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高危风险因素管理在PICU医院感染防控中的应用 被引量:16

Application of high-risk factor management in the prevention and control of hospital infection in PICU
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摘要 目的在日常监测和自查中及在临床工作中,确定PICU存在的院感高风险因素,给予针对性预防控制措施,提高工作质量,降低医院感染。方法采用回顾性调查与前瞻性监测的方法,将2014年5月~2015年4月未实施高危风险因素管理PICU收治的60例患儿作为对照组,并将2015年5月~2016年4月实施高危风险因素管理后PICU收治的62例患儿作为实验组,分析实施高危风险因素管理前后对医院感染率、护理质量、家长满意度的影响。结果实施高危风险因素管理后,医院感染率较前显著下降,两组比较差异有统计学意义(P<0.05);实验组护理质量评分、家长满意度评分均显著高于对照组,差异有统计学意义(均P<0.05)。结论对PICU进行医院感染的高危风险因素评估,并根据评估结果采取积极有效的干预措施,可有效降低院感发生率。 Objective In daily monitoring and self-examination and in clinical work,high-risk factors of hospitalization in PICU were determined, and targeted preventive and control measures were given to improve work quality and reduce nosocomial infection.Methods By retrospective investigation and prospective monitoring, 60 children admitted to the PICU without high-risk factor management from May 2014 to April 2015 were used as the control group,and 62 children admitted to the PICU after high-risk factor management from May 2015 to April 2016 were used as the experimental group. The influence of high-risk factors management on nosocomial infection rate, nursing quality and parent satisfaction were analyzed. Results After the implementation of high-risk factor management, hospital infection rate was significantly lower than before, and the difference between the two groups was statistically significant(P<0.05).The score of nursing quality and parent satisfaction in the experimental group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusions High-risk factors of nosocomial infection were evaluated for PICU, and active and effective intervention measures were taken according to the assessment results, which could effectively reduce the incidence of nosocomial infection.
作者 郑焱 刘美华 彭建雄 印爱珍 Zheng Yan;Liu Meihua;Peng Jianxiong;Yin Aizhen(Department 1 of Critical Care Medicine, Children's Hospital of Hunan Province, Changsha 410007, China)
出处 《国际护理学杂志》 2019年第2期148-152,共5页 international journal of nursing
基金 湖南省卫计委厅级课题(B2016033).
关键词 高危风险因素 管理 PICU 医院感染 High-risk factors Management PICU Hospital infection
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