目视控制方案对住院精神分裂症患者医院感染的影响研究  

Effect of visual management program on nosocomial infections in hospitalized schizophrenic patients

作　　者：刘德俊[1] 王赏[2] 宋志领[1] 董秀恩 吕立召[1] LIU De-jun WANG Shang SONG Zhi-ling DONG Xiu-en LYU Li-zhao(The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, China)

机构地区：[1]河北医科大学第一医院精神卫生科,河北石家庄050031 [2]河北医科大学第一医院护理部,河北石家庄050031

出　　处：《中华医院感染学杂志》2017年第20期4778-4781,共4页Chinese Journal of Nosocomiology

基　　金：河北省卫生厅科研基金资助项目(20110298)

摘　　要：目的探讨目视控制方案对住院精神分裂症患者医院感染的影响。方法 2015年1月-2016年12月为目视管理方案实施阶段,医院共收治796例精神分裂患者为观察组;2013年1月-2014年12月为目视管理方案未实施阶段,医院收治761例精神分裂患者为对照组,对照组患者采用常规干预和医院感染控制措施管理;观察组实施目视管理方案,统计两组发生医院感染的人数,计算医院感染,对发生医院感染患者,分别取样进行菌株鉴定,统计两组医护人员手卫生依从性、器械质量检查、环境卫生抽查监测、抗菌药物合理使用和无菌操作的合格率及医院感染管理质量。结果对照组共发生医院感染36例,感染率4.73%,观察组发生医院感染19例,感染率2.39%,观察组医院感染率显著低于对照组(P<0.05);55例精神分裂感染患者共检出62株病原菌,其中革兰阴性菌43株占69.35%,革兰阳性菌17株占27.42%,真菌2株占3.23%;观察组医院感染管理质量(85.25±3.50)分显著高于对照组(66.50±2.15)分(P<0.05);观察组医护人员手卫生依从性、器械质量检查、环境卫生抽查监测、抗菌药物合理使用和无菌操作的合格率较对照组均显著提高(P<0.05)。结论目视管理有助于提高精神科医院感染管理质量,从而降低医院感染发生率,是一种十分有效的管理方法。OBJECTIVE To investigate the effect of visual management program on nosocomial infections in hospitalized schizophrenic patients.METHODS A total of 796 schizophrenic patients with the implementation of visual management program from Jan.2015 to Dec.2016 were enrolled and set as observation group,and 761 cases of schizophrenia patients without the implementation of visual management program from Jan.2013 to Dec.2014 were set as control group.Patients in control group were managed with routine care and nosocomial infection control measures,and in observation group were treated with visual management program.The case number of nosocomial infections and the incidence of nosocomial infections were calculated.Patients with nosocomial infections were sampled for identification of pathogens.The compliance rate of hand hygiene compliance,equipment quality inspection,environmental sanitation inspection,rational use of antimicrobial agents,aseptic operation and nosocomial infection management quality were statistically analyzed.RESULTS There were 36 cases of nosocomial infections in control group,with the infection rate of 4.73%,and 19 cases in observation group,with the infection rate of 2.39%.The nosocomial infection rate in observation group was significantly lower than that in control group（P〈0.05）.Sixty-two strains of pathogens were isolated from 55 schizophrenic patients,among which 43 strains（69.35%）were gram-negative bacteria,17 strains（27.42%）were gram-positive bacteria,and 2 strains（3.23%）were fungi.The quality of nosocomial infection management in observation group was（85.25±3.50）point,which was significantly higher than（66.50±2.15）point in control group（P〈0.05）.After the implementation of visual management,the compliance rate of hand hygiene compliance,equipment quality inspection,environmental sanitation inspection,antimicrobial rational use and aseptic operation of observation group were significantly improved（P〈0.05）.CONCLUSION Visual management is a very effective mana

关 键 词：目视管理 精神分裂 医院感染 

分 类 号：R473.74[医药卫生—护理学]