综合干预措施在某三甲医院感染管理中的应用  

Application of comprehensive interventions in infection management in a tertiary care hospital

作　　者：邱月秀 黄红玉 周明霞 蔡磊 QIU Yue-xiu;HUANG Hong-yu;ZHOU Ming-xia;CAI Lei(Department of Infection Management,Wuxi 9th People's Hospital,Jiangsu214062,China)

机构地区：[1]无锡市第九人民医院医院感染管理科,江苏214062

出　　处：《预防医学论坛》2024年第11期825-829,共5页Preventive Medicine Tribune

基　　金：江苏省无锡市科学技术协会软课题(KX-23-C195)。

摘　　要：目的探讨综合干预措施在提高临床医技科室兼职感控人员的医院感染防控知识掌握水平及提升医院感染管理水平中的应用效果,为提升医院感染管理质量提供依据。方法2022年8月-2022年12月,将某三级甲等专科医院临床医技科室兼职感控人员作为干预对象,以实施综合干预措施前的67名兼职感控人员为对照组,实施综合干预措施后的78名兼职感控人员为观察组。对观察组采取综合干预措施,包括健全院感三级组织机构职能、完善制度、强化培训、畅通沟通渠道、加强院科两级质控督查、将感染防控落实情况纳入绩效考核、定期发布院感简讯等干预措施。分析干预前后两组兼职感控人员的医院感染防控知识掌握情况,并评价医院感染控制效果。结果干预后,兼职感控人员医院感染基本知识、手卫生、职业暴露与个人防护、医疗废物管理及多重耐药菌管理相关知识得分较干预前提高,差异有统计学意义(t值分别为4.735、3.396、2.813、2.210、3.737,P均<0.05)。医务人员手卫生依从性和正确率均较干预前提高(干预前后的依从性分别为58.52%、86.11%,χ^(2)=53.531,P<0.05;干预前后的正确率分别为66.46%、87.10%,χ^(2)=24.841,P<0.05),多重耐药菌核心防控措施执行率较干预前提高(干预前后分别为87.5%、94.57%,χ^(2)=5.367,P<0.05),医疗废物处置合格率较干预前提高(干预前后分别为51.67%、81.16%,χ^(2)=12.713,P<0.05),医院感染病例漏报率较干预前降低(干预前后分别为5.46%、1.27%,χ^(2)=6.069,P<0.05)。结论实施综合干预措施对兼职感控人员医院感染防控认知有促进作用,有助于医院感染管理工作的落实。Objective To explore the application effect of comprehensive interventions in improving the level of hospital infection prevention and control knowledge mastery of part-time infection control personnel in clinical medical and techni-cal departments and enhancing the level of hospital infection management,so as to provide a basis for improving the quality of hospital infection management.Methods From August 2022 to December 2022,part-time infection control personnel in the clinical medical and technical departments of a tertiary-level A specialized hospital were taken as the intervention targets,and 67 part-time infection control personnel before the implementation of comprehensive interventions were taken as the control group,and 78 part-time infection control personnel after the implementation of comprehensive interventions were taken as the observation group.For the observation group,comprehensive intervention measures were taken,inclu-ding improving the functions of the three-level organization of hospital sensory,improving the system,strengthening train-ing,opening communication channels,strengthening quality control supervision at the hospital and departmental levels,in-corporating the implementation of infection prevention and control into the performance appraisal,and issuing regular hos-pital sensory newsletters and other intervention measures.Before and after the intervention,the knowledge of hospital in-fection prevention and control of part-time infection control personnel in the two groups was analyzed,and the effect of hospital infection control was evaluated.Results After the intervention,the scores of basic knowledge of nosocomial in-fection,hand hygiene,occupational exposure and personal protection,medical waste management and management of multi-drug resistant bacteria were significantly improved compared with those before the intervention,and the differences were statistically significant(t was 4.735,3.396,2.813,2.210,3.737,respectively,all P<0.05).The compliance and accuracy of hand hygiene amo

关 键 词：医院感染 综合干预 感染管理 感染防控 

分 类 号：R197.3[医药卫生—卫生事业管理] R18[医药卫生—公共卫生与预防医学]