根因分析法在长期住院老年带管患者院内感染管理中的应用  

Application of Root Cause Analysis in the Management of Nosocomial Infections in Elderly Patients with Catheter

作　　者：黄惠丽 HUANG Huili(Infection Prevention and Control Department,Kaifeng Central Hospital,Kaifeng 475000,China)

机构地区：[1]开封市中心医院感染防控科,河南开封475000

出　　处：《河南医学研究》2021年第25期4729-4732,共4页Henan Medical Research

摘　　要：目的探讨根因分析法在老年带管患者院内感染管理中的应用效果。方法选取2019年4月至2020年7月开封市中心医院收治的92例需长期住院的老年带管患者,按照随机数字表法分为两组。对照组接受常规院内感染管理,研究组在对照组基础上引入根因分析法,均管理1个月。比较管理前后两组患者对院内感染防控的认知情况、管理期间对院内感染防控的配合度、院内感染发生情况及对管理模式的满意度。结果管理后两组患者对院内感染的危险因素、征兆、危害、防控技巧健康知识的认知得分均较管理前上升(P<0.05),且研究组认知得分高于对照组(P<0.05);管理期间两组对院内感染防控的配合度、对管理模式的满意度比较,差异有统计学意义(P<0.05);研究组优良率、总满意率均高于对照组(P<0.05);研究组导管相关性血流感染、院内感染发生率均低于对照组(P<0.05)。结论应用根因分析法可以改善长期住院老年带管患者的健康知识认知情况,减少院内感染的发生,提高患者满意度和配合度。Objective To explore the application effects of root cause analysis in the management of nosocomial infection in elderly patients with catheter.Methods A total of 92 elderly patients with catheter who need long-term hospitalization in Kaifeng Central Hospital from April 2019 to July 2020 were selected and divided into two groups according to the random number table.The control group accepted routine management of nosocomial infection,and the study group accepted root cause analysis method on the basis of the control group,all patients were managed for one month.The cognition of nosocomial infection prevention and control before and after management,the cooperation degree of nosocomial infection prevention and control during management,the occurrence of nosocomial infection and the satisfaction with the management mode were compared between the two groups.Results After management,the scores of risk factors,symptoms,hazards,prevention and control skills and health knowledge of the two groups were higher than those of before management(P<0.05),and the scores of health knowledge cognition of the study group were higher than those of the control group(P<0.05).There were significant differences in the distribution of the degree of cooperation in the prevention and control of nosocomial infection and the distribution of satisfaction with the management mode between the two groups(P<0.05).The excellent and good rate and the total satisfaction rate of the study group were higher than those of the control group(P<0.05).The incidence of catheter-related bloodstream infection and nosocomial infection of the study group were lower than those of the control group(P<0.05).Conclusion The application of root cause analysis can improve the health knowledge cognition of long-term hospitalized elderly patients with tube,improve the degree of cooperation and satisfaction and reduce nosocomial infection.

关 键 词：根因分析法 老年患者 带管 院内感染 管理 

分 类 号：R473.5[医药卫生—护理学]