神经外科重症监护病房内感染防控强化护理干预的成效

Effect of Enhanced Nursing Intervention on Hospital Infection Control in Neurosurgery ICU

目的分析和总结神经外科重症监护病房(neurocranial surgery intensive care unit,NSICU)内的各种感染风险因素,针对不同的感染原因指出了强化护理干预的措施和管理办法,并探讨其实施成效。方法回顾性分析2015年第3、4季度第二军医大学长征医院神经外科神经外二科(神经肿瘤外科)的NSICU收治的患者的临床资料,将已采取强化护理干预的4季度数据和未采取强化护理干预的3季度数据进行分析,以评价强化护理干预措施的效果。结果观察组189名患者中,发生感染者11例,总体感染发生率为5.82%。而对照组212例患者中,发生感染者25例,总体感染发生率为11.79%。实施强化护理干预后,NSICU内感染发生率明显下降,与实施强化护理干预前相比,差异有统计学意义(χ~2=4.0663,P=0.0437)。结论NSICU是院内感染的高风险区,有针对性地强化护理干预措施和管理办法能够有效降低神经外科院内感染的发生率。

Objective To analyze and conclude the infection risk factors in neurocranial surgery intensive care unit （NICU） ,and we develope a series of new enhanced nursing intervention measures and methods.It aims to analyze and evaluate the performance of the new enhanced nursing intervention.Methods Clinical data of patients from Q3 and Q4 （of year 2015） of NICU were analyzed retrospectively.The Q4 data with strengthened nursing intervention was compared with Q3 data,and the enhanced nursing intervention effect was analyzed.Results Among 189 cases in observation group,ll cases had infected,the total incidence rate of infection was 5.82%, while among 212 cases in control group,25 cases were infected,and the total incidence rate of infection was 11.79 %.After the intervention,the incidence rate of infection in NSICU was significantly dropped compared with before intervention（χ^2 =4.0663, P=0.0437）.Conclusions NSICU is the high risk area of infection in hospital,and the targeted nursing intervention and management can effectively reduced the incidence rate of nosocomial infection.