哈尔滨医药
哈爾濱醫藥
합이빈의약
HARBIN MEDICAL JOURNAL
2015年
4期
306-307,308
,共3页
护理干预%重症监护病房%医院感染%监控
護理榦預%重癥鑑護病房%醫院感染%鑑控
호리간예%중증감호병방%의원감염%감공
Nursing Interventions%ICU%Hospital infection%Monitoring
目的：探讨护理干预在重症监护病房医院感染监控中的临床应用价值。方法选择2012年2月至2014年2月期间，我院重症监护病房收治526例患者。采用随机数字分组法将所有患者分为对照组和干预组，每组263例。对照组患者给予常规护理措施，干预组患者在此基础上给予系统护理干预措施。对对照组和干预组重症监护患者医院感染发生率、医院感染相关影响因素以及卫生微生物学监测情况等进行比较分析。结果与对照组患者相比，干预组重症监护患者医院感染发生率明显降低，仅为34.98%，“年龄≥65岁”与“有基础疾病”医院感染的发生率明显降低，仅为10.78%和10.24%，病房物品表面和医护人员手卫生微生物学检测合格率明显提高，差异具有统计学意义（ P ﹤0.05）。另外，与对照组相比，干预组医院感染发生率有所降低，“气管切开”、“机械通气”以及“留置导尿管”医院感染的发生率有所降低，但差异均不具有统计学意义（P ﹥0.05）。结论系统护理干预能够有效降低重症监护病房患者医院感染的发生，提高医护人员的无菌意识，为患者的救治提供了重要保障。
目的：探討護理榦預在重癥鑑護病房醫院感染鑑控中的臨床應用價值。方法選擇2012年2月至2014年2月期間，我院重癥鑑護病房收治526例患者。採用隨機數字分組法將所有患者分為對照組和榦預組，每組263例。對照組患者給予常規護理措施，榦預組患者在此基礎上給予繫統護理榦預措施。對對照組和榦預組重癥鑑護患者醫院感染髮生率、醫院感染相關影響因素以及衛生微生物學鑑測情況等進行比較分析。結果與對照組患者相比，榦預組重癥鑑護患者醫院感染髮生率明顯降低，僅為34.98%，“年齡≥65歲”與“有基礎疾病”醫院感染的髮生率明顯降低，僅為10.78%和10.24%，病房物品錶麵和醫護人員手衛生微生物學檢測閤格率明顯提高，差異具有統計學意義（ P ﹤0.05）。另外，與對照組相比，榦預組醫院感染髮生率有所降低，“氣管切開”、“機械通氣”以及“留置導尿管”醫院感染的髮生率有所降低，但差異均不具有統計學意義（P ﹥0.05）。結論繫統護理榦預能夠有效降低重癥鑑護病房患者醫院感染的髮生，提高醫護人員的無菌意識，為患者的救治提供瞭重要保障。
목적：탐토호리간예재중증감호병방의원감염감공중적림상응용개치。방법선택2012년2월지2014년2월기간，아원중증감호병방수치526례환자。채용수궤수자분조법장소유환자분위대조조화간예조，매조263례。대조조환자급여상규호리조시，간예조환자재차기출상급여계통호리간예조시。대대조조화간예조중증감호환자의원감염발생솔、의원감염상관영향인소이급위생미생물학감측정황등진행비교분석。결과여대조조환자상비，간예조중증감호환자의원감염발생솔명현강저，부위34.98%，“년령≥65세”여“유기출질병”의원감염적발생솔명현강저，부위10.78%화10.24%，병방물품표면화의호인원수위생미생물학검측합격솔명현제고，차이구유통계학의의（ P ﹤0.05）。령외，여대조조상비，간예조의원감염발생솔유소강저，“기관절개”、“궤계통기”이급“류치도뇨관”의원감염적발생솔유소강저，단차이균불구유통계학의의（P ﹥0.05）。결론계통호리간예능구유효강저중증감호병방환자의원감염적발생，제고의호인원적무균의식，위환자적구치제공료중요보장。
Objective To probe into clinical application value of nursing interventions on hospital infection monitoring in ICU. Methods From February 2012 to February 2014,526 ICU patients were selected in our hospital. According random numbers group-ing method,all the patients were divided into control group and intervention group. There were 263 cases in each group. The patients in control group were treated with routine nursing measures. The patients in intervention group were treated with system nursing inter-ventions. The incidence of hospital infection,hospital infection - related factors and health microbiological monitoring of the patients in control group and intervention group were compared and analyzed. Results Compared with control group,the ICU patients in inter-vention group the incidence of hospital infection cases were decreased significantly,only 34. 98% ,the patients that“age ≥65 years old”and“have underlying diseases”,the incidence of hospital infection were decreased significantly,only 10. 78% and 10. 24% , qualified rate of hygiene microorganisms in items surfaces of wards and hands in health care was improved significantly,there were sig-nificant difference statistically(P ﹤ 0. 05). Moreover,Compared with control group,the ICU patients in intervention group the inci-dence of hospital infection was decreased,the incidence of“tracheotomy”,“mechanical ventilation”and“indwelling catheter”were decreased,but there were no significant difference statistically(P ﹥ 0. 05). Conclusion System nursing intervention could reduce in-cidence of hospital infection of patients in ICU ward effectively,and improve the awareness of sterile for health care. It provides impor-tant protection for the treatment of patients.
