妇产科住院患者医院感染目视管理实践与效果

Practice and effect of visual management of hospital infection for the patients in hospital in the department of gynecology and obstetrics

目的 探讨妇产科住院患者实施目视管理预防医院感染的效果.方法 选取2013年7月-2014年6月在笔者所在医院妇产科住院治疗的316例患者为对照组,采用常规预防感染干预管理.选取2014年10月-2015年9月在笔者所在医院妇产科住院治疗的325例患者为观察组,使用目视管理预防感染.比较两组患者医院感染情况、感染部位、住院时间及患者满意度.结果 两组患者共发生医院感染22例,其中观察组5例,对照组17例,两组比较差异有统计学意义（χ^2=8.532,P〈0.01）.观察组患者感染部位的感染率低于对照组,差异有统计学意义（P〈0.05）.观察组患者平均住院时间为（6.2±1.6）d,对照组为（8.6±2.1）d,两组比较差异有统计学意义（t=3.26,P=0.001）.观察组患者的总满意度为100.0%,对照组患者为89.6%,两组比较差异有统计学意义（χ^2=7.814,P〈0.05）.结论 对妇产科患者实施目视管理预防感染,可降低患者的感染率,缩短患者的住院时间,提高患者对干预的满意度.

Objective To investigate the effect of visual management on the prevention of nosocomial infection for the patients in hospital in the department of gynecology and obstetrics.Methods Three hundred and sixteen in-patients who were treated in the department of obstetrics and gynecology in our hospital from July 2013 to June 2014 were included in the control group. The routine prevention infection management was used in the control group. Three hundred and twenty-five in-patients who were treated in the department of obstetrics and gynecology in our hospital from October 2014 to September 2015 were included in the observation group. The visual management was used to prevent infection in the observation group. Hospital infection,infection site,length of hospital stay and patients＇ satisfaction were compared between the two groups.Results There were 22 cases of hospital infection in the two groups,including 5 cases in the observation group and 17 cases in the control group. The difference between the two groups was statistically significant （χ^2=8.532,P〈0.01）. In the observation group, the infection rate of infection sites of the patients was significantly lower compared with the patients in the control group （P〈0.05）. In the observation group,the average hospitalization time was （6.2±1.6） d,which was significantly shorter compared with the patients in the control group （8.6±2.1） d （t=3.26, P=0.001）. The total satisfaction in the observation group was 100.0%,which was significantly different from that in the control group （89.6%） （χ^2=7.814,P〈0.05）.Conclusions The implementation of visual management to prevent infection in the patients of the department of gynecology and obstetrics can reduce the infection rate of patients,shorten their hospitalization time and improve patients＇satisfaction of the intervention.