护理管理在血透室院内感染控制中的作用

Effect of nursing management in nosocomial infection control of hemodialysis room

目的探讨护理管理在血透室院内感染控制中的作用。方法选取广东省佛山市高明区人民医院2012年2月~2016年1月接受规范性的血透室院内感染控制护理管理的血液透析患者178例设为观察组,另选取2008年1月~2012年1月接受常规血透室院内感染控制护理的血液透析患者160例设为对照组,比较两组护理后感染情况、并发症、卫生指标、护理满意度。结果对照组160例中8例(5.00%)发生感染,观察组178例中1例(0.56%)发生感染,比较差异显著,具有统计学意义(χ2=7.598,P<0.05)。和对照组(10.63%)比较,观察组并发症发生率(2.81%)明显降低,差异有统计学意义(P<0.05)。和对照组比较,观察组护理卫生指标水平明显更高,其使用仪器合格率(98%)、手部卫生合格率(99%)、空气质量合格率(96%)、消毒液合格率(99%)明显更高,差异有统计学意义(P<0.05)。和对照组(84.38%)比较,观察组护理满意度(98.88%)明显更高,数据差异有统计学意义(P<0.05)。结论护理管理在血透室院内感染控制中的作用积极有效,可有效地减少血透室院内感染的发生,降低并发症发生率,提高护理卫生指标水平,提升患者满意度,值得临床推广应用。

Objective To explore the effect of application of nursing management in nosocomial infection the control of hemodialysis room.Methods Altogether 178 hemodialysis patients who received standardized nursing management in nosocomial infection control of hemodialysis room in Foshan People＇s Hospital of Gaoming District from February 2012 to January 2016 were selected as observation group;another 160 hemodialysis patients who received conventional nurs- ing management in nosocomial infection control of hemodialysis room from January 2008 to January 2012 were selected as control group;the post-nursing infections,complications,health indicators and nursing satisfaction degree of two groups were compared.Results There were 8 cases of infections in control group （160,5%） versus 1 case of infection in obser- vation group （178,0.56%）,with statistically significant difference between the two groups （x^2=7.598,P〈0.O5）.The incidence of complications in observation group （2.81%） was significantly lower than that in control group （10.63%）,with statisti- cally significant difference（P〈0.05）.In contrast with control group,observation group showed significantly higher levels of nursing health indicators,especially in the qualified rate of instrument usage （98%）,the hand hygiene passing rate （99%）, the air qualified rate （96%） and the disinfectant qualified rate （99%）,with statistically significant difference （P〈0.05）. Compared with control group （84.38%）,the nursing satisfaction degree of observation group （98.88%） was significantly higher,with statistically significant difference （P〈0.05）.Conclusion Nursing management plays an active and effective role in nosocomial infection the control of hemodialysis room.h can effectively reduce the occurrence of nosocomial in- fections in the hemodialysis room and the incidence of complications,improve nursing level of health indicators and pa- tients＇ satisfaction degree,which is worthy of clinical application.