目标管理理论的感控干预对血液净化中心导管相关血流感染的应用效果  

The Application Effect of Target Management Theory in Infection Control Intervention for Catheter-related Bloodstream Infections in Blood Purification Centers

作　　者：吴春玲[1] 张婧 徐敏[1] WU Chunling;ZHANG Jing;XU Min(Linfen People's Hospital,Linfen 041000,Shanxi,China)

机构地区：[1]临汾市人民医院,山西临汾041000

出　　处：《中国卫生产业》2024年第24期53-56,共4页China Health Industry

基　　金：2023年临汾市级课题(2314)。

摘　　要：目的 探索目标管理理论的感控干预对血液净化中心导管相关血流感染的应用效果。方法 选取临汾市人民医院20名血液净化中心工作人员为研究对象,2022年1-12月采取常规院感管理办法,设为对照组;2023年1-12月应用目标管理理论的感控干预,设为干预组。比较两组导管相关感染病例发生率、中心静脉置管相关措施落实检查合格率、护理质量及职业倦怠感。结果 干预组导管相关感染发生率和中心静脉置管相关措施落实检查合格率均优于对照组,差异有统计学意义(P均<0.05)。干预组的护理质量评分相对于对照组更高,差异有统计学意义(P均<0.05)。干预组的个人成就感评分为(26.93±1.90)分、情绪耗竭评分为(18.44±3.01)分,去人格化评分为(14.33±0.56)分,优于对照组的(25.13±1.44)分、(22.18±4.00)分、(19.14±1.48)分,差异有统计学意义(t=3.377、3.341、13.594,P均<0.05)。结论 在血液净化中心实施基于目标管理理论的感控干预措施,可以降低血液净化中心血管内导管相关感染率,提高工作人员的护理质量,还可缓解职业倦怠感。Objective To explore the effect of sensory control intervention of target management theory on catheterrelated bloodstream infection in blood purification center.Methods Twenty staff members of Blood Purification Center of Linfen People's Hospital were selected as the study subjects.From January to December 2022,they were used as the control group.From January to December 2023,the sensory control intervention using management by objectives theory was set as the intervention group.The incidence of catheter-related infections,the qualified rate of central ve-nous catheterization related measures,the quality of nursing and the sense of job burnout were compared between the two groups.Results The incidence of catheter-related infection and the qualified rate of central venous catheterization in the intervention group were better than those in the control group,and the differences were statistically significant(all P<0.05).The nursing quality score of the intervention group were higher than those of the control group,and the differences were statistically significant(all P<0.05).In the intervention group,the score of personal achievement was 26.93±1.90,the score of emotional exhaustion was 18.44±3.01,the score of depersonalization was 14.33±0.56,which were better than 25.13±1.44,22.18±4.00 and 19.14±1.48 of the control group,the differences were statistically significant(t=3.377,3.341,13.594,all P<0.05).Conclusion The implementation of sensory control intervention measures based on the theory of management by objectives in blood purification centers can reduce the infection rate of intravascular catheter-related infection,improve the nursing quality of staff,and alleviate job burnout.

关 键 词：目标管理理论 感控干预 导管相关血流感染 

分 类 号：R197.323[医药卫生—卫生事业管理]