基于医院的感染管理模式在院内传染病防控中的应用及对感染率的影响研究

Application of Hospital-based Infection Management Model in Prevention and Control of Nosocomial Infectious Diseases and Its Influence on Infection Rate

目的探讨基于医院的感染管理模式在院内传染病防控中的应用效果及对感染率的影响。方法选择2020年5月—2022年5月潍坊市妇幼保健院传染病防控人员64名为研究对象,根据管理时间分为对照组(2020年5月—2021年5月,n=32)和观察组(2021年6月—2022年5月,n=32)。对照组采用常规方法管理,观察组在对照组的基础上联合基于医院的感染管理模式,两组均连续完成3个月管理,比较两组感染防控执行力、管理质量、满意度及感染率。结果干预3个月后,观察组参加培训、环境卫生检测、无菌物品检测、手卫生及工作服定期送洗感染防控执行力高于对照组,差异有统计学意义(P<0.05)。干预3个月后,观察组预检分诊、清洁消毒与灭菌、防护用品使用、患者隔离、侵入性诊疗感染防控、传染病监测与报告及标准预防评分高于对照组,差异有统计学意义(P<0.05)。观察组管理方法、管理效果、培训考核、奖惩方法的满意度高于对照组,差异有统计学意义(P<0.05)。防控人员传染病感染率低于对照组,差异有统计学意义(P<0.05)。结论基于医院的感染管理模式用于院内传染病防控中,能提升防控人员执行力,提高管理质量,降低院内传染病防控人员传染病感染率,可获得较高的管理满意度。

Objective To explore the application effect of hospital-based infection management model in prevention and control of nosocomial infectious diseases and its influence on infection rate.Methods Sixty-four infectious disease prevention and control personnel in Weifang Maternal and Child Health Hospital from May 2020 to May 2022 were selected as subjects,and were divided into control group(May 2020 to May 2021,n=32)and observation group(June 2021 to May 2022,n=32)according to the management time.The control group was managed by conventional methods,and the observation group was combined with hospital-based infection management mode On the basis of the control group.Both groups completed the management for 3 months.The execution of infection prevention and control,management quality,satisfaction and infection rate of the two groups were compared.Results After 3 months of intervention,the execution of infection prevention and control in the observation group were higher than those in in the control group in training,environmental hygiene testing,sterile articles testing,hand hygiene and regular washing of work clothes,the difference was statistically significant(P<0.05).After 3 months of intervention,the scores of pre-examination triage,cleaning,disinfection and sterilization,use of protective equipment,patient isolation,infection prevention and control of invasive diagnosis and treatment,infectious disease monitoring and reporting and standard prevention in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction of management method,management effect,training assessment,reward and punishment method in observation group were higher than those in control group,the difference was statistically significant(P<0.05).The infection rate of the prevention and control personnel was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The hospital-based infection management mode in the prevention and control of nosocomial infectious diseases can improve the executive ability of prevention and control personnel,improve the management quality,reduce the infection rate of nosocomial infectious diseases prevention and control personnel,and obtain a high degree of management satisfaction.