三级管理体系对EICU患者医院感染的预防效果  

Preventive effects of three-grade of management system on hospital infections in emergency intensive care unit

作　　者：诸伟红[1] 姚洁[2] 沈小玲[1] 黄赣英[1] 钟利君[1] 

机构地区：[1]杭州市第一人民医院急诊科,浙江杭州310006 [2]杭州市第一人民医院肾内科,浙江杭州310006

出　　处：《中华医院感染学杂志》2015年第12期2868-2869,2872,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科学基金项目(2004A018)

摘　　要：目的探究三级管理体系对急诊重症监护病房(EICU)医院感染的预防效果,降低EICU医院感染发生率。方法选择2013年1-12月医院EICU收治的504例患者为对照组,采用常规管理体系,另选择2014年1-12月医院EICU收治的504例患者为研究组,采用三级管理体系;对EICU患者的医院感染进行观察并记录,计算患者感染率;调查患者的治疗满意度;自行设计调查问卷,对医护人员的感染知识、预防感染的态度以及行为结果进行调查。结果研究组患者中有11例发生感染,感染率为2.18%,对照组患者中有37例发生感染,感染率为7.34%,两组感染率比较,差异有统计学意义(P<0.05);治疗满意度研究组患者为94.44%,对照组为75.61%,两组比较差异有统计学意义(P<0.05);研究组医护人员的医院感染知识知晓率、预防感染态度以及灭菌合格率明显有高于对照组,差异有统计学意义(P<0.05)。结论三级管理体系能够明显降低EICU患者的医院感染率,值得临床推广。OBJECTIVE To explore the preventive effect of three‐grade management system on hospital infections in emergency intensive care unit ,so as to reduce infection rate in hospital emergency ICU .METHODS Totally 504 patients were selected in our hospital EICU as control group from Jan .2013 to Dec .2013 and they were under the management of regular system .And another 504 patients were selected as the study group from Jan .to Dec . 2014 .They were treated with three‐grade management system .Infection in EICU were observed and recorded accurately and infection rate was calculated . The satisfaction of patients was investigated by self‐designed questionnaires which made a survey on medical staff′s knowledge about infections and their attitude of preventing infections and results for their behaviors .RESULTS Totally 11 cases appeared to be infected in the study group with the infection rate of 2 .18% .While in the control group ,the data were 37 cases ,and the infection rate was 7 .34% .The differences were significant （P〈0 .05） .As far as the degree of satisfaction ,the study group was 94 .44% ,and the control group was 75 .61% .The difference was significant （P〈0 .05） .The knowledge level of nosocomial infections of medical staff ,attitude towards preventing infections and qualification rate of sterilization in the study group were singificantly higher than those of the control group （P〈 0 .05） .CONCLUSION Three‐grade management system can significantly reduce ICU nosocomial infections , hence is worth of clinical promotion .

关 键 词：三级管理体系 急诊重症监护病房 医院感染 

分 类 号：R197.323[医药卫生—卫生事业管理]