基于循证理论构建的多学科诊疗网格化血管导管相关感染管控体系的临床实践  

Construction of management system of MDT for the gridding vessel catheter associated infection based on the evidence-based theory and its application effect

作　　者：周贝贝 于秀荣[1] 刘敏[1] 高贵秀[1] ZHOU Beibei;YU Xiurong;LIU Min;GAO Guixiu(Zaozhuang Municipal Hospital,Shandong 277100 China)

机构地区：[1]枣庄市立医院,山东277100

出　　处：《循证护理》2025年第7期1293-1296,共4页Chinese Evidence-Based Nursing

基　　金：山东省医药卫生科技发展计划项目,编号:202214050264。

摘　　要：目的:将基于循证理论构建多学科诊疗(MDT)网格化血管导管相关感染(VCAI)管控体系应用于临床工作中并评价其应用效果。方法:应用构建的MDT网格化VCAI管控体系培训医护人员并进行管控,比较应用前后医护人员对VCAI相关知识的掌握情况、医护人员对病人的标准化感染预防措施规范执行率和病人VCAI发生率。结果:应用后,医生的VCAI相关知识考核成绩高于应用前,护士的VCAI相关知识考核成绩也高于应用前;医护人员对病人的标准化感染预防措施规范执行率均提高;全院病人VCAI发生率由0.093 9%下降至0.010 7%,差异均有统计学意义(P<0.05)。结论:将基于循证理论构建的MDT网格化VCAI管控体系应用于临床能降低VCAI发生率,保障病人安全。Objective:To apply the multi-disciplinary treatment(MDT)grid based vessel catheter associated infection(VCAI)control system based on evidence-based theory to clinical work and evaluate its application effect.Methods:The MDT grid based VCAI control system constructed was applied to train medical staff and conduct control.The mastery of VCAI related knowledge of medical staff on patients,standardized infection prevention measures implementation rate of medical staff on patients,and VCAI incidence rate of patients before and after the application of this system were compared.Results:After application,the assessment scores of VCAI related knowledge for doctors were higher than before application,the assessment scores of VCAI related knowledge for nurses were also higher than before application.The implementation rate of standardized infection prevention measures of medical staff on patients has been improved,the incidence of VCAI among all patients in the hospital decreased from 0.0939%to 0.0107%,and the differences were statistically significant(P<0.05).Conclusion:Applying the MDT grid based VCAI management system based on evidence-based theory to clinical can reduce the incidence of VCAI and ensure patient safety.

关 键 词：多学科诊疗 血管导管相关感染 循证理论 护理质量 医院感染 发生率 

分 类 号：R47[医药卫生—护理学]