风险护理管理对口腔科门诊医院感染控制的影响

Influence of Risk Nursing Management on Infection Control in Outpatient Department of Stomatology

目的探讨风险护理管理对口腔科门诊医院感染控制的影响。方法选择2020年1月—2021年12月吉林省一汽总医院口腔科的21名门诊护理人员作为研究对象,按照常规护理管理(2020年1—12月)与风险护理管理方式(2021年1—12月)应用的先后时间划分为参照组和观察组,同时选择在本院口腔科门诊进行诊治的64例患者依据管理方式对应分为A、B两组。对比研究两组风险护理管理的效果。结果B组院内感染率、临床风险事件发生率分别为3.13%、6.25%,均低于A组,差异有统计学意义(χ^(2)=4.010、6.564,P=0.045、0.010)。观察组护理操作合格率、文书书写合格率、消毒隔离合格率、手部卫生合格率、空气质量合格率、使用器械合格率分别为87.50%、93.75%、90.63%、93.75%、87.50%、90.63%,均高于参照组,差异有统计学意义(χ^(2)=5.333、5.379、4.730、6.564、4.266、4.730,P=0.020、0.020、0.029、0.010、0.038、0.029)。B组患者护理满意度为96.88%,高于A组,差异有统计学意义(χ^(2)=6.335,P=0.011)。结论口腔科门诊实施风险护理管理,可以降低医院感染率和临床风险事件发生率,提升护理工作质量,具有显著临床应用价值。

Objective To investigate the effect of risk nursing management on infection control in outpatient department of stomatology.Methods From January 2020 to December 2021,21 outpatient nursing staff in the Department of Stomatology of Jilin First Automobile General Hospital were selected as the research objects.According to the application time of routine nursing management(January to December 2020)and risk nursing management mode(January to December 2021),they were divided into reference group and observation group.At the same time,64 patients who were diagnosed and treated in the Department of Stomatology of our hospital were divided into A and B groups according to the management mode.The effect of risk nursing management in two groups was compared.Results The nosocomial infection rate and the incidence of clinical risk events in group B were 3.13%and 6.25%,respectively,which were lower than those in group A,the difference was statistically significant(χ^(2)=4.010,6.564,P=0.045,0.010).In the observation group,the qualified rate of nursing operation,the qualified rate of document writing,the qualified rate of disinfection and isolation,the qualified rate of hand hygiene,the qualified rate of air quality,and the qualified rate of using equipment were respectively 87.50%,93.75%,90.63%,93.75%,87.50%,90.63%,all were higher than the reference group,the difference was statistically significant(χ^(2)=5.333,5.379,4.730,6.564,4.266,4.730,P=0.020,0.020,0.029,0.010,0.038,0.029).The nursing satisfaction of group B was 96.88%,which was higher than that of group A,the difference was statistically significant(χ^(2)=6.335,P=0.011).Conclusion The implementation of risk nursing management in the outpatient department of stomatology can reduce the incidence of hospital infection and clinical risk events,improve the quality of nursing work,and has significant clinical application value.