全方位规范化管理及护理质量持续改进在血液透析患者感染控制中的应用效果

Application of comprehensive standardized management and continuous improvement on nursing quality in nosocomial infection control of patients with hemodialysis

目的探讨全方位规范化管理及护理质量持续改进在血液透析患者医院感染控制中的应用效果。方法收集2014年1月—12月血液透析患者85例的临床资料,设为对照组,对期间各项感染控制指标及感染相关不良事件进行原因分析,并实施全方位规范化管理及护理质量持续改进措施。收集2015年1月—12月血液透析患者97例的临床资料,设为观察组。观察2组各项感染控制指标、感染发生率及护理不良事件发生率。结果观察组护理操作合格率、感染控制知识合格率、物表培养合格率及手培养合格率均显著高于对照组(P<0.05或P<0.01)。观察组护理不良事件总发生率为1.03%(1/97),低于对照组的8.24%(7/85),差异有统计学意义(P<0.05)。观察组医院感染总发生率3.09%(3/97),低于对照组12.94%(11/85),差异有统计学意义(P<0.05)。结论全方位规范化管理及护理质量持续改进措施可有效提高血液透析患者各项感控指标的合格率,提升护理工作的安全性,降低医院感染发生率。

m Objective To investigate the efficacy of comprehensive standardized management and continuous improvement on nursing quality in nosocomial infection control of patients with hemodialysis. Methods Retrospectively collected the clinical data of 85 patients with hemodialysis from Jan 2014 to Dec 2014, the nosocomial infection control data and potential reasons of adverse events were analyzed, and comprehensive standardized management and continuous improvement on nursing quality were provided. The clinical data of 97 patients with hemodialysis from Jan 2015 to Dec 2015 was collected and compared with those before intervention. Results The observation group reached a higher rate in nursing operation, infection control, surface culture and Hand bacteria culture compared with the control group （P 〈0.05 o r P 〈0.01）. The overall adverse event rate was 1 . 0 3 % （ l /97） in the observation group and was 8. 2 4 % （7/85） in the control group（P 〈0. 05） . The overall nosocomial infection was 3.09% （3/97） in the observation group and was 12.94% （11/85） in the control group （P 〈 0. 05 ） . Conclusion The standardized management and continuous improvement on nursing quality can effectively improve the qualified rate of nosocomial infection control of patients with hemodialysis.