医院感染的护理管理

Nursing management of hospital infection

目的探讨行护理管理模式对于控制医院感染的临床效果。方法将2016年1~3月我院收治的248例住院患者作为研究对象,随机分为常规组和护理组,各124例。常规组行常规护理,护理组接受护理管理干预,通过实施健康教育指导和培训、避免交叉感染、建立完善的管理体制、规范操作技术、加强医疗用具管理以及严格执行消毒制度等,从根本上不断提高医护人员的工作质量和水平,以期最大限度降低医院感染事件的发生率。并以此为衡量整体护理水平和质量的重要指标,观察并比较两组发生医院感染率、空气质量、平均细菌数等各项指标。结果护理组发生医院感染率为4.84%(10例),显著低于常规组的17.74%(22例),护理组空气质量环境监测合格率为100%,显著高于常规组的78%,护理组平均细菌数为(162±12.22)CFU/m^3显著低于常规组的(202±16.78)CFU/m^3,两组差异有统计学意义(P<0.05)。结论通过行护理管理干预,能够有效控制医院感染的发生率,控制医院空气中所含有的细菌株数,同时,还能够提高医院整体的环境质量,是预防和避免医院发生感染事件的有效手段。

Objective To explore the clinical effect of nursing management model in controlling hospital infection. Methods A total of 248 hospitalized patients in our hospital from January to March 2016 were chosen as study subjects. The patients were randomly divided into routine group （n=124） and nursing group （n=124）. The routine group was given routine care, and the nursing group was treated with nursing management intervention. It can fundamentally improve the quality and level of work in health care workers and minimize the incidence of nosocomial infection through the implementation of health education guidance and training, avoiding cross-infection, establishing a sound management system, standardizing the operation of technology, strengthening the management of medical equipment and strictly implementing the disinfection system. And they were chosen as important indicators of measuring the overall level and quality of care. Indicators including the probability of hospital infection, air quality, the average number of bacteria between the two groups were observed and compared. Results There were 10 cases of hospital infection in the nursing group（4.84%）, significantly lower than 22 cases in the conventional group （17.74%）. The pass rate of air quality environmental monitoring was 100% in the nursing group, significantly higher than that in the conventional group（78%）. The average bacterial（162±12.22） CFU/m^3 in the nursing group was significantly lower than that in the conventional group （202±16.78） CFU/m^3. And the difference between the two groups was statistically significant（P〈0.05）. Conclusion It can effectively control the occurrence rate of hospital infection and the number of bacteria strains in the hospital air through nursing management intervention. At the same time, it can also improve the overall environmental quality of the hospital. Nursing management intervention is an effective means to prevent and avoid the Occurrence of infection in the hospital.