某综合医院护理院感染防控对策研究
|
摘要
目的探讨综合医院护理院感染防控对策,以减少医院感染发生率。方法通过对2016年10月1日～2018年6月30日在某综合医院护理院住院的228人次患者的年龄、基础疾病、住院时间、抗生素用药等情况进行统计分析,发现感染防控风险点,以探讨医院感染防控方法与对策。结果住院患者感染防控风险点有如下几个方面:多为高龄老年患者;住院时间长且频次高;病情严重且较为复杂;住院患者基础疾病较多;抗菌药物使用及侵入性操作增大感染风险;不专业护工比例较高。结论针对上述风险,提出以下几点对策:加强多学科协作;规范诊疗护理操作,减少侵入性操作;加强环境清洁及消毒隔离;规范护工管理;充分发挥兼职质控医护作用;加强培训、督导及演练,使医院感染危险因素逐步得到有效预防和控制,最终减少医院感染的发生。
Objective To explore the prevention and control countermeasures on nosocomial infection in general hospital, to reduce the incidence of nosocomial infection. Methods A total of 228 patients from October, 2016 to June, 2018 who were hospitalized in a general hospital nursing home were selected for statistical analysis of the patient′s age, basic diseases, length of stay, antibiotic medication, etc, and the risk points of infection prevention and control were found to explore the prevention and control methods and countermeasures of hospital infection. Results The points of infection prevention and control risk for inpatients were as following: most of them were elderly patients; long hospital stay and high frequency; severe and complex condition; there were many basic diseases in inpatients; antimicrobial drug use and invasive procedures increase the risk of infection; the proportion of unprofessional nurses was higher. Conclusion In view of the risks above, the following countermeasures are proposed: strengthening multidisciplinary collaboration; standardize the operation of diagnosis and treatment, reduce the invasive operation; strengthen environmental cleaning and disinfection isolation; standardize the nursing management; give full play to the role of part-time quality control; training, supervision and exercise should be strengthened to gradually prevent and control the risk factors of hospital infection and finally reduce the incidence of hospital infection.
Objective To explore the prevention and control countermeasures on nosocomial infection in general hospital, to reduce the incidence of nosocomial infection. Methods A total of 228 patients from October, 2016 to June, 2018 who were hospitalized in a general hospital nursing home were selected for statistical analysis of the patient′s age, basic diseases, length of stay, antibiotic medication, etc, and the risk points of infection prevention and control were found to explore the prevention and control methods and countermeasures of hospital infection. Results The points of infection prevention and control risk for inpatients were as following: most of them were elderly patients; long hospital stay and high frequency; severe and complex condition; there were many basic diseases in inpatients; antimicrobial drug use and invasive procedures increase the risk of infection; the proportion of unprofessional nurses was higher. Conclusion In view of the risks above, the following countermeasures are proposed: strengthening multidisciplinary collaboration; standardize the operation of diagnosis and treatment, reduce the invasive operation; strengthen environmental cleaning and disinfection isolation; standardize the nursing management; give full play to the role of part-time quality control; training, supervision and exercise should be strengthened to gradually prevent and control the risk factors of hospital infection and finally reduce the incidence of hospital infection.
引文
[1]国家统计局.中华人民共和国2017年国民经济和社会发展统计公报[EB/OL].[2018-02-28].http://www.stats.gov.cn/tjsj/zxfb/201802/t20180228_1585631.html.
[2]李智,赵艺璞,胡秀英.多病共存与老年高血压患者服药不依从行为之相关性研究[J].护理杂志(台湾),2016,63(5):65-75.
[3]杨艳梅.医养结合型养老设施建筑设计策略研究-以成都地区为例[D].成都:西南交通大学,2015.
[4]邓诺.健康老龄化背景下江苏省部分地区“医养结合”养老模式研究[D].南京:南京医科大学,2016.
[5]谢首佳,王美玉,潘建平.多学科协作在多重耐药菌医院感染防控中的实践与效果[J].中国感染控制杂志,2017,16(8):741-744.
[6]嵇晓红,刘春湘,陈嫣红.多学科协作模式在多重耐药菌医院感染控制中应用的效果观察[J].重庆医学,2013,42(19):2254-2256.
[7]同俏静,袁玉华,赵晋,等.多学科团队模式介入多重耐药菌的控制与管理[J].护理与康复,2017,16(1):63-65.
[8]杜珊珊,赖红辉.预防性护理对老年呼吸内科患者院内感染控制效果及生活质量的影响[J].护理实践与研究,2018,15(3):39-41.
[9]黄彦飞,韩敏,庞俊雪.细节管理在预防老年住院患者院内感染中的作用[J].中外健康文摘,2011,8(21):117-118.
[10]徐秀玲,宋健.102例老年患者院内感染临床分析[J].安徽医学,2005,26(3):214-215.
[11]郑爱喜,谢霖,肖厚平,等.我国老年综合评估护理模式的研究进展[J].全科护理,2017,15(27):3365-3368.
[12]洪霞,韩松花,程山凤,等.根原因分析法在疑似院感暴发事件中的应用[J].医院管理论坛,2018,35(6):57-60.
[13]李胜云,郭渊博,刘彩红,等.重症医学科多重耐药菌感染分析与防控措施[J].河南医学研究,2016,25(7):1153-1156.
[14]张玉玲,马倩,濮红萍.护理员团队化管理在老年住院患者生活照护中的应用[J].中国临床研究,2018,31(5):719-721.
[15]徐晓莉,黄慧敏,尹湘毅,等.医院感染管理质量持续改进工作策略的研究[J].中华医院感染学杂志,2014,24(20):5153-5155.
[16]杨素珍.基层医院感染管理的突破[J].临床医药文献电子杂志,2018,5(3):183,187.
[17]倪秀荣,李保荣.医院感染二级质控管理实践与探讨[J].疾病监测与控制,2015,9(12):870-872.
[18]熊艳兰.《医院感染管理质量控制标准》在控制医院感染中的作用[J].中华医院感染学杂志,2011,21(3):577.
[19]陈彩霞.浅谈如何与时俱进做好院感管理[J].现代医学与健康研究电子杂志,2018,2(8):185,187.
[20]李春辉,刘思娣,李六亿,等.中国医院感染管理部门在抗菌药物合理应用与管理工作中的发展状况[J].中国感染控制杂志,2016,15(9):665-670.
[2]李智,赵艺璞,胡秀英.多病共存与老年高血压患者服药不依从行为之相关性研究[J].护理杂志(台湾),2016,63(5):65-75.
[3]杨艳梅.医养结合型养老设施建筑设计策略研究-以成都地区为例[D].成都:西南交通大学,2015.
[4]邓诺.健康老龄化背景下江苏省部分地区“医养结合”养老模式研究[D].南京:南京医科大学,2016.
[5]谢首佳,王美玉,潘建平.多学科协作在多重耐药菌医院感染防控中的实践与效果[J].中国感染控制杂志,2017,16(8):741-744.
[6]嵇晓红,刘春湘,陈嫣红.多学科协作模式在多重耐药菌医院感染控制中应用的效果观察[J].重庆医学,2013,42(19):2254-2256.
[7]同俏静,袁玉华,赵晋,等.多学科团队模式介入多重耐药菌的控制与管理[J].护理与康复,2017,16(1):63-65.
[8]杜珊珊,赖红辉.预防性护理对老年呼吸内科患者院内感染控制效果及生活质量的影响[J].护理实践与研究,2018,15(3):39-41.
[9]黄彦飞,韩敏,庞俊雪.细节管理在预防老年住院患者院内感染中的作用[J].中外健康文摘,2011,8(21):117-118.
[10]徐秀玲,宋健.102例老年患者院内感染临床分析[J].安徽医学,2005,26(3):214-215.
[11]郑爱喜,谢霖,肖厚平,等.我国老年综合评估护理模式的研究进展[J].全科护理,2017,15(27):3365-3368.
[12]洪霞,韩松花,程山凤,等.根原因分析法在疑似院感暴发事件中的应用[J].医院管理论坛,2018,35(6):57-60.
[13]李胜云,郭渊博,刘彩红,等.重症医学科多重耐药菌感染分析与防控措施[J].河南医学研究,2016,25(7):1153-1156.
[14]张玉玲,马倩,濮红萍.护理员团队化管理在老年住院患者生活照护中的应用[J].中国临床研究,2018,31(5):719-721.
[15]徐晓莉,黄慧敏,尹湘毅,等.医院感染管理质量持续改进工作策略的研究[J].中华医院感染学杂志,2014,24(20):5153-5155.
[16]杨素珍.基层医院感染管理的突破[J].临床医药文献电子杂志,2018,5(3):183,187.
[17]倪秀荣,李保荣.医院感染二级质控管理实践与探讨[J].疾病监测与控制,2015,9(12):870-872.
[18]熊艳兰.《医院感染管理质量控制标准》在控制医院感染中的作用[J].中华医院感染学杂志,2011,21(3):577.
[19]陈彩霞.浅谈如何与时俱进做好院感管理[J].现代医学与健康研究电子杂志,2018,2(8):185,187.
[20]李春辉,刘思娣,李六亿,等.中国医院感染管理部门在抗菌药物合理应用与管理工作中的发展状况[J].中国感染控制杂志,2016,15(9):665-670.