基于SHEL模式的医院感染管理在消化内镜中心的应用  

Study on nosocomial infection management of Digestive Endoscopy Center based on SHEL model

作　　者：黎丽[1] 闵悦 白东梅[2] 周彬 单淑娟 LI Li;MIN Yue;BAI Dongmei;ZHOU Bin;SHAN Shujuan(Nursing Department,The Second Hospital of Jilin University,Changchun,130041,China)

机构地区：[1]吉林大学第二医院护理部,长春市130041 [2]吉林大学第二医院胃肠内科及消化内镜中心,长春市130041 [3]国家卫生健康委医院管理研究所医疗服务与安全研究部 [4]国家卫生健康委医院管理研究所区域发展研究室

出　　处：《中国护理管理》2022年第2期286-290,共5页Chinese Nursing Management

基　　金：吉林省科技发展计划项目(20200901012SF)。

摘　　要：目的:探讨基于SHEL模式的医院感染管理在消化内镜中心的应用效果。方法:采用目的抽样法,选取吉林省某三级甲等医院消化内镜中心85名工作人员进行前后对照,2020年4月—12月为对照阶段,实施常规医院感染管理;2021年1月—9月为干预阶段,从SHEL模式的软件、硬件、临床环境、当事人及他人因素4方面开展医院感染管理问题的识别、分析与处理。比较两阶段医院感染管理质量指标和患者满意度情况。结果:两阶段患者与内镜诊疗操作相关医院感染事件发生频次均为0;干预阶段工作人员职业暴露发生频次(2例次)较对照阶段(4例次)减少50%;工作人员培训参与率、职业防护合格率、手卫生依从率、内镜清洗消毒合格率、环境物体表面清洁消毒落实率、监测管理落实率等质量指标和患者满意度等指标,干预阶段均高于对照阶段,差异均具有统计学意义(P<0.05)。结论:基于SHEL模式进行医院感染管理,能够有效提升消化内镜中心医院感染管理质量,保障医患安全,同时改善患者就医感受,值得临床推广应用。Objective:To explore the effects of the implementation of hospital infection management at digestive endoscopy center based on SHEL model.Methods:The purpose sampling method was adopted.Totally 85 staff members from Digestive Endoscopy Center of a tertiary grade A hospital in Jilin Province were included.The period from April 2020 to December 2020 was the control stage.The period from January 2021 to September 2021 was the intervention stage.We carried out the identification,analysis and treatment of nosocomial infection management issues in the department from the aspects of software,hardware,environment,liveware(SHEL mode).Nosocomial infection management quality index and patient satisfaction were compared between the two stages.Results:There were no nosocomial infection event related to endoscopic treatment in both stages.The frequency of occupational exposure in the intervention stage was 50%lower than that in the control stage.The quality indexes of staff training participation rate,occupational protection qualified rate,hand hygiene compliance rate,endoscope cleaning and disinfection qualified rate,environmental surface cleaning and disinfection rate,supervision and management rate and patient satisfaction in the intervention stage were significantly improved compared with the control stage(P<0.05).Conclusion:Nosocomial infection management based on SHEL model can effectively enhance the quality of hospital infection management in Digestive Endoscopy Center.It is worthy of clinical application to promote the safety of medical staff and patients and improve patients'medical experience.

关 键 词：消化内镜中心 SHEL模式 医院感染管理 疫情防控 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]