多学科协作在提升医护高频接触物体表面清洁度中的应用  

Application of multidisciplinary team in improving the cleanliness of object surface frequently touched by doctors and nurses

作　　者：胡慧芳[1] 郭金凤[1] 孔立[1] 李玉森[1] 王娟[1] 刘宏[1] HU Hui-fang;GUO Jin-feng;KONG Li;LI Yu-sen;WANG Juan;LIU Hong(Affiliated Hospital of Jining Medical University,Jining 272000,China)

机构地区：[1]济宁医学院附属医院,山东济宁272000

出　　处：《中国感染控制杂志》2018年第4期351-354,共4页Chinese Journal of Infection Control

基　　金：济宁医学院附属医院"苗圃计划"科研课题(MP-2016-005)

摘　　要：目的通过多学科协作提升医护高频接触物体表面的清洁度。方法某院2015年第四季度医院感染专职人员开展基线调查(基线调查阶段),2016年第一季度医院感染管理办公室联合医务处、护理部开展多部门协作,共同干预(干预阶段),2016年第二季度、第三季度、第四季度为干预措施执行的效果评价阶段,比较不同阶段高频接触物体表面清洁度。结果基线调查时医疗组荧光标记的合格率为44.25%,护理组为61.61%,多部门联合干预后,医疗组荧光标记的合格率提升至89.83%,护理组荧光标记的合格率提升至87.50%,差异均有统计学意义(均P<0.05)。基线调查阶段医院感染发病率为1.22%,实施干预后效果评价3阶段医院感染发病率为1.02%,差异有统计学意义(P<0.05)。结论多学科协作能有效整合医院管理资源,使医务处、护理部充分发挥各自的职能,有效提升医护高频接触物体表面的清洁度。Objective To improve the cleanliness of object surface frequently touched by doctors and nurses through collaboration of multidisciplinary team(MDT).Methods In the fourth quarter of 2015,a baseline survey was performed by healthcare-associated infection(HAI)management professionals in a hospital(baseline survey stage),in the first quarter of 2016,HAI management office combined with medical affairs office and nursing department to carry out collaboration of MDT intervention(intervention stage).The second,third,and fourth quarters of 2016 were evaluation stages for efficacy of implementation of intervention measures,cleanliness of frequently touched object surface at different stages was compared.Results In the baseline survey,the qualified rates of fluorescent labeling in doctor group and nurse group were 44.25%and 61.61%respectively,after MDT joint intervention,the qualified rates of fluorescence labeling in doctor group and nurse group increased to 89.83%and 87.50%respectively,difference was statistically significant(both P<0.05).The incidence of HAI in baseline survey stage was 1.22%,at stage three of post-intervention,incidence of HAI was 1.02%,difference was statistically significant(P<0.05).Conclusion MDT can effectively integrate hospital management resources,make medical affairs office and nursing department give full play to their respective function,and effectively enhance the cleanliness of frequently touched object surface during medical care.

关 键 词：多学科协作 医生 护士 高频接触物体表面 清洁度 

分 类 号：R197.233.4[医药卫生—卫生事业管理]