基于全面风险管理模式的一体化干预在危重艾滋病患者救治中的实践  

Practice of integrated intervention based on comprehensive risk management model in the treatment of critical AIDS patients

作　　者：黄自群[1] 谢徽微 劳雪华 黄丽静[1] 黄添彩 廖钰珊[1] 吴海松 韦永孜[1] HUANG Ziqun;XIE Huiwei;LAO Xuehua;HUANG Lijing;HUANG Tiancai;LIAO Yushan;WU Haisong;WEI Yongzi(Department of Infectious Disease,Qinzhou First People′s Hospital,Qinzhou 535000,Guangxi,China)

机构地区：[1]钦州市第一人民医院感染科,广西钦州535000

出　　处：《中国性科学》2022年第9期139-142,共4页Chinese Journal of Human Sexuality

基　　金：钦州市科学研究与技术开发计划项目(201711701);广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016077)。

摘　　要：目的 探讨基于全面风险管理模式的一体化干预在危重艾滋病患者救治中的实践方法和效果。方法 选取2019年3月至10月钦州市第一人民医院收治的46例实施常规一体化干预的危重艾滋病患者和2019年11月至2020年4月收治的54例实施基于全面风险管理模式的一体化干预患者的诊治资料进行回顾性分析,分别记作A组、B组。对比两组干预前后空气、物品表面细菌学监测合格率与院内感染率,以及职业暴露情况和患方满意度。结果 干预后两组空气、物品表面细菌学监测合格率均高于干预前,且干预后B组空气、物品表面细菌学监测合格率均高于A组,B组院内感染率低于A组,差异具有统计学意义(P<0.05);两组职业暴露率比较,差异无统计学意义(P>0.05);两组患方满意度分布比较,差异具有统计学意义(P<0.05),B组患方总满意率高于A组,差异具有统计学意义(P<0.05)。结论 在危重艾滋病患者救治期间实施基于全面风险管理模式的一体化干预可提高细菌学监测合格率,降低院内感染率,提高患方满意度。Objective To explore the practical methods and effects of integrated intervention based on comprehensive risk management model in the treatment of critical acquired immunodeficiency syndrome(AIDS) patients.Methods The data of 46 critical AIDS patients who received routine integrated intervention from March to October 2019 and 54 patients who received integrated intervention based on comprehensive risk management mode from November 2019 to April 2020 in Qinzhou First People′s Hospital were analyzed retrospectively,and recorded as group A and group B.The qualified rates of bacteriological monitoring on the air and the surface of articles before and after intervention,the rates of nosocomial infection,occupational exposure and patient satisfaction of the two groups were compared.Results The qualified rates of bacteriological monitoring of air and object surface in the two groups after intervention were higher than those before intervention,and after intervention,the qualified rate of bacteriological monitoring of air and surface of articles in group B were higher than those in group A,and the nosocomial infection rate in group B was lower than that in group A,with statistically significant differences(P0.05).There was a significant difference in the patient satisfaction between the two groups(P<0.05),and the total satisfaction rate of group B was higher than group A,with a statistically significant difference(P<0.05).Conclusions During the treatment of critical AIDS patients,the integrated intervention based on the comprehensive risk management mode can improve the qualified rate of bacteriological monitoring,reduce the nosocomial infection rate,and improve the satisfaction of patients.

关 键 词：风险管理 一体化干预 危重病 艾滋病 

分 类 号：R759[医药卫生—皮肤病学与性病学]