摘要
目的探讨感控督导员模式对院内感染防控效果及护理人员防控能力的影响。方法将2019年3月至2021年2月郑州大学第二附属医院住院患者以及在岗护理人员作为观察对象,按感控督导员模式的实施时间为节点分为干预前和干预后2组。统计分析2组时段内院内感染发生率,环境监测合格率,手卫生依从率,职业暴露发生情况以及护理人员院感防控能力等。结果干预后院内感染发生率为0.37%,明显低于干预前的0.54%,(χ^(2)=7.047,P=0.008);干预前环境样本监测合格率为83.82%,医护手卫生依从率为63.43%,均明显低于干预后的92.06%和72.09%,差异具有统计学意义(P均<0.05);干预后职业暴露发生率较干预前明显下降(2.22%vs4.38%),(P<0.05);采用葛森医院安全氛围量表(C-HSCS)评估护理人员院感防控能力发现,干预后护理人员院感防控能力较干预前明显提高(P<0.05)。结论感控督导员模式的实施可有效降低院内感染发生率,优化医院环境,减少职业暴露,提高手卫生依从性及护理人员院感防控能力,可在临床推广。
Objective To explore the effect of the mode of the sense control supervisor on the prevention and control of nosocomial infection and the ability of nurses to prevent and control.Methods From March 2019 to February 2021,the inpatients and on duty nurses in the Second Affiliated Hospital of Zhengzhou University were observed.According to the implementation time of the feeling control supervisor model,they were divided into two groups:pre intervention group and post intervention group.The incidence of hospital infection,the qualified rate of environmental monitoring,the compliance rate of hand hygiene,the incidence of occupational exposure and the ability of nursing staff to prevent and control hospital infection in the two groups were statistically analyzed.Results The incidence of nosocomial infection after intervention was 0.37%,which was significantly lower than that before intervention(0.54%)(2=7.047,P=0.008);The qualified rate of environmental sample monitoring before intervention was 83.82%,and the compliance rate of doctors and nurses was 63.43%,which was significantly lower than 92.06%and 72.09%after intervention(P<0.05);The incidence of occupational exposure after intervention was significantly lower than that before intervention(2.22%vs 4.38%,P<0.05);The nursing staff's hospital sense prevention and control ability was evaluated with the Gerson Hospital Safety Atmosphere Scale(C-HSCS).It was found that the nursing staff's hospital sense prevention and control ability was significantly improved after the intervention(P<0.05).Conclusion The implementation of the feeling control supervisor model can effectively reduce the incidence of hospital infection,optimize the hospital environment,reduce occupational exposure,improve the compliance of hand hygiene and the ability of nurses to prevent and control hospital infection,which can be popularized in clinical practice.
作者
刘晶晶
张玉晶
赵培文
陈博
Liu Jingjing;Zhang Yujing;Zhao Peiwen;Chen Bo;Zhang Jujuan(Department of Medicine,Luoyang Vocational and Technical College,Luoyang 471000,China;Nursing Department,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中华临床医师杂志（电子版）》
CAS
北大核心
2022年第12期1262-1268,共7页
Chinese Journal of Clinicians(Electronic Edition)
基金
2019年河南省医学教育研究项目(Wjlx2019255)
关键词
感控督导员模式
院内感染
防控能力
Sense control supervisor mode
Nosocomial infection
Prevention and control capability
