摘要
目的探讨医院感染管理专职人员跟班督导对门诊注射室医院感染质量的影响,为降低医院感染率提供理论依据。方法选取自2013年1-12月在医院门诊注射室接受注射治疗的患者4 962例,注射护士9人组成对照组,对照组患者的注射治疗期间无医院感染管理专职人员跟班督导;另选取2014年1-12月在医院门诊注射室接受注射治疗的患者5 047例,注射护士9人组成观察组,观察组患者的注射治疗是在医院感染管理专职人员对门诊注射室跟班督导期间进行,观察两组患者在治疗期间的感染率,对比两组注射护士医院感染知识的知晓率,检测两组注射护士不同时机的手卫生依从性,同时采用问卷调查的方式测评患者对门诊注射室医院感染预防控制质量的满意度。结果观察组注射护士医院感染知识知晓率、不同时机手卫生依从率均明显高于对照组,差异均有统计学意义(P<0.05);满意度调查显示,观察组患者对于注射室医院感染预防控制质量的满意度也明显高于对照组,差异有统计学意义(P<0.05);观察组患者感染率为0,对照组患者中有27例发生不同程度的医院感染,感染率为0.5%,差异有统计学意义(P<0.05)。结论医院感染管理专职人员跟班督导能够提高注射护士的医院感染知识知晓率和不同时机手卫生依从性,降低门诊注射室医院感染的发生率。
OBJECTIVE To discuss the influence of attendant supervision of full-time staff for hospital infection management on the quality of hospital infections in the outpatient injection rooms of the hospital,so as to provide a theoretical basis for reducing hospital infection rates.METHODS Totally 4,962 cases receiving injections in the outpatient injection rooms during Jan.-Dec.2013 were selected.Nine nurses for injection were set as the control group and the attendant supervision was not performed for the patients treated by the control group.Another 9nurses were set as the observation group and were supervised by the full-time management staff during the injection treatment.The infection rates of patients treated by the two groups of nurses were compared.The hand hygiene compliance of injection nurses at different timing was detected,and questionnaires were used for evaluation of patient satisfaction with the quality of prevention and control of hospital infections.RESULTS The knowledge rate of hospital infections and the hand hygiene compliance rate at different timing were significantly higher in the observation group than in the control group（P〈0.05）.The patient satisfaction survey showed that the satisfaction with the quality of prevention and control in the observation group was also significantly higher than in the control group,（P〈0.05）.CONCLUSION Attendant supervision of full-time staff for hospital infection management can improve the knowledge rate of hospital infections and the hand hygiene compliance at different timing and reduce the incidence of hospital infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第3期708-710,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(1300340374)
关键词
医院感染管理
专职人员
跟班督导
门诊注射室
质量
Management of hospital infection
Full-time staff
Attendant supervision
Outpatient injection room
Quality
