基于5M1E分析法的护理管理模式对ICU患者多重耐药菌院内感染的影响  

Effect of nursing management model based on 5M1E analysis on nosocomial infection of ICU patients with multidrug-resistant bacteria

作　　者：王旭霞 张海娇 田弢[1] 雒静静 屈辉 董新寨[2] 权利[3] 田芳英[1] Wang Xuxia;Zhang Haijiao;Tian Tao;Luo Jingjing;Qu Hui;Dong Xinzhai;Quan Li;Tian Fangying(Infection Management Department,Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Nursing Department,Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Mental Health,Second Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第二医院医院感染管理科,太原030001 [2]山西医科大学第二医院护理部,太原030001 [3]山西医科大学第二医院精神卫生科,太原030001

出　　处：《中华现代护理杂志》2021年第29期3990-3993,共4页Chinese Journal of Modern Nursing

基　　金：山西省软科学研究一般项目(2017041037-2)。

摘　　要：目的探讨基于5M1E分析法的护理管理模式在ICU多重耐药菌(MDRO)院内感染中的应用效果。方法采用便利抽样法,选取2019年1月—2020年12月入住山西医科大学第二医院的ICU患者为研究对象。将2019年1—12月入院的患者作为对照组(n=1224),实施常规护理管理。将2020年1—12月入院的患者作为观察组(n=1134),实施基于5M1E分析法的护理管理模式。比较两组患者抗菌药物使用率、抗菌药物使用强度、新发MDRO每千住院日分离量、ICU住院时间、总住院时间、治疗费用的差异。结果观察组患者抗菌药物使用率、抗菌药物使用强度、新发MDRO每千住院日分离量均低于对照组,差异有统计学意义(P<0.01)。观察组患者ICU住院时间、总住院时间、治疗费用均少于对照组,差异有统计学意义(P<0.01)。结论基于5M1E分析法的护理管理模式可降低ICU患者抗菌药物使用率、抗菌药物使用强度、新发MDRO每千住院日分离量,缩短ICU住院时间、总住院时间,减少治疗费用,值得临床推广使用。Objective To explore the effect of nursing management model based on the man,machine,material,method,measurement and environment(5M1E)analysis on nosocomial infection of multidrug-resistant organism(MDRO)in Intensive Care Unit(ICU).Methods From January 2019 to December 2020,convenience sampling was used to select ICU patients in the Second Hospital of Shanxi Medical University as the research objects.Patients admitted to the hospital from January to December 2019 were taken as the control group(n=1224)to implement routine nursing management.Patients admitted to the hospital from January to December 2020 were taken as the observation group(n=1134),and the nursing management model based on 5M1E analysis was implemented.The differences in the use rate of antibacterial drugs,the intensity of antibacterial drug use,the separation amount of newly MDRO per thousand hospitalization days,the length of ICU stay,the total length of stay,and the cost of treatment were compared between the two groups.Results The use rate of antibacterial drugs,the intensity of antibacterial drug use,and the separation amount of newly MDRO per thousand hospitalization days in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.01).The length of ICU stay,total length of stay,and treatment costs of the observation group were less than those of the control group,and the differences were statistically significant(P<0.01).Conclusions The nursing management model based on the 5M1E analysis can reduce the use rate of antibacterial drugs in ICU patients,the intensity of antibacterial drug use,the separation amount of newly MDRO per thousand hospitalization days,shorten the length of ICU stay,total length of stay,and reduce treatment costs,which is worthy of clinical promotion.

关 键 词：重症监护病房 5MIE分析法 多重耐药菌 院内感染 

分 类 号：R473[医药卫生—护理学]