医院重症监护室院内感染风险因素及干预效果分析  

Analysis of Risk Factors and Intervention Effects of Nosocomial Infection in Hospital Intensive Care Unit

作　　者：马丹凤 周庆[1] 谢波[1] 钟玉英[1] 戴卫华[1] MA Dan-feng;ZHOU Qing;XIE Bo;ZHONG Yu-ying;DAI Wei-hua(Huzhou Central Hospital/Affiliated Central Hospital of Huzhou Teachers College)

机构地区：[1]湖州市中心医院/湖州师范学院附属中心医院

出　　处：《医院管理论坛》2021年第4期61-64,共4页Hospital Management Forum

摘　　要：目的研究医院重症监护室(ICU)院内感染相关因素及干预措施效果。方法选取2018年1月至2019年1月在医院ICU治疗的2154位患者纳入研究组,分析导致院内感染出现的危险因素。并选取2019年2月至2019年12月在ICU治疗的2177位患者纳入干预组,按照风险管控措施进行干预。比较两组患者机械通气时间、ICU入住时间、住院时间及护理满意度。结果研究发现,侵入性操作、ICU住院时间≥2周、机械通气时间≥1周及抗菌药物联用是ICU患者出现院内感染的危险因素;干预组院内感染率及例次感染率低于研究组,机械通气时间、ICU入住时间、住院时间短于研究组,干预组患者及家属护理满意度高于研究组(p<0.05)。结论侵入性操作、抗菌药物联用等与发生院内感染有关,对ICU患者进行风险管理干预可降低院内感染率,缩短患者机械通气时间,提高患者及家属满意度。Objective To study the related factors of nosocomial infection in the intensive care unit(ICU)of a hospital and the effect of intervention measures.Methods A total of 2154 patients who were treated in the hospital ICU from January 2018 to January 2019 were included in the study group to analyze the risk factors leading to the emergence of nosocomial infections.Another 2177 patients who were treated in the ICU from February 2019 to December 2019 were included in the intervention group,and got intervention in accordance with risk control measures.The mechanical ventilation time,ICU stay time,hospitalization time and nursing satisfaction were compared between the two groups.Results The study found that invasive procedures,ICU hospital stay≥2 weeks,mechanical ventilation time≥1 week,and combination of antibacterial drugs were risk factors for nosocomial infections in ICU patients.The rate of nosocomial infections and cases of infection in the intervention group were lower than those in the study group.Mechanical ventilation time,ICU stay time,and hospitalization time of the intervention group were shorter than those in the study group,and the nursing satisfaction of patients and their families in the intervention group was higher than that in the study group(p<0.05).Conclusion Invasive procedures and combination of antibacterial drugs are related to the occurrence of nosocomial infections.Risk management interventions for ICU patients can reduce the rate of nosocomial infections,shorten the time of mechanical ventilation,and improve the satisfaction of patients and their families.

关 键 词：重症监护室 院内感染 危险因素 过程管理 干预效果 

分 类 号：R197.3[医药卫生—卫生事业管理]