集束化护理用于防控重症监护病房多重耐药菌医院感染的效果分析

Analysis of the Effect of Clustered Nursing in the Prevention and Control of Nosocomial Infections Caused by Multi-drug Resistant Bacteria

目的探究集束化护理应用于重症监护病房护理中的效果以及对多重耐药菌医院感染的防控作用。方法随机选取2018年6月—2019年12月到该院就诊的40例重症监护病房患者作为研究对象,此阶段采取常规护理措施,设置为参照组。另选择同时间段到该院就诊的40例重症监护病房患者作为研究对象,分析多重耐药菌医院感染的相关因素,采取针对性的集束化护理,设置为护理组。对比两组多重耐药菌医院感染情况。结果护理组例次感染率10.00%(4/40)、人次感染率2.50%(1/40)明显低于参照组30.00%(12/40)、20.00%(8/40),差异有统计学意义(χ^(2)=5.000、4.507,P=0.025、0.034)。两组感染部位分布情况(血流、泌尿道、下呼吸道、其他部位)差异无统计学意义(χ^(2)=0.444、0.444、0.000、0.000,P=0.505、0.505、1.000、1.000)。护理组导尿管、血管导管、呼吸机的使用率明显低于参照组,差异有统计学意义(χ^(2)=4.728、5.523、5.204,P=0.030、0.019、0.023),两组血管导管相关血流感染、呼吸机相关肺炎差异无统计学意义(χ^(2)=1.141、1.021,P=0.377、0.274),护理组尿路感染率低于参照组,差异有统计学意义(χ^(2)=4.883,P=0.014)。护理组多重耐药菌医院感染率低于参照组,差异无统计学意义(χ^(2)=0.000,P=1.000)。结论集束化护理应用于重症监护病房护理中,可明显降低尿路感染率,同时降低铜绿假单胞菌感染率、肺炎克雷伯菌感染率,多重耐药菌医院感染的防控作用明显。

Objective To explore the effect of clustered nursing applied in intensive care unit care and the prevention and control of multi-drug resistant bacteria in hospital infection.Methods Forty patients in the intensive care unit who visited the hospital from June 2018 to December 2019 were random selected as the research objects.At this stage,routine nursing measures were taken and set as the reference group.In addition,40 patients in the intensive care unit who came to our hospital at the same time period were selected as the research objects,and the relevant factors of multi-drug resistant bacteria hospital infection were analyzed,and targeted clustered care was adopted and set as the nursing group.Compare the two groups of multi-drug resistant bacteria hospital infection.Results The case-time infection rate in the nursing group was 10.00%(4/40)and the human-time infection rate was 2.50%(1/40)significantly lower than the reference group 30.0%(12/40),20.00%(8/40),the difference was statistically significant(χ^(2)=5.000,4.507,P=0.025,0.034).There was no statistically significant difference in the distribution of infection sites(blood flow,urinary tract,lower respiratory tract,other parts)between the two groups(χ^(2)=0.444,0.444,0.000,0.000,P=0.505,0.505,1.000,1.000).The utilization rate of catheters,vascular catheters,and ventilators in the nursing group was significantly lower than that in the reference group,the difference was statistically significant(χ^(2)=4.728,5.523,5.204,P=0.030,0.019,0.023).In the two groups,vascular catheter-related bloodstream infection and ventilator-related pneumonia had no statistically significant difference(χ^(2)=1.141,1.021,P=0.377,0.274),the rate of urinary tract infection in the nursing group was lower than the reference group,the difference was statistically significan(χ^(2)=4.883,P=0.014).The hospital infection rate of multi-drug resistant bacteria in the nursing group was lower than that in the reference group,but the difference was not statistically significant(χ^(2)=0.000,P=1.000).Conclusion The application of clustered nursing in intensive care unit care can significantly reduce the rate of urinary tract infection,while reducing the rate of Pseudomonas aeruginosa and Klebsiella pneumoniae infection.Multi-drug-resistant bacteria have obvious effects in preventing and controlling hospital infections.