情景式健康教育对心内科住院患者医院感染的预防效果评价

Efficacy evaluation of scene health education for prevention of hospital infections in cardiologic inpatients

目的评价情景式健康教育对心内科住院患者医院感染的预防效果,以期为临床应用及推广提供参考。方法选取医院2013年1月-2014年12月2 000例心内科住院患者为研究对象,将2013年1-12月1 000例患者作为对照组,将2014年1-12月1 000例患者作为观察组,对照组患者给予常规干预,观察组患者给予情景式健康教育,对比两组患者医院感染率、感染病原菌构成及生活质量,采用SPSS17.0软件对数据进行统计分析。结果 2 000例患者共发生医院感染30例,感染率1.50%,其中观察组患者医院感染率为0.80%,对照组患者医院感染率为2.20%,差异有统计学意义(P<0.05);30例医院感染患者送检尿液、血液、痰液标本共检出47株病原菌,其中铜绿假单胞菌检出最多11株占23.40%,其次为大肠埃希菌10株占21.27%;观察组患者的生活质量各项评分均显著优于对照组患者,差异有统计学意义(P<0.05)。结论对心内科住院患者进行情景式健康教育能够降低医院感染率,改善患者的生活质量,应在临床上进一步推广和使用。

OBJECTIVE To evaluate the scene health education for prevention of hospital infections in cardiologic in‐patients ,so as to provide reference for clinical application and promotion .METHODS Totally 2000 hospitalized car‐diologic patients during Jan .2013 to Dec .2014 were selected .Among them ,1 000 patients during Jan .to Dec . 2013 were set as the control group and the other 1 000 patients during Jan .to Dec .2014 as the observation group . The control group was given routine intervention and the observation group was given scene health education .The two groups of patients were compared for hospital infection rate ,constituention of infection pathogens and quality of life .The SPSS 17 .0 software was used for statistical analysis .RESULTS Hospital infections occurred in 30 pa‐tients among the 2000 patients in the observation group with the infection rate of 1 .50% .The infection rate was 0 .80% in the observation group and 2 .20% in the control group ,the difference was significant （P〈0 .05） .To‐tally 47 pathogenic strains were found in the urine ,blood ,sputum samples of the 30 infected patients ,including Pseudomonas aeruginosa which took the largest proportion of 23 .40% （11 strains） ,followed by Escherichia coli （21 .27% ,10 strains） .The quality of life of patients in the observation group were significantly better than that of patients in the control group （P〈0 .05） .CONCLUSION Scene health education can reduce the incidence of hospi‐tal infections in hospitalized cardiologic patients and improve the quality of life of patients ,w hich should be further promoted and used in clinical practice .