肾内科住院患者医护一体化管理预防医院感染的效果评价  

Effect of doctor-nurse integration management mode on prevention of nosocomial infections in hospitalized patients of nephrology department

作　　者：姚美英[1] 娄玉萍[1] 王宪华 李秀珍[1] 王鸿泰[1] 

机构地区：[1]聊城市人民医院肾内科,山东聊城252000 [2]聊城东昌府区疾控中心防疫科,山东聊城252000

出　　处：《中华医院感染学杂志》2015年第8期1811-1813,共3页Chinese Journal of Nosocomiology

基　　金：山东省自然科学基金资助项目(Y2006C02)

摘　　要：目的探讨医护一体化管理模式对肾内科住院患者发生医院感染的预防效果,从而降低医院感染发生率。方法调查2012年1月-2013年12月肾内科的2 579例住院患者临床资料,将2012年1-12月1 349例住院患者作为对照组,2013年1-12月1 230例住院患者作为试验组;对照组患者给予常规管理措施,即传统的医师和护士工作模式;试验组患者则实施新型医护一体化管理模式,即全面优化医师和护士之间协作沟通的工作模式,比较两组患者感染率,观察医护一体化管理在医院感染控制方面的作用,采用SPSS 18.0软件进行统计处理。结果与对照组相比,试验组患者在实施医护一体化管理住院48h后发生感染共53例,感染率为3.93%;对照组发生感染86例,感染率为6.99%,两组患者的感染率差异有统计学意义(P<0.01);两组患者感染部位均以上呼吸道感染为主,差异有统计学意义(P<0.01)。结论医护一体化管理有效降低了肾内科患者的医院感染率,提高了肾内科患者的治疗、护理效果,促进了医护之间的交流与合作,取得了良好的社会效益。OBJECTIVE To explore the effect of doctor-nurse integration management mode on prevention of nosocomial infections in hospitalized patients of nephrology department so as to reduce the incidence of nosocomial infections.METHODS The clinical data of 2 579 patients who were hospitalized the nephrology department from Jan2012 to Dec 2013 were reviewed;totally 1 349 patients who were hospitalized from Jan 2012 to Dec 2012 were assigned as the control group,and 1 230 patients who were hospitalized from Jan 2013 to Dec 2013 were set as the experimental group.The control group was treated with the conventional management measures,known as the conventional doctor and nurse working mode,while the experimental group was given the new doctor-nurse integration management mode,a working mode that comprehensively optimize the collaboration and communication between the doctor and nurse.The effect of the doctor-nurse integration management mode on control of nosocomial infections was compared between the two groups,and the statistical analysis was performed with the use of SPSS18.0software.RESULTS As compared with the control group,the infections occurred in 53 cases in the experimental group after the doctor-nurse integration management mode was implemented for 48 hours,with the infection rate of 3.93%;the infections occurred in 86 cases in the control group,with the infection rate of 6.99%,and there was significant difference between the two groups（P〈0.01）.The upper respiratory tract was the major infection site（P〈0.01）.CONCLUSIONThe doctor-nurse integration management mode can effectively reduce the incidence of nosocomial infections in the patients of nephrology department,improve the therapeutic and nursing effect,promote the communication between the doctor and nurse,and achieve favorable social benefit.

关 键 词：医院感染 管理模式 医护一体化 预防效果 

分 类 号：R181.32[医药卫生—流行病学]