持续质量改进对骨科住院患者医院感染的防控效果

Control effects of continuous quality improvement for inpatient hospital orthopedic infection

目的探究持续质量改进对骨科住院患者医院感染的防控效果。方法选取骨科2014年5月至11月收治的150例手术治疗患者作为对照组,采用常规护理方法;选取骨科2014年12月至2015年5月收治的150例手术治疗患者作为试验组,在对照组基础上采用持续质量改进护理模式,住院1个月后比较两组患者的感染率、患者满意度、环境卫生学监测合格率。对医院感染各检查项目进行评价,比较两组患者的医院感染评价总得分。结果对照组患者感染率为5.33%,试验组患者感染率为2.00%,差异具有统计学意义(χ2=6.208、P=0.024);患者满意度调查发现,对照组有19例不满意,33例满意,98例非常满意,满意度为87.33%,而试验组中6例不满意,27例满意,117例非常满意,满意度为96.00%,试验组患者满意度显著优于对照组,差异具有统计学意义(χ2=6.454、P=0.011);对照组患者病房环境卫生学监测合格率为80.67%,试验组患者病房环境卫生学监测合格率为99.33%,差异具有统计学意义(χ2=6.215、P=0.021);试验组医院感染评价总得分显著高于对照组,差异具有统计学意义(χ2=6.194、P=0.027)。结论持续质量改进是控制骨科患者医院感染率的有效管理方法。

Objective To investigate the control effects of continuous quality improvement for inpatient hospital orthopedic infection. Methods Total of 150 cases of orthopedics in our hospital from May to November in 2014 were selected as control group, with routine nursing. While 150 cases of orthopedics in our hospital from December 2014 to May 2015 were selected as experimental group, the continuous quality improvement were adopted on the basis of the routine nursing. Infection rates, patients＇ satisfaction, environmental hygiene monitoring yield after one month of two groups were compared, respectively. Each aspect of hospital infection was evaluated while the infection evaluation of total scores of two groups were compared. Results The infection rate of the control group was 5.33%, and that of experimental group was 2.00%. Continuous quality was an effective management to control orthopedic patient infection. Continuous quality improvement was 2.00%; The infection rate of experimental group was significantly lower than that of control group（χ^2 = 6.208, P = 0.024）. Patients＇ satisfaction survey found that 19 patients in the control group were not satisfied, 33 cases were satisfied, and 98 cases were very satisfied, the rate of satisfaction was 87.33%. In the experimental group, 6 patients were not satisfied, 27 patients were satisfied, 117 patients were very satisfied, the satisfaction rate was 96.00%. The satisfaction rate in the experimental group was significantly higher than that of control group（χ^2 = 6.454, P = 0.011）. The qualification rate of ward environmental hygiene in the control group was 80.67%, and that of experimental group was 99.33%, with significant difference（χ^2 = 6.215, P = 0.021）. The total evaluation score of hospital infection in experimental group was significantly higher than that in control group（χ^2 = 6.194, P = 0.027）. Conclusion Continuous quality improvement is an effective management method to control orthopedics patients with hospital infection.