集束化护理管理在艾滋病合并肺结核病人纤维支气管镜诊疗感染控制中的应用  

Application of cluster nursing management in infection control of bronchoscopy among patients with AIDS complicated with pulmonary tuberculosis

作　　者：陈伟梅[1] 石义容 苗琪琪 吴宝红[1] 李莎茜[1] 翁丹英 陈慧雯[1] 徐六妹[1] 程林[1] CHEN Weimei;SHI Yirong;MIAO Qiqi;WU Baohong;LI Shaxi;WENG Danying;CHEN Huiwen;XU Liumei;CHENG Lin(The Third People′s Hospital of Shenzhen,Guangdong 518112 China)

机构地区：[1]深圳市第三人民医院

出　　处：《循证护理》2019年第5期400-403,共4页Chinese Evidence-Based Nursing

基　　金：深圳市科技计划项目;编号:JCYJ20180228162229889;深圳市"医疗卫生三名工程"引进高层次医学团队项目;编号:SZSM201512029

摘　　要：[目的]探讨集束化护理管理在艾滋病合并肺结核病人纤维支气管镜诊疗感染控制中的应用效果。[方法]选取2016年8月—2017年7月行纤维支气管镜诊疗的病人108例为对照组,2017年8月—2018年7月行纤维支气管镜诊疗的病人113例为观察组。对照组实施常规护理管理,观察组在常规护理管理的基础上实施感染控制临床护理路径、个性化心理干预、加强督导检查、加强学习培训考核、加强宣传教育等集束化护理管理。比较两组环境学监测指标合格率、操作时间、医院感染发生率。[结果]观察组环境学监测指标合格率高于对照组,操作时间[(6.01±1.52)min]短于对照组[(9.65±2.32)min],医院感染发生率(0.35%)低于对照组(6.48%),差异均有统计学意义(P<0.05)。[结论]在艾滋病合并肺结核病人纤维支气管镜诊疗常规护理上应用集束化护理管理能提高环境学监测指标合格率,缩短操作时间,降低医院感染发生率。Objective:To investigate the effect of cluster nursing management on infection control of bronchoscopy in patients with AIDS complicated with pulmonary tuberculosis.Methods:A total of 108 patients who underwent fiberoptic bronchoscopy from August 2016 to July 2017 were selected as the control group.From August 2017 to July 2018,113 patients who underwent fiberoptic bronchoscopy were included in the observation group.The control group implemented routine nursing management.The observation group implemented the infection nursing clinical nursing path,personalized psychological intervention,strengthening supervision and inspection,strengthening study and training assessment,strengthening publicity and education and other grouped nursing management on the basis of routine nursing management.The eligibility rate of environmental monitoring indicators,operation time and incidence of nosocomial infection were compared between the two groups.Results:The qualified rate of environmental monitoring indicators in the observation group was higher than that in the control group.The operation time of the observation group[(6.01±1.52)min]was shorter than that of the control group[(9.65±2.32)min].The incidence of nosocomial infection(0.35%)was lower than that of the control group(6.48%),and these differences were all statistically significant(P<0.05).Conclusion:The application of cluster nursing management in the diagnosis and treatment of AIDS concomitant tuberculosis patients with bronchoscopy could improve the qualified rate of environmental monitoring indicators,shorten the operation time and reduce the incidence of nosocomial infection.

关 键 词：集束化护理 艾滋病 肺结核 纤维支气管镜 感染 

分 类 号：R473.75[医药卫生—护理学]