风险预警制度对住院内科患者医疗相关感染的控制效果  

Control Effect of Risk Warning System on Medical Related Infection of Inpatients with Internal Medicine

作　　者：熊之潔 邱永洁 张炜[1] 徐耘[1] XIONG Zhi-jie(West China Hospital of Sichuan University,Chengdu,P.R.China)

机构地区：[1]四川大学华西医院,四川成都610041 [2]成都上锦南府医院

出　　处：《中国卫生事业管理》2019年第8期576-578,626,共4页Chinese Health Service Management

基　　金：四川省科技厅支撑计划项目“新医改背景下公立医院公益性回归路径及补偿机制的集对分析系统研究”(2017ZR0058)

摘　　要：目的:研究探讨风险预警制度对住院内科患者医疗相关感染的控制效果。方法:随机选取2018年1月~7月住院内科患者400例为研究对象,设置为对照组、观察组,对照组实施常规医疗相关感染管理,观察组在医疗相关感染管理中应用风险预警制度,比较两组患者的医疗相关感染发生率、血清炎症因子指标、不良情绪评分、满意度,并比较医护人员的预警意识合格率、医疗相关感染知识知晓率、手卫生依从性、环境卫生学监测手卫生菌落数。结果:(1)观察组的医疗相关感染总发生率低于对照组,其入院后第3d、第7d的C反应蛋白(CRP)、白细胞介素-6(IL-6)、降钙素原(PCT)均低于对照组,其干预后的各项不良情绪评分均低于对照组,其总满意率高于对照组。(2)观察组医护人员的预警意识合格率、医疗相关感染知识知晓率、手卫生依从性均高于对照组,其手部菌落数少于对照组。结论:在住院内科患者医疗相关感染管理中实施风险预警制度,可有效提高医护人员的预警意识、医疗相关感染知识掌握度、手卫生依从性,有利于减少患者医疗相关感染的发生,使患者感到更加满意。Objective To study the control effect of risk warning system on medical related infection in inpatients.Methods 400 inpatients from July to December 2017 and January to June 2018 were divided into three groups:control group,observation group and control group.The control group was administered with routine medical infection management,and the observation group was treated with risk warning system in the management of medically related infection.The incidence rate of medical-relat-ed infection,the index of serum inflammatory factor,the score of bad emotion,the satisfaction degree,the qualified rate of early warning consciousness,the knowledge of medical-related infection,the compliance of hand hygiene were compared between the two groups.Environmental hygiene monitors the number of sanitary hand colonies.Results(1)The total incidence of medical-related infection in the observation group was lower than that in the control group.The C-reactive protein(CRP),interleukin 6(IL-6)was detected on the 3rd and 7th day after admission.The(PCT)of procalcitonin was lower than that of the control group,and the scores of adverse emotion after intervention were lower than those of the control group,and the total satisfaction rate was higher than that of the control group.(2)The qualification rate of early warning consciousness,the awareness rate of knowl-edge about medical infection and the compliance of hand hygiene in the observation group were higher than those in the control group,and the number of hand colonies in the observation group was lower than that in the control group.Conclusion The imple mentation of risk warning system in the management of medical related infection of inpatients can effectively improve the awareness of early warning,the degree of knowledge of medical infection,and the compliance of hand hygiene.It is helpful to reduce the incidence of medical infection and make patients more satisfied.

关 键 词：住院部 内科 医疗相关感染 医院管理 风险预警制度 

分 类 号：R51[医药卫生—内科学]