CAJ | 학술논문

目的：探讨强化院感培训对导管室控制医院感染能力及临床效果。方法回顾性分析海南省中医院强化培训实施前(2012年1月~2013年1月)和实施后(2013年2月~2014年2月)导管室医护人员控制医院感染的能力和导管室医院感染发生率。将实施前设为对照组,实施后设为观察组。比较两组的医护人员医院感染知识考试成绩、无菌操作成绩、一次性医疗物品使用成绩,两组导管室内微生物检出情况以及医院内感染感染率和现患率。结果观察组医护人员医院感染知识考试成绩为(90.2±15.3)分、无菌操作成绩为(94.2±12.5)分、一次性医疗物品使用成绩为(95.8±9.4)分,均显著高于对照组的(66.9±14.6)、(82.7±11.4)、(90.5±8.6)分,差异有高度统计学意义(P<0.01)。观察组空气、物体表面、地面和手部微生物分别为(0.51±0.12)、(0.43±0.14)、(0.84±0.25)和(0.32±0.10)cfu/m2,显著低于对照组的(3.04±1.22)、(3.49±1.67)、(4.53±1.36)和(2.68±1.15)cfu/m2,差异有高度统计学意义(P<0.01)。观察组患者医院感染率为4.46%、现患率为4.44%,显著低于对照组的6.07%和13.43%,差异有统计学意义(P<0.05)。结论强化医院感染培训可以有效改善导管室控制医院感染能力并显著降低医院感染发生率,作用明显具有临床应用价值。
목적：탐토강화원감배훈대도관실공제의원감염능력급림상효과。방법회고성분석해남성중의원강화배훈실시전(2012년1월~2013년1월)화실시후(2013년2월~2014년2월)도관실의호인원공제의원감염적능력화도관실의원감염발생솔。장실시전설위대조조,실시후설위관찰조。비교량조적의호인원의원감염지식고시성적、무균조작성적、일차성의료물품사용성적,량조도관실내미생물검출정황이급의원내감염감염솔화현환솔。결과관찰조의호인원의원감염지식고시성적위(90.2±15.3)분、무균조작성적위(94.2±12.5)분、일차성의료물품사용성적위(95.8±9.4)분,균현저고우대조조적(66.9±14.6)、(82.7±11.4)、(90.5±8.6)분,차이유고도통계학의의(P<0.01)。관찰조공기、물체표면、지면화수부미생물분별위(0.51±0.12)、(0.43±0.14)、(0.84±0.25)화(0.32±0.10)cfu/m2,현저저우대조조적(3.04±1.22)、(3.49±1.67)、(4.53±1.36)화(2.68±1.15)cfu/m2,차이유고도통계학의의(P<0.01)。관찰조환자의원감염솔위4.46%、현환솔위4.44%,현저저우대조조적6.07%화13.43%,차이유통계학의의(P<0.05)。결론강화의원감염배훈가이유효개선도관실공제의원감염능력병현저강저의원감염발생솔,작용명현구유림상응용개치。
Objective To study the impact of strengthening hospital infection training on hospital infection control abil-ity and effects in cath lab. Methods In Traditional Chinese Hospital of Hainan Province, the infection control ability and incidence in cath lab before (January 2012 to January 2013) and after strengthening hospital infection training (February 2013 to February 2014) were retrospectively analyzed, before training was as control group, and after training was as observation group. The hospital infection knowledge, sterile operation score, disposable medical articles usage score, microorganisms detection, hospital infection rate and prevalence rate of two groups were compared. Results In observation group, the hospital infection knowledge score was (90.2±15.3) scores, sterile operation score was (94.2±12.5) scores, disposable medical articles usage score was (95.8±9.4) scores, these were significantly higher than those in control group [(66.9±14.6), (82.7±11.4), (90.5±8.6) scores], the differences were statistically significant (P< 0.01). The aerial, subjects surface, geoclimatic and hands microorganisms in observation group were (0.51±0.12), (0.43±0.14), (0.84±0.25), (0.32±0.10) cfu/m2 respectively, these were significantly less than those in control group [(3.04±1.22), (3.49±1.67), (4.53±1.36), (2.68±1.15) cfu/m2], the differences were statistically significant (P<0.01). In observation group, the infection rates was 4.46% and prevalence rates was 4.44%, these were significantly less than those in control group (6.07% and 13.43%), the differences were statistically significant (P< 0.05). Conclusion Strengthening hospital infec-tion training has a great clinical effects on improving infection control ability and reducing infection incidence in cath lab, and it is worth for application.