某综合医院护理院感染防控对策研究

Prevention countermeasures research on control of infection in nursing home in a general hospital

目的探讨综合医院护理院感染防控对策,以减少医院感染发生率。方法通过对2016年10月1日~2018年6月30日在某综合医院护理院住院的228人次患者的年龄、基础疾病、住院时间、抗生素用药等情况进行统计分析,发现感染防控风险点,以探讨医院感染防控方法与对策。结果住院患者感染防控风险点有如下几个方面:多为高龄老年患者;住院时间长且频次高;病情严重且较为复杂;住院患者基础疾病较多;抗菌药物使用及侵入性操作增大感染风险;不专业护工比例较高。结论针对上述风险,提出以下几点对策:加强多学科协作;规范诊疗护理操作,减少侵入性操作;加强环境清洁及消毒隔离;规范护工管理;充分发挥兼职质控医护作用;加强培训、督导及演练,使医院感染危险因素逐步得到有效预防和控制,最终减少医院感染的发生。

Objective To explore the prevention and control countermeasures on nosocomial infection in general hospital,to reduce the incidence of nosocomial infection.Methods A total of 228 patients from October,2016 to June,2018 who were hospitalized in a general hospital nursing home were selected for statistical analysis of the patient′s age,basic diseases,length of stay,antibiotic medication,etc,and the risk points of infection prevention and control were found to explore the prevention and control methods and countermeasures of hospital infection.Results The points of infection prevention and control risk for inpatients were as following:most of them were elderly patients;long hospital stay and high frequency;severe and complex condition;there were many basic diseases in inpatients;antimicrobial drug use and invasive procedures increase the risk of infection;the proportion of unprofessional nurses was higher.Conclusion In view of the risks above,the following countermeasures are proposed:strengthening multidisciplinary collaboration;standardize the operation of diagnosis and treatment,reduce the invasive operation;strengthen environmental cleaning and disinfection isolation;standardize the nursing management;give full play to the role of part-time quality control;training,supervision and exercise should be strengthened to gradually prevent and control the risk factors of hospital infection and finally reduce the incidence of hospital infection.