探讨医疗团队资源管理策略在医院感染管理中的应用价值  

Exploring the Application Value of Medical Team Resource Management Strategy in Hospital Infection Management

作　　者：陈玲玲[1] CHEN Lingling(Department of Infection Management,People's Hospital of Rudong County,Rudong,Jiangsu Province,226400 China)

机构地区：[1]如东县人民医院感染管理科,江苏如东226400

出　　处：《中国卫生产业》2022年第9期9-13,共5页China Health Industry

摘　　要：目的研究医院感染管理中应用医疗团队资源管理策略的效果。方法2020年3月江苏省如东县人民医院成立医疗团队资源管理(HTRM)工作团队,以HTRM理论为指导,于多个重点科室开展医院感染管理实践。按医疗团队资源管理策略是否实施为依据将2019年3月—2020年3月设为对照组(纳入11574例患者),2020年4月—2021年4月设为观察组(纳入12822例患者)。对照组开展常规管理策略(共354名医护人员),观察组开展医疗团队资源管理策略(共354名医护人员),对比两组实施前后医护人员手卫生依从情况、医院感染情况、手术部位感染情况、导管相关感染情况及抗菌药物合理使用情况。结果观察组医院感染发生率、手术部位感染率(2.11%、0.47%)均低于对照组(2.62%、1.22%),差异有统计学意义(P<0.05);观察组导尿管相关尿路感染率(0.11%)低于对照组(0.29%),差异有统计学意义(P<0.05);两组中心静脉置管相关血流感染、呼吸机相关肺部感染发生率比较,差异无统计学意义(P>0.05);与对照组比较,观察组抗菌药物使用率更低,术前0.5~1 h给药率及术后24 h停药率均更高,差异有统计学意义(P<0.05);医护人员手卫生依从率比较,实施前为97.85%,低于实施后98.70%,差异有统计学意义(P<0.05)。结论医院感染管理中应用医疗团队资源管理策略,可明显降低医院感染发生率,提高医护人员手卫生依从率,并促进抗菌药物合理使用。Objective To study the effect of applying medical team resource management strategy in nosocomial infection management.Methods In March 2020,Rudong County People's Hospital of Jiangsu Province established an HTRM working team,guided by Medical team resource management(HTRM)theory,to carry out nosocomial infection management practices in several key departments.According to whether the medical team resource management strategy was implemented or not,it was divided into control group(11574 patients included)from March 2019 to March 2020,and the observation group from April 2020 to April 2021(12822 patieents included).The control group carries out routine management strategy(354 medical staff in total),and the observation group carries out medical team resource management strategy(354 medical staff in total).The hand hygiene compliance,nosocomial infection,surgical site infection,catheter-related infection and rational use of antibiotics were compared between the two groups before and after implementation.Results The incidence of nosocomial infection and surgical site infection in the observation group(2.11%,0.47%)were lower than those in the control group(2.62%,1.22%),the difference was statistically significant(P<0.05).The rate of catheter-related urinary tract infection in the observation group(0.11%)was lower than that in the control group(0.29%),the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of central venous catheterization related blood flow infection and ventilator related pulmonary infection between the two groups(P>0.05).Compared with the control group,the use rate of antibiotics in the observation group was lower,the administration rate of 0.5-1 h before operation and the withdrawal rate of 24 h after operation were higher,the difference was statistically significant(P<0.05).The hand hygiene compliance rate of medical staff was 97.85%before implementation,which was lower than 98.70%after implementation,the difference was statisticall

关 键 词：医院感染 医疗团队资源管理策略 应用效果 手术部位感染 尿路感染 血流感染 

分 类 号：R19[医药卫生—卫生事业管理]