摘要
目的对医院新生儿病区医院感染的管理现状进行调查,为新生儿病区医院感染的监控与管理提供科学依据,并根据存在的问题提出相应的对策。方法 2013年1-6月随机抽取黄冈地区各级医院5所,通过管理制度查阅、现场调查相结合的方式,对医院新生儿病区医院感染的管理现状进行全面了解,数据采用SPSS13.0进行统计处理。结果对5所医院新生儿病区医院感染知识知晓率调查结果显示,三级医院布局设施、消毒隔离、健康管理及消毒灭菌监测知晓率分别为40.0%、50.0%、90.0%及70.0%;二级医院分别为33.3%、36.7%、46.7%及70.7%;一级医院分别为30.0%、20.0%、20.0%及20.0%;因此在消毒隔离、健康管理、消毒灭菌监测知晓率方面三级医院均高于一级和二级医院,二级医院均高于一级医院,各级医院比较差异有统计学意义(P<0.05)。结论黄冈地区医院新生儿病区医院感染的各项管理制度尚未完全落到实处,部分医院缺乏有效的监管,硬件设施落后,医务人员的防感染意识还有待进一步提高;因此,加强培训与各项感控措施的落实、增加投入等,是黄冈地区亟待解决的问题。
OBJECTIVE To investigate the management status of hospital infections in neonatal ward of the hospital, provide a scientific basis for monitoring and management of hospital infections in neonatal ward, and put forward corresponding countermeasures to the existing problems. METHODS Totally 5 hospitals at each levels were randomly selected during Jan. 2013--Jun. 9.013. A comprehensive understanding of the current situation of hospital infections in the neonatal ward was gained through the combination of management system inspection and site investigation. Data were processed by SPSS 13.0. RESULTS Survey on awareness rates of hospital infections in neonatal ward in five hospitals showed that the awareness rates of facility layout, disinfection and isolation, health management, disinfection and sterilization monitoring were 40.0%, 50.0%, 90.0%, 70.0% in the third- level hospitals, 33.3%, 36.7%, 46.7%, 70.7% in the secondary-level hospitals, and 30.0%, 20.0%, 20.0%, 20.0% in the first-level hospitals. Therefore, awareness of disinfection and isolation, health management, disinfection and sterilization monitoring was higher in the third-level hospitals than in the secondary-level hospitals, and was higher in the secondary-level hospitals than in the first-level hospitals, the difference was significant （P〈 0.05）. CONCLUSION Management system for hospital infection in the neonatal ward was not yet fully implemented, some hospital＇s lacked of effective supervision, the hardware facilities lagged behind, medical staff＇s awareness of infection prevention remained to be further improved. Therefore, strengthening the training and the implementation of infection control measures and increasing investment, etc. , were urgent issues in the hospitals in the Huanggang area.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第15期3872-3873,3889,共3页
Chinese Journal of Nosocomiology
基金
湖北省卫生厅基金资助项目(HW-2009B-01304)
关键词
医院
新生儿病区
医院感染
管理现状
对策
Hospitals
Neonatal ward
Hospital infection
Management status
Countermeasures
