探讨细节管理在重症监护室感染控制护理管理中的应用及实施效果

目的:本文对重症监护室中采用细节管理对感染控制护理的运用效果及进行了分析,从而提高重症监护室的感染控制水平。方法:本文选取自2016年1月至2017年4月细节管理在感染控制中实施后医院重症监护室接收的600例患者为观察组患者,选取2014年1月至2015年4月细节管理实施前医院重症监护室接收的600例患者为对照组患者。其中对照组的患者接受常规性的基础护理和急重危疾病护理,观察组的患者在对照组的基础上施行感染控制细节管理。对比两组患者的医院感染情况和吸入性肺炎率等相关事件的发生率,并对护理质量和评分和满意度进行比较。结果:两组患者都没有出现医院感染暴发或流行,观察组的医院感染率为15.00%(90/600)要低于对照组的21.67%(130/600);吸入性肺炎的发生率观察组1.67%(10/600)要低于对照组的6.67%(40/600);护理质量评分和护理满意度观察组都要高于对照组,结果存在差异具有统计学意义(P<0.05)。结论:将细节护理运用到重症监护室感染控制护理管理中能够发挥重要的作用,对于降低医院感染率和吸入性肺炎发挥着积极的作用,同时也提高了护理质量和护理满意度,在临床中值得推广和应用。

Objective:To analyze the effect of detail management on infection control nursing in ICU, so as to improve the level of infection control in icu. Methods: We selected hospital ICU 600 patients received for the patients in the observation group from January 2016 to April 2017 since the implementation of detail management in infection control, from January 2014 to April 2015 the implementation of detailed management before the ICU received 600 cases of patients in the control group. The patients in the control group received routine basic care and acute severe disease care, while the observation group received detailed infection control management on the basis of the control group. The incidence rates of nosocomial infection and aspiration pneumonia were compared between the two groups, and the nursing quality, score and satisfaction were compared. Results:the two groups of patients have no hospital infection outbreak, the observation group of the hospital infection rate was 15%(90/600) lower than that in the control group 21.67%(130/600); the incidence of aspiration pneumonia in observation group 1.67%(10/600) lower than that in the control group 6.67%(40/600); the score of nursing quality and nursing satisfaction of the observation group the results are higher than the control group, there were statistically significant differences(P<0.05). Conclusion:the details of nursing to the ICU infection control can play an important role in nursing management, to reduce the rate of aspiration pneumonia and hospital infection plays a positive role, but also improve the quality of nursing and nursing satisfaction, worthy of promotion and application in clinical practice.