袋鼠式护理对新生儿重症监护病房医院感染的影响  

Effect of Kangroo-style nursing on prevention and control of nosocomial infection in neonatal intensive care unit

作　　者：钱晶京[1] 姚希[1] 任军红[2] 蒙景雯[3] 杜雪燕 李六亿[1] QIAN Jing-jing;YAO Xi;REN Jun-hong;MENG Jing-wen;DU Xue-yan;Li Liu-yi(Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院感染管理与疾病预防控制处,北京100034 [2]北京大学第一医院医务处,北京100034 [3]北京大学第一医院儿科,北京100034

出　　处：《中华医院感染学杂志》2020年第22期3503-3506,共4页Chinese Journal of Nosocomiology

摘　　要：目的研究实施规范感染防控的袋鼠式护理(KMC)对新生儿重症监护病房(NICU)医院感染的影响。方法选择入住北京大学第一医院NICU>48 h的新生儿,2014-2015年实施KMC前收治的新生儿为对照组,2018-2019年实施规范感染防控的KMC后收治的新生儿为干预组,比较两组NICU医院感染发生情况,评价规范感染防控的KMC对医院感染发生的影响。结果干预组共实施规范感染防控KMC 235例,实施率28.31%,共实施KMC 1 233例次,平均每次实施时长1.5 h。干预组收治新生儿较对照组收治新生儿出生胎龄更小、出生体质量更轻,差异均有统计学意义(P<0.001)。干预组有创呼吸机使用率和中心静脉置管率较对照组提升,差异均有统计学意义(P<0.001)。干预组医院感染率7.47%(62/830),对照组医院感染率7.89%(73/925),比较无统计学差异。Logistic回归模型分析显示,在控制干预组和对照组其他影响因素的同时,规范感染防控的KMC是发生医院感染的保护性因素(P<0.05)。结论规范感染防控的KMC是发生医院感染的保护性因素,可以降低医院感染的发生风险。OBJECTIVE To study the impact of implementing standardized infection prevention and control of kangaroo mother care(KMC) on nosocomial infections in the neonatal intensive care unit(NICU).METHODS Newborns who were admitted to the NICU of Peking University Hospital for more than 48 hours were selected. The newborns admitted before the implementation of KMC in 2014-2015 were selected as the control group, and the newborns admitted after the implementation of standardized infection control of KMC in 2018-2019 were selected as the intervention group. The incidence of nosocomial infection between the two groups were compared, and the impact of KMC, which regulated infection prevention and control, on the incidence of nosocomial infection was evaluated. RESULTS A total of 235 cases in the intervention group were implemented with the KMC-style standardized infection prevention and control, with an implementation rate of 28.31%. A total of 1233 cases KMC were implemented, with an average duration of 1.5 hours. The newborns admitted in the intervention group had a younger gestational age and lighter birth weight than those in the control group, and the differences were significant(P<0.001). The utilization rate of invasive ventilator and central venous catheterization in the intervention group were higher than those in the control group, and the difference was statistically significant(P<0.001). The incidence of nosocomial infection in the intervention group was 7.47%(62/830), the nosocomial infection rate in the control group was 7.89%(73/925), and there were no significantly difference. Logistic regression model analysis showed that while controlling other influencing factors in the intervention group and the control group, KMC, which regulated infection prevention and control, was a protective factor for nosocomial infection(P<0.05). CONCLUSION KMC that regulated infection prevention and control was a protective factor for the occurrence of nosocomial infection and could reduce the risk of nosocomial infection.

关 键 词：医院感染防控 新生儿 袋鼠式护理 

分 类 号：R772.1[医药卫生—眼科]