ICU老年气管切开患者家属的手卫生教育对降低医院感染的作用分析

发布时间：2018-05-06 10:04

本文选题：重症监护病房 + 气管切开　；参考：《中华医院感染学杂志》2016年14期

【摘要】：目的探讨ICU老年气管切开患者家属手卫生教育对减少医院感染的作用,为术后快速恢复提供保障。方法将医院2012年2月-2015年2月ICU收治的67例行气管切开术的老年患者,采用随机数字法分为观察组33例和对照组34例,对照组患者给予传统护理模式,观察组患者在传统护理模式基础上给予家属手卫生教育模式;观察两组家属洗手方法、洗手指征和洗手重要性评分、手卫生合格率及患者医院感染率。结果干预前观察组家属洗手方法、洗手指征、洗手重要性、手卫生评分和手卫生合格率与对照组家属相近,差异无统计学意义,干预后观察组家属各项数据均显著升高,差异有统计学意义(P0.05),对照组均稍微升高,差异无统计学意义,且干预后观察组家属的各项数据均显著高于对照组家属,差异均有统计学意义(P0.05);观察组患者医院感染率3.03%,较对照组的26.47%显著较低,差异有统计学意义(P0.05)。结论对ICU老年气管切开术患者家属行手卫生健康教育可以显著改善其手卫生合格率,降低患者医院感染率。
[Abstract]:Objective to explore the effect of hand hygiene education on reducing nosocomial infection in elderly patients with tracheotomy of ICU. Methods Sixty-seven elderly patients undergoing tracheotomy in ICU from February 2012 to February 2015 were randomly divided into observation group (n = 33) and control group (n = 34). The patients in the observation group were given hand hygiene education model on the basis of the traditional nursing mode, the methods of hand-washing, the indication of hand-washing, the importance of hand-washing, the qualified rate of hand-hygiene and the nosocomial infection rate of the patients were observed in the two groups. Results before intervention, the methods of washing hands, the indication of hand washing, the importance of hand washing, the score of hand hygiene and the qualified rate of hand hygiene in the observation group were similar to those in the control group, and the difference was not statistically significant. After the intervention, the data of the family members in the observation group were significantly increased. The difference was statistically significant (P 0.05), but there was no significant difference between the control group and the control group, and the data of the family members in the observation group were significantly higher than those in the control group after intervention. The nosocomial infection rate in the observation group was 3.03, which was significantly lower than that in the control group (26.47%), and the difference was statistically significant (P 0.05). Conclusion the health education of hand hygiene for the elderly patients with ICU tracheotomy can significantly improve the qualified rate of hand hygiene and reduce the nosocomial infection rate.
【作者单位】：海南省人民医院护理部;海南省人民医院呼吸内科重症监护病房;海南省人民医院医院感染管理办公室;海南省人民医院神经内科;
【基金】：海南省医学科研基金资助项目(琼卫2013-072)
【分类号】：R472.2

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