专案干预在住院医院感染高危儿童中的应用效果  

Effect of nursing project on hospitalized children at high risk of nosocomial infections

作　　者：谢玉美[1] 黄会荣[2] 黄育敏[3] 李芳[4] 王仁媛[5] 陈贝贝[1] 

机构地区：[1]海南省妇幼保健院儿科,海南海口570206 [2]海南省妇幼保健院院感科,海南海口570206 [3]海南省妇幼保健院儿科医务科,海南海口570206 [4]海南省妇幼保健院医务科,海南海口570206 [5]海南省妇幼保健院儿科护理部,海南海口570206

出　　处：《中华医院感染学杂志》2018年第2期301-304,共4页Chinese Journal of Nosocomiology

基　　金：海南省科学技术厅基金资助项目(ZDYF2016136)

摘　　要：目的探讨专案干预在住院医院感染高危儿童中的应用效果。方法依据专案干预实施时间划分,2015年8月-2017年2月为实施阶段,该阶段共702例患儿;2014年1月-2015年7月为未实施阶段,该阶段共610例患儿。成立专案干预小组,分析医院感染的原因,通过进行针对性培训和检查,开展专案干预活动。干预实施前后,统计医院感染率;诊疗区域清洁消毒、诊疗设备清洁消毒、诊疗区域环境整洁、清洗消毒区域整洁和每日定时通风合格率;医护人员手卫生依从率、手卫生知识知晓率、医院感染知识知晓率,环境卫生抽查监测合格率。结果专案干预前后高危儿童医院感染率分别为3.57%和0.66%(P<0.05);专案干预实施后医护人员手卫生依从、手卫生知识知晓、医院感染知识知晓、环境卫生抽查监测、诊疗区域清洁消毒、诊疗设备清洁消毒、诊疗区域环境整洁、清洗消毒区域整洁和每日定时通风合格率均明显提高(P<0.05)。结论通过实施专案干预,进行针对性培训和检查,有助于提高医护人员院感知识和工作合格率,从而降低高危儿童医院感染率。OBJECTIVE To explore the effect of nursing project on hospitalized children at high risk of nosocomial infections.METHODS Totally 702 children who were treated with the nursing project form Aug 2015 to Feb 2017 were assigned as the implementation phase,while 610 children who were not treated with the nursing project were set as the non-implementation phase.A project intervention group was established,the causes of the nosocomial infections were analyzed,the project intervention activities were conducted through targeted training and inspection.The incidence of nosocomial infections was statistically analyzed before and after the intervention,the qualified rates of cleaning and disinfection of diagnosis and treatment areas,cleaning and disinfection of diagnosis and treatment equipments,environmental cleanliness of diagnosis and treatment areas,cleanliness of cleaning and disinfection areas and daily regular ventilation were also statistically analyzed;the hand hygiene compliance,awareness rate of hand hygiene knowledge and awareness rate of nosocomial infection knowledge of health care workers and qualified rate of spot check of environmental hygiene were observed.RESULTS The incidence rate of nosocomial infections was 3.57%in the high-risk children before the nursing project was carried out,0.66% after the nursing project was carried out（P 0.05）.The hand hygiene compliance,awareness rate of hand hygiene knowledge,awareness rate of nosocomial infection knowledge of the health care workers and the qualified rates of spot check of environmental hygiene,cleaning and disinfection of diagnosis and treatment areas,cleaning and disinfection of diagnosis and treatment equipments,cleanliness of cleaning and disinfection areas and daily regular ventilation were significantly improved after the nursing project was carried out（P〈0.05）.CONCLUSION The targeted training and examination are conducted through the nursing project,which may help to raise the awareness rate of nosocomial infection knowledge of the health ca

关 键 词：专案 医院感染 高危 儿童 

分 类 号：R181.3[医药卫生—流行病学]