规范化护理管理在预防与控制医院感染中的应用

摘要

目的：探讨护理管理在医院感染防控工作中的作用,对山东省淄博市第一医院分院(以下简称“我院”)感染管理存在的问题进行分析,采用相应措施,建立和健全医院感染管理体系,完善相关的护理管理制度,做好医务人员医院预防和控制感染管理知识的教育培训。方法选择2010年2月~2011年12月我院烧伤、新生儿病房及手术室等感染管理相关科室的室内空气、医护人员、消毒灭菌物品进行采样与检测,评价2010年与2011年两年合格率的变化,并进行统计学分析。结果2011年室内空气、医护人员手表面、消毒灭菌物品等监测指标合格率分别为96.69%、94.52%、97.72%,与2010年(92.24%、83.33%、91.35%)比较,差异均有统计学意义(字2=3.92、6.53、7.81,均P<0.05)；2010年医院感染率为5.80%(8/138),2011年医院感染率为4.10%(6/146),两组比较差异有统计学意义(字2=4.06,P<0.05)；全院无感染性病例暴发流行；2010年医护人员满意度为89.86%(124/138),2011年医护人员满意度为95.21%(139/146),两组比较,差异有统计学意义(字2=4.72,P<0.05)。结论通过对医院护理管理制度的规范化,医护人员预防医院感染整体意识提高,有效预防和控制了医院感染,医院感染发生率明显降低,医疗服务整体质量得到提高。%Objective To investigate the effects of nursing management in the prevention and control of hospital infec-tion, and the problems existing in the management of infection in Branch of the First Hospital of Zibo City in Shandong Province (“our hospital”for short) were analyzed, to give the corresponding measures for establishing and perfecting the management system of hospital infection, to improve the system of nursing management related to medical staff, hospital infection prevention and control knowledge management education and training. Methods In our hospital from February 2010 to December 2011 in burn wards, and neonatal, operation room of infection management of indoor air related de-partment staff, sterilization articles were sampled and detected changes in 2010 and 2011 two years, assessment of qualified rate and statistics analysis were carried on. Results In 2011, the indoor air, hands of medical staff, the sur-face sterilization items such as monitoring indicators qualified rate respectively were 96.69%, 94.52%and 97.72%, and they were 92.24%, 83.33%, 91.35% in 2010, they showed significant differences (χ²=3.92, 6.53, 7.81, P< 0.05); the infection rate in 2010 was 5.80% (8/138), the infection rate in 2011 was 4.10% (6/146), it was statistically significant differences between the two groups (χ²=4.06, P< 0.05);there was non infection diseases outbreaksin medical staff sat-isfaction; staff satisfaction was 89.86%(124/138) in 2010, and was 95.21% (139/146) in 2011, the comparison between the two groups showed that, the difference was statistically significant (χ²=4.72, P < 0.05). Conclusion Through the hospital nursing management system standardization, the medical staff can improve the overall awareness of prevention of nosocomial infection, with the effective prevention and control of hospital infection, hospital infection rate decreases significantly, the overall quality of medical service has been improved.