行动研究法在新生儿科医院感染防控中的应用  

Application of action research method in infection prevention and control in neonatology hospital

作　　者：肖礼花 肖艾青[1] 廖镇宇[1] 肖鹏飞[1] XIAO Lihua;XIAO Aiqing;LIAO Zhenyu;XIAO Pengfei(Hunan Children's Hospital,Changsha,410007,China)

机构地区：[1]湖南省儿童医院新生儿科,湖南省长沙市410007

出　　处：《护理实践与研究》2022年第17期2663-2668,共6页Nursing Practice and Research

摘　　要：目的探讨采用行动研究法制订护理干预方案在新生儿科医院感染防控中的应用效果。方法选取医院2019年1—12月新生儿科住院的新生儿1000例作为对照组,并选取医院2020年1—12月新生儿科住院的新生儿1000例作为观察组,对照组使用传统感染管理法管理,观察组采用行动研究法制订的干预方案管理,观察病房物品卫生达标情况;新生儿的感染情况及医护人员相关情况。结果实施基于行动研究法制订的干预方案后,观察组新生儿病房内空气、奶瓶与奶嘴、灭菌物品、消毒液及医护手卫生合格率高于对照组;观察组感染率低于对照组;观察组医护人员医院感染与手卫生知晓、手卫生依从、洗手正确、隔离患儿措施执行、医疗垃圾分类正确人数明显高于对照组,组间比较差异均有统计学意义(P<0.05)。结论基于行动研究法制订的干预方案在新生儿科医院感染防控中的应用效果较好,能降低医院感染率。Objective To explore the application effect of intervention program action research in the prevention and control of nosocomial infection in neonatology department.Methods A total of 1000 neonates hospitalized in the neonatology department of the hospital from January to December 2019 were selected as the control group,and 1000 neonates hospitalized in the neonatology department of the hospital from January to December 2020 were selected as the observation group.The control group was managed by the traditional infection management method,while the observation group was given the intervention plan action research method management.To observe the sanitary standards of ward articles,infection of newborns and related information of medical staff.Results After the implementation of the intervention program based on action research method,the qualifi ed rates of air,milk bottle and pacifi er,sterilized articles,disinfectant and medical hand hygiene in the neonatal ward of the observation group were higher than the control group.The infection rate of observation group was lower than the control group.The number of medical staff in the observation group were signifi cantly higher than the control group in terms of nosocomial infection and hand hygiene awareness,hand hygiene compliance,correct hand washing,implementation of measures to isolate children,and correct classifi cation of medical waste,the differences were statistically significant between groups(P<0.05).Conclusions The intervention program based on action research method had a good eff ect on infection prevention and control in neonatology hospital,reduce the hospital infection rate.

关 键 词：行动研究法 新生儿 病房 医院感染 防控 

分 类 号：R47[医药卫生—护理学]