护理主导多部门协作管理提升血培养标本质量的效果研究  

Effects of the nursing-led multi-department management on the quality of blood culture specimens

作　　者：王霞[1] 宋葵[1] 吴欣欣 封艳超 聂圣肖[1] 邹琪[3] 蔡虻[3] WANG Xia;SONG Kui;WU Xinxin;FENG Yanchao;NIE Shengxiao;ZOU Qi;CAI Meng(Nursing Department,Beijing Hospital,Beijing,100730,China)

机构地区：[1]北京医院护理部国家老年医学中心中国医学科学院老年医学研究院,北京市100730 [2]北京医院E03病房国家老年医学中心中国医学科学院老年医学研究院,北京市100730 [3]北京医院医院感染管理处/疾病预防控制处国家老年医学中心中国医学科学院老年医学研究院,北京市100730

出　　处：《中国护理管理》2024年第1期9-13,共5页Chinese Nursing Management

基　　金：北京医院培育专项(BJ-2023-134)。

摘　　要：目的 :评价护理主导的多部门协作管理模式对血培养标本质量提升的效果,为护理临床实践和质量改进提供参考。方法 :成立护理主导多部门协作管理团队,开展质量改进,比较措施实施前后血培养标本送检率、合格率、污染率,以及护士血培养知识、态度、行为的变化。结果 :2023年5月—6月血培养标本送检率、送检方式为双瓶双侧的比例分别为19.1%、61.3%,高于2022年同期的4.7%、35.6%,差异有统计学意义(P<0.05);2023年5月—6月和2022年同期污染率分别为2.9%和3.8%,呈下降趋势;2023年护士血培养相关知识、态度、行为得分分别为(12.69±2.81)、(5.89±0.44)、(36.73±3.40)分,高于2018年的(7.89±2.79)、(5.82±0.52)、(30.81±4.35)分,差异有统计学意义(P<0.05)。结论 :护理主导多部门协作管理模式下的质量改进策略,提高了血培养标本送检率和合格率,降低了血培养标本污染率,提高了护士血培养的知识、态度、行为水平,体现了护士在院感防控工作中的价值。Objective:To explore the effects of the nurse-led multi-department management on the quality of blood culture specimens to provide reference for clinical nursing practice and quality improvement.Methods:A nurse-led multi-department management team was established to carry out quality improvement.The blood culture sample inspection rate,qualification rate,contamination rate,and the changes of nursing staff's knowledge and practice of blood culture before and after the implementation of the measures were compared.Results:The blood culture submission rate and the qualified rate of May and June 2023 were 19.1%and 61.3%,respectively,which were higher than 4.7%and 35.6%in 2022,with statistical significance(P<0.05).The pollution rate in 2023 and 2022 was 2.9%and 3.8%,respectively,showing a decreasing trend.The scores of nurses'knowledge and behavior related to blood culture in 2023 were 12.69±2.81,5.89±0.44 and 36.73±3.40,respectively,which were significantly higher than those in 2018(7.89±2.79,5.82±0.52,30.81±4.35),with statistical significance(P<0.05).Conclusion:The quality improvement strategy carried out by the nurse-led multi-department management can improve the rate of blood culture submission and qualification,reduce blood culture contamination,improve nurses'knowledge and practice,demonstrating the significant roles of nursing staff in the prevention and control of hospital infection.

关 键 词：血培养 多部门协作 护理管理 医院感染与控制 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]