目标管理理论在医养结合医院院内感染防控中的应用  

Application of goal management theory in the prevention and control of nosocomial infections in hospital integrating medical and rehabilitation care

作　　者：邓山红 李怀英[2] DENG Shanhong;LI Huaiying(Hospital Administration,Rehabilitation Hospital for Honorably Discharged Veterans,Guangxi Zhuang Autonomous Region,Liuzhou545005,China;Department of Nursing,the First Affiliated Hospital of Guangxi University of Science and Technology,Guangxi Zhuang Autonomous Region,Liuzhou545002,China)

机构地区：[1]广西壮族自治区荣誉军人康复医院院部,广西柳州545005 [2]广西科技大学第一附属医院护理部,广西柳州545002

出　　处：《中国当代医药》2024年第16期145-149,共5页China Modern Medicine

摘　　要：目的评价目标管理理论在康复专科医院院内感染防控中的应用效果。方法选取2021年1月至2022年12月在广西壮族自治区荣誉军人康复医院入住的康养患者作为研究对象,2021年1月1日至12月31日的402例患者为对照组,接受常规护理,2022年1月1日至12月31日的427例患者为干预组,在对照组基础上,按目标管理理论,设定目标及实施针对性的干预措施。比较两组医护人员手卫生依从性、环境卫生监测合格率和院内感染的发生率。结果干预组护士手卫生依从率为88.54%,高于对照组(69.79%),差异有统计学意义(P<0.01);干预组环境卫生监测合格率为96.87%,高于对照组(82.29%),差异有统计学意义(P<0.01);干预组患者院内感染的发生率为5.39%,低于对照组(10.94%),差异有统计学意义(P<0.05)。结论将目标管理理论应用于康复机构住院患者院内感染防控,可以有效控制院内感染的发生,值得临床推广应用。Objective To evaluate the application effect of goal management theory in prevention and control of nosocomial infection in rehabilitation hospital.Methods Convalescent patients admitted to the Rehabilitation Hospital for Honorably Discharged Veterans from January 2021 to December 2022 were selected as the study objects,402 patients from January 1 to December 31,2021 were selected as the control group and received routine care,and 427 patients from January 1 to December 31,2022 were selected as the intervention group,and set goals and implement targeted intervention measures on the basis of the control group according to the goal management theory.The hand hygiene compliance,the qualified rate of environmental hygiene monitoring and the incidence of nosocomial infection were compared between the two groups.Results The compliance rate of nurses in the intervention group was 88.54%,higher than that in the control group(69.79%),the difference was statistically significant(P<0.01).The qualified rate of environmental health monitoring in the intervention group was 96.87%,higher than that in the control group(82.29%),and the difference was statistically significant(P<0.01).The incidence of nosocomial infection in the intervention group was 5.39%,which was lower than that in the control group(10.94%),the difference was statistically significant(P<0.05).Conclusion Applying the goal management theory to the prevention and control of nosocomial infection of inpatients in rehabilitation institutions can effectively control the occurrence of nosocomial infection,and is worthy of clinical application.

关 键 词：目标管理理论 康复专科医院 康复治疗 院内感染防控 

分 类 号：R197.32[医药卫生—卫生事业管理]