风险视角下的清单式管理及闭环管理在烧伤病房多药耐药菌感染预防中的应用  

Application of checklist management combined with closed-loop management in the prevention of multidrug-resistant organisms infection in burn wards from the perspective of risk

作　　者：王娅 刘敏 刘德蜜 杜丽萍 赵金楠 姚志慧 WANG Ya;LIU Min;LIU De-mi;DU Li-ping;ZHAO Jin-nan;YAO Zhi-hui(Hospital,Joint Logistic Support Force,Chinese People's Liberation Army,Kaiyuan,Yunnan 661699,China)

机构地区：[1]中国人民解放军联勤保障部队第九二六医院烧伤整形科,云南开远661699

出　　处：《中华医院感染学杂志》2024年第20期3084-3087,共4页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金地区基金资助项目(81860338);云南省科技厅基础研究专项基金资助项目(202401AT070153)。

摘　　要：目的探讨烧伤病房多药耐药菌(MDROs)感染预防中应用风险视角下的清单式管理结合闭环管理的价值。方法选取2020年5月-2023年5月解放军第926医院收治的烧伤患者共计84例,根据随机数字表法分成干预组(n=42)和对照组(n=42),对照组采用常规管理,干预组采用风险视角下的清单式管理结合闭环管理,比较两组MDROs感染发生率、生活质量及患者满意度。结果干预组MDROs感染发生率(9.52%)低于对照组(28.57%)(P<0.05);管理后两组生活质量综合评定问卷-74(GQOL-74)评分提高(P<0.05),干预组评分较对照组更高(P<0.05);干预组管理满意度较对照组更高(P<0.05)。结论烧伤病房中应用风险视角下的清单式管理结合闭环管理,能有效降低MDROs感染发生率,改善患者生活质量,提高患者满意度。OBJECTIVE To explore the value of applying inventory management combined with closed-loop management from the perspective of risk in the prevention of multidrug-resistant organisms(MDROs)infection in burn wards.METHOD A total of 84 burn patients who were admitted in the 926 Hospital of the PLA Joint Service Support Force from Jan.2020 to Jan.2022 were selected,and divided into the intervention group(n=42)and the control group(n=42)according to the method of randomized numerical table,the control group was given routine management,while the intervention group was managed by checklist management under the risk perspective in combination with the closed-loop management,and the incidence of MDROS infection,quality of life and patients'satisfaction were compared between the two groups.RESULTS The incidence of MDROs infection in the intervention group(9.52%)was lower than that of the control group(28.57%)(P<0.05).After management,the scores of Generic Quality Life Inventory-74(GQOL-74)in both groups were improved(P<0.05),and the scores of the intervention group were higher than that of the control group(P<0.05).The management satisfaction of the intervention group was higher than that of the control group(P<0.05).CONCLUSION The application of inventory management combined with closedloop management from the perspective of risk in burn wards can effectively reduce the incidence of MDROs infection,improve the quality of life of patients,and improve patient satisfaction.

关 键 词：多药耐药菌 烧伤病房 清单式管理 闭环管理 感染预防 

分 类 号：R378[医药卫生—病原生物学]