ICU医院感染风险评价指标的权重分析

Weight analysis about the risk indexes of ICU-acquired infection

目的：确定ICU医院感染风险评价指标的权重，并分析其权重值，以评定各指标的重要性。方法本研究采用德尔菲法和优序图相结合的方法对ICU医院感染风险评价各级指标进行赋值。结果本研究构建的评价指标共有6层次，其中组织管理、环境及设施、患者3项一级指标的权重值分别为20%、19%、17%。结论根据权重结果分析得出：为有效降低ICU医院感染发生率，应积极治疗患者原发疾病，改善其自身营养状况，营造团队合作氛围，构建合理的专业技术结构，改善护士工作环境，增加医护人力资源配备，建立科学的排班模式，注重教育与培训。

Objective To determine the index weight of ICU-teamwork, according to the index weight, the paper want to explore and assess the importance of the index. Methods Delphi method and precedence chart were used together to determine the index weight. Results The paper divided into six first- level indicators, which were 'Organizational management' (20% )、'Environment'(18% ) and'Patients'(17%). Conclusion Active treatment patients′ primary diseases, creating a healthy of teamwork culture,constructing a reasonable technical structure, improving medical staff′ work environment,increasing medical staff,establishing a scientific scheduling mode,strengthening nurse training are beneficial for the improvement of ICU-acquired infection and patient safety.