感染管理护士在医院感染管理工作中的作用评价

Role of infection control nurses in healthcareassociated infection management

摘要:

目的探讨感染管理护士在医院感染管理中的作用，为医院感染管理提供依据。方法通过对全院临床科室设立感染管理护士，明确其职责与工作内容，有计划地对其进行培训及督导，观察其医院感染管理效果。结果全院临床科室共设立67名感染管理护士，26个科室医务人员医院感染管理知识有明显提升，4月份与12月医务人员医院感染管理知识得分比较，差异具有统计学意义（Z=-2.193，单侧P=0.014）。临床科室医务人员手卫生依从率从4月份的83.35%（1 817/2 180），上升至12月份的89.53%(2 002/2 236)，差异具有统计学意义（χ2=36.13，P＜0.01）。2015年4—12月共监测56 670例入院患者，总住院日数为411 164 d，三管使用率为27.18%，三管相关感染率为0.74‰。临床科室医院感染管理督导评分的中位数从5月份的95.30分上升至9月份的97.70分，差异有统计学意义（P＜0.05）。结论设立感染管理护士，对夯实医院感染管理组织，促进医院感染管理质量的提高具有积极作用。

Abstract:

ObjectiveTo explore the role of infection control nurses in healthcareassociated infection(HAI) management, and provide basis for HAI management. MethodsThrough setting up infection control nurses in clinical departments of the whole hospital, clarifying their responsibilities and duties, training, and supervising them, the effect of infection control nurses on HAI management was observed. ResultsA total of 67 infection control nurses were set up in the clinical departments of the whole hospital, HAI management knowledge among health care workers (HCWs) in 26 departments improved significantly, scores of HAI management knowledge among HCWs in April and December was compared, difference was statistically significant (Z=-2.193，unilateral P=0.014）. Hand hygiene compliance rate of HCWs improved from 83.35%（1 817/2 180）in April to 89.53% (2 002/2 236) in December, difference was statistically significant（χ2=36.13，P＜0.01）. A total of 56 670 hospitalized patients were monitored from April to December 2015, the total length of hospital stay was 411 164 days, utilization rate of three catheters was 27.18%, three catheterrelated infection rate was 0.74‰. The median scores of supervision on HAI management in clinical departments improved from 95.30 in May to 97.70 in September（P＜0.05）. ConclusionSetting up infection control nurses is of great significance to strengthen the HAI management organization and promote the quality of HAI management.