摘要
目的探讨能力素质冰山模型对儿科住院患者医院感染的预防控制效果,为降低医院感染提供新的途径。方法选取2013年7月-2016年6月在医院儿科住院患儿2586例,分为对照组和研究组;2013年7月-2014年12月期间接受常规干预的患者1315例为对照组,2015年1月-2016年6月接受能力素质冰山模型干预的患者1271例为研究组,比较两组患者的感染率与两组工作人员的手卫生依从性情况及对医院感染预防的相关知识掌握情况,比较两组患者的住院时间和满意度,并统计两组患者感染后病原菌分布。结果研究组和对照组患者的感染率分别为1.4%、5.5%,研究组患者感染率低于对照组,差异有统计学意义(P<0.05);对照组感染患者72例,其中单一感染患者64例,混合感染患者8例,共分离出病原菌80株,以革兰阴性菌为主占53.8%,革兰阳性菌占40.0%,真菌占6.3%;研究组感染患者18例,其中单一感染患者15例,混合感染患者3例,共分离培养病原菌21株,以革兰阴性菌为主占52.4%,革兰阳性菌占38.1%,真菌占9.5%;研究组工作人员对手卫生时机、六步洗手法、手卫生必要性、消毒液的应用、擦拭规范、污染物处理的知识评分均显著高于对照组,差异有统计学意义(P<0.05)。结论将能力素质冰山模型应用于儿科住院患者医院感染的预防控制措施中可以有效降低医院感染率,提升工作人员手卫生依从性、预防感染相关知识掌握程度,能缩短住院时间、提升患者满意度,值得临床推广。
OBJECTIVE To explore the effect of ability-quality iceberg model on prevention and control of nosocomial infections in hospitalized patients of pediatrics department so as to offer new approach to reduce the incidence of nosocomial infections.METHODS A total of 2586 children who were hospitalized the pediatrics department from Jul 2013 to Jun 2016 were enrolled in the study and divided into the control group and the study group;1315patients who received conventional intervention from Jul 2013 to Dec 2014 were assigned as the control group,and 1271 patients who received ability-quality iceberg model intervention from Jan 2015 to Jun 2016 were set as the study group.The infection rate was compared between the two groups of patients,the hand hygiene compliance and status of acquisition of knowledge about prevention of nosocomial infection were compared between the two groups of staff;the length of hospital stay and satisfaction were compared between the two groups of patients,and the distribution of pathogens causing infection was statistically analyzed.RESULTS The infection rate of the study group was 1.4%,significantly lower than 5.5% of the control group（P〈0.05）.Among the 72 patients with infection in the control group,there were 64 patients with single infection and 8patients with mixed infection,and totally 80 strains of pathogens were isolated,of which 53.8% were gram-negative bacteria,40.0% were grampositive bacteria,and 6.3% were fungi.Among the 18 patients with infection in the study group,there were 15 patients with single infection and 3patients with mixed infection,and totally 21 strains of pathogens were isolated,of which 52.4% were gram-negative bacteria,38.1% were gram-positive bacteria,and 9.5% were fungi.The scores of hang hygiene opportunity,six-step hand washing method,necessity of hand hygiene,use of disinfectants,wipe norms,and contaminants disposal of the staff were significantly higher in the study group than in the control group（P〈0.05）.CONCLUSION The application of the ability-quality iceberg model in prevention and control of nosocomial infections in hospitalized patients of pediatrics department may effectively reduce the incidence of nosocomial infection,promote the hand hygiene compliance of the staff and acquisition of knowledge about prevention infection,shorten the length of hospital stay,and raise the patients＇ satisfaction;it is worthy to be promoted in the hospital.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第13期3095-3098,共4页
Chinese Journal of Nosocomiology
关键词
能力素质冰山模型
住院儿科
医院感染
预防控制效果
Ability-quality iceberg model
Department of pediatrics
Nosocomial infection
Effect of prevention and control
