清单式管理在新型冠状病毒肺炎隔离病区感染防控中的应用  

Application of list management in infection prevention and control in COVID-19 isolation ward

作　　者：戴丽[1] 周海涛 周憧憧 张旺 王增香[1] 莎莉[3] DAI Li;ZHOU Hai-tao;ZHOU Chong-chong;ZHANG Wang;WANG Zeng-xiang;SHA Li(Department of Pediatric Dentistry,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing,Jiangsu 210008,China;不详)

机构地区：[1]南京大学医学院附属口腔医院,南京市口腔医院儿童口腔科,江苏南京210008 [2]徐州医科大学公共卫生学院,江苏徐州221004 [3]南京市第二医院护理部,江苏南京210000

出　　处：《中国临床研究》2022年第6期884-888,共5页Chinese Journal of Clinical Research

摘　　要：目的 探讨清单式管理体系在新型冠状病毒肺炎(新冠肺炎)医院感染防控中的实施效果。方法 选取2021年8月在南京市公共卫生中心隔离病房D1、D2、D4、D5四个病区的75名感控专职护理人员为研究对象,实施清单式管理前采用常规管理为对照组,清单式管理实施后为试验组。从院感督查管理、穿卸防护服合格率、手卫生依从性和正确率分析、环境监测与分析、发生职业暴露后的现场处置、感控工作完成的效率及满意度分析新冠肺炎感控清单式管理前后的实施效果。结果 实施清单式管理后,督查管理分数均有上升,试验组与对照组比较差异统计学意义(P<0.05)。实施清单式管理后,穿、脱防护服合格率分别达到了97.31%(1 121/1 152)和96.09%(1 107/1 152),D楼病区的医务人员均未发生院内感染现象。对照组工作完成时间为220 min,试验组工作完成时间为180 min,试验组在单位时间内完成工作的效率更快。试验组患者对感控专职人员工作的满意度更高,显著高于对照组(P<0.01)。结论 清单式管理模式,能够有效促进科室感控工作平稳有序开展,更好的满足新冠肺炎救治定点医院感染预防与控制工作要求。Objective To explore the implementation effect of list management system on infection prevention and control in novel coronavirus pneumonia(COVID-19) hospital. Methods Seventy-five professional nursing staffs in four isolation wards(D1, D2, D4, D5) of Nanjing Public Health Center in August 2021 were selected as the research objects for the implementation of list management. Routine management was used in control group, and list management was conducted in experimental group. The implementation effect of list management was evaluated based on the supervision and hospital management, qualified rate of wearing and taking off protective clothing, hand hygiene compliance and accuracy analysis, environmental monitoring and analysis, on-site disposal after occupational exposure and efficiency and satisfaction of infection control. Results The scales for supervision and management increased significantly in experimental group compared with those in control group(P<0.05). The qualified rates of wearing and taking off protective clothing reached 97.31%(1 121/1 152) and 96.09%(1 107/1 152) respectively, and there was no nosocomial infection among the medical staff in experimental group. The work efficiency(the time in completing the work per unit, 180 min vs 220 min) and satisfaction in experimental group were significantly higher than those in control group. Conclusion The list management mode on COVID-19 can effectively promote the stable and orderly operation and meet the requirements for the prevention and control of the infection in the COVID-19 designated hospital.

关 键 词：新型冠状病毒肺炎 COVID-19 感染防控 清单式管理 督查管理 手卫生 满意度 

分 类 号：R473[医药卫生—护理学]