强化院内感染护理对ICU住院患者院内感染发生的影响

The influence of strengthening nursing on the occurrence of nosocomial infection in ICU patients

目的探讨分析强化院内感染护理对重症监护室(ICU)住院患者院内感染的控制效果。方法选取本院2018年1月至2019年12月这段期间ICU收治的969例患者作为研究对象,根据时间段分为对照组和观察组,将2018年1月至12月期间在ICU进行住院治疗的患者分为对照组,共391例,予以常规院内感染护理;将2019年1月至12月期间在ICU进行住院治疗的患者分为观察组,共568例,予以强化院内感染护理;比较两组医护人员手卫生依从率以及患者院内感染发生率。结果医护人员手卫生依从率对比,对照组医护人员在接触患者前、接触患者后以及接触患者周围环境后,手卫生依从率均低于观察组(P<0.05);患者住院期间院内感染发生情况对比,对照组患者发生泌尿系统感染、呼吸系统感染和胃肠道系统感染总发生率高于观察组患者(5.12%vs2.64%)(P<0.05)。结论强化院内感染护理可提高ICU医护人员手卫生依从性,从而有效降低住院患者院内感染的发生率,具有一定的临床价值。

Objective To explore the effect of intensive care about nosocomial infection on the control of nosocomial infection in intensive care unit(ICU).Methods 969 patients in ICU from January 2018 to December 2019 in our hospital were selected as the research objects,and they were divided into control group and observation group according to the hospitalization time.391 patients who were hospitalized in ICU from January to December 2018 were control group and treated with conventional nosocomial infection nursing.Patients hospitalized in ICU from January to December 2019 were observation group(568 cases)and treated with strengthening nursing.The compliance rate of hand hygiene and the incidence of nosocomial infection were compared between two groups.Results Comparison of compliance rate of hand hygiene among medical staff,compliance rate of the control group was lower than that of the observation group before,after contacting with the patients and after contacting with surrounding environment(P<0.05).The incidence of nosocomial infection during hospitalization was compared,and the total incidence of urinary system infection,respiratory system infection and gastrointestinal tract infection in the control group was higher than that in the observation group(5.12%vs 2.64%)(P<0.05).Conclusion Strengthening the nursing of nosocomial infection can improve compliance of hand hygiene of ICU medical staff,and effectively reduce the incidence of nosocomial infection of inpatients,which has a certain clinical value.