CAJ | 학술논문

目的：探讨S H EL事故分析模型对预防手术患儿医院感染的效果，为寻找医院感染的发生原因和制定预防控制措施提供参考依据。方法选取2011年1月－2012年6月收治的500例手术患儿作为对照组，通过S H EL事故分析模型对出现医院感染的原因进行分析；选取2012年7月－2013年12月收治的500例手术患儿作为观察组，根据S H EL事故分析模型结果进行针对性干预，比较两组患儿医院感染率。结果观察组患儿医院感染率为2．60％、对照组为5．40％，观察组感染率明显低于对照组，差异有统计学意义（ P＜0．05）；对照组患儿医院感染发生原因主要为医护人员对医院感染认识不足，占48．15％，观察组占15．38％，两组比较差异有统计学意义（P＜0．05）。结论病房医护人员对医院感染认识不足是手术患儿发生医院感染的重要原因，通过S H EL事故分析模型能够及时发现引起医院感染的原因和医院感染管理中存在的问题，促进了医院感染管理工作更科学化和规范化，提高了病房医护人员对医院感染的认识，是减少手术患儿医院感染发生的有效措施。
목적：탐토S H EL사고분석모형대예방수술환인의원감염적효과，위심조의원감염적발생원인화제정예방공제조시제공삼고의거。방법선취2011년1월－2012년6월수치적500례수술환인작위대조조，통과S H EL사고분석모형대출현의원감염적원인진행분석；선취2012년7월－2013년12월수치적500례수술환인작위관찰조，근거S H EL사고분석모형결과진행침대성간예，비교량조환인의원감염솔。결과관찰조환인의원감염솔위2．60％、대조조위5．40％，관찰조감염솔명현저우대조조，차이유통계학의의（ P＜0．05）；대조조환인의원감염발생원인주요위의호인원대의원감염인식불족，점48．15％，관찰조점15．38％，량조비교차이유통계학의의（P＜0．05）。결론병방의호인원대의원감염인식불족시수술환인발생의원감염적중요원인，통과S H EL사고분석모형능구급시발현인기의원감염적원인화의원감염관리중존재적문제，촉진료의원감염관리공작경과학화화규범화，제고료병방의호인원대의원감염적인식，시감소수술환인의원감염발생적유효조시。
OBJECTIVE To investigate the effect of SHEL model on prevention of postoperative nosocomial infec‐tions in children so as to find out the causes of the nosocomial infections and provide guidance for the prevention and control .METHODS A total of 500 children who underwent surgeries from Jan 2011 to Jun 2012 were chosen as the control group ,then the SHEL model was employed to analyze the causes of the nosocomial infections;totally 500 children who underwent surgeries from Jul 2012 to Dec 2013 were set as the observation group ,and the targe‐ted interventions were taken according the results of the SHEL model;the incidence of nosocomial infections was compared between the two groups of children .RESULTS The incidence of nosocomial infections was 2 .60% in the observation group ,significantly lower than 5 .40% of the control group(P<0 .05) .The poor awareness of health care workers to the nosocomial infections was the leading cause of the nosocomial infections in the children ,which accounted for 48 .15% in the control group ,15 .38% in the observation group ,and there was significant difference between the two groups (P<0 .05) .CONCLUSION The poor awareness of health care workers to the nosocomial infections is the leading cause of the nosocomial infections in the children undergoing surgeries .The use of the SHEL model can help to find out the causes of the nosocomial infections and existing problems in the control of nosocomial infections in a timely manner ,promote the scientific and standardized management of the nosocomial infections ,and improve the awareness of the ward health care workers to the nosocomial infections ,and it is an ef‐fective way to reduce the incidence of nosocomial infections in the children undergoing surgeries .