0.05）. The nursing staff with strong awareness of infection control accounted for 39.3 % before the interventions, 67. 9% after the interventions; the nursing staff with general awareness of infection control accounted for 42.9% before the interventions, 32.1 % after the interventions; the nursing staff with poor awareness of infection control accounted for 17.8 % before the interventions, 0 after the interventions （Z=3. 725,P〈 0.05）. The incidence of the maternal and infant infections decreased from 1.97% to 0.57% （χ2 =5. 215, P〈 0.05）. CONCLUSION The implementation of the comprehensive interventions can not only intensify the nursing staff＇s awareness of control of nosocomial infections but also improve the level of the nursing staff＇s mastering the knowledge of nosocomial infections so as to reduce the incidence of maternal and infant infections.