手卫生综合干预对肿瘤内科患者医院感染的影响

Efficacy of comprehensive intervention of hand hygiene on nosocomial infection in patients in department of oncology

目的探讨手卫生综合干预对肿瘤内科患者医院感染的影响。方法选取2015年1月~2016年12月我院肿瘤患者200例,根据随机数字表法分两组,各100例。对照组进行常规临床护理。观察组在护理中加强医护人员手卫生综合干预,比较两组医院感染率、手卫生执行率、手微生物检查合格率、手消毒用品检查合格率、住院时间、抗菌药物费用、焦虑状况、生存质量。结果观察组患者医院感染率低于对照组,手卫生执行率、手微生物检查合格率、手消毒用品检查合格率高于对照组,住院时间低于对照组,抗菌药物费用少于对照组,焦虑水平低于对照组,生存质量高于对照组,差异有统计学意义(P<0.05)。结论手卫生综合干预对肿瘤内科患者医院感染的影响大,可有效提高手卫生执行、手微生物检查合格、手消毒用品检查合格情况,降低医院感染发生率,对保持患者良好心理状态和较高的生存质量有益,且可缩短住院时间,减少医疗费用,值得推广。

Objective To explore the efficacy of comprehensive intervention of hand hygiene on nosocomial infection in patients in department of oncology.Methods 200 patients with oncology from January 2015 to December 2016 in our hospital were selected and divided into the observation group and the control group according to the random number table method,with 100 cases in each group.The control group were given routine clinical nursing,while the observation group were given the comprehensive intervention of hand hygiene.The rate of hospital infection,the rate of hand hy- giene,the qualified rate of hand microbiological examination,the qualified rate of hand disinfection,the time of hospital stay,the antibiotic expenses,the anxiety status and the quality of life were compared between two group.Results The rate of hospital infection in the observation group were lower than that in the control group;the rate of hand hygiene,the qualified rate of hand microbiological examination,the qualified rate of hand disinfection were higher than those in the control group,the time of hospital stay was shorter than that in the control group,the antibiotic expenses were less than that in the control group,the level of anxiety was lower than that in the control group,the quality of life was higher than that in the control group,and all the differences were statistically significant （P〈0.05）.Conclusion The comprehensive intervention of hand hygiene has great influence on nosocomial infection in patients with oncology,which can effectively improve the hygienic performance of hand hygiene,and check the qualified condition of hand and microbiological exam- ination,reduce the incidence of nosocomial infection,and keep the patients＇ good mental state and high the quality of life,and can shorten the hospital stay,reduce medical expenses.It is worthy of clinical promotion.