CAJ | 학술논문

目的探讨护理干预对控制呼吸内科病房医院感染的影响.方法选择2009年我院呼吸内科住院的 1362例患者为干预组,采取减少和消除口咽部病原菌的定植和吸入,切断外源性传播途径,加强患者气道管理及医护人员手卫生清洁,并对特殊感染患者实施标准预防,定时进行病房空气通风、消毒和细菌监测,规范医疗器械消毒及护理用具的使用与消毒等护理干预;以2006-2008年住院的3 684例患者为对照组,按疾病护理常规进行护理.对两组发生医院感染的情况进行统计分析.结果干预组医院感染的部位、年龄、住院时间及机械通气的发生率与对照组比较,差异均有统计学意义(P＜0.05).结论呼吸内科病房医院感染控制主要以预防为主,加强护理管理,采取有效的护理干预,可降低呼吸内科患者医院感染的发生率.
목적 탐토호리간예대공제호흡내과병방의원감염적영향.방법 선택2009년아원호흡내과주원적 1362례환자위간예조,채취감소화소제구인부병원균적정식화흡입,절단외원성전파도경,가강환자기도관리급의호인원수위생청길,병대특수감염환자실시표준예방,정시진행병방공기통풍、소독화세균감측,규범의료기계소독급호리용구적사용여소독등호리간예;이2006-2008년주원적3 684례환자위대조조,안질병호리상규진행호리.대량조발생의원감염적정황진행통계분석.결과 간예조의원감염적부위、년령、주원시간급궤계통기적발생솔여대조조비교,차이균유통계학의의(P＜0.05).결론 호흡내과병방의원감염공제주요이예방위주,가강호리관리,채취유효적호리간예,가강저호흡내과환자의원감염적발생솔.
Objective To explore the effect of the nursing intervention in nosocomial infection control of respiratory ward. Methods 1 362 patients who received treatment in department of respiratory were chosen and designated the intervention group, the interventions of reducing and eliminating oropharynx pathogen engraftment and inhalation, cutting off route of exogenous transmission, strengthening airway management and hand hygiene of staff and giving preventions to special infected patients. ventilated, sterilized and monitored bacterium in time; sterilized the medical appliances and used nursing instruments standard. 3 684 patients who received routine nursing care in 2006-2008 were named control group. The nosocomial infection incidence of two groups were analyzed. Results Body part of hospital infection, age, hospital stays and the mechanical ventilation rate of the intervention group were compared with matched group, differences were statistically significant (P ＜ 0. 05). Conclusions Nosocomial infection control in respiratory medical ward focuses on prevention. The nosocomial infection incidence can be reduced by strengthening the management and taking effective nursing intervention.