目视控制方案对住院精神分裂症患者医院感染的影响研究

发布时间：2018-01-13 19:40

本文关键词：目视控制方案对住院精神分裂症患者医院感染的影响研究　出处：《中华医院感染学杂志》2017年20期 　论文类型：期刊论文

【摘要】：目的探讨目视控制方案对住院精神分裂症患者医院感染的影响。方法 2015年1月-2016年12月为目视管理方案实施阶段,医院共收治796例精神分裂患者为观察组;2013年1月-2014年12月为目视管理方案未实施阶段,医院收治761例精神分裂患者为对照组,对照组患者采用常规干预和医院感染控制措施管理;观察组实施目视管理方案,统计两组发生医院感染的人数,计算医院感染,对发生医院感染患者,分别取样进行菌株鉴定,统计两组医护人员手卫生依从性、器械质量检查、环境卫生抽查监测、抗菌药物合理使用和无菌操作的合格率及医院感染管理质量。结果对照组共发生医院感染36例,感染率4.73%,观察组发生医院感染19例,感染率2.39%,观察组医院感染率显著低于对照组(P0.05);55例精神分裂感染患者共检出62株病原菌,其中革兰阴性菌43株占69.35%,革兰阳性菌17株占27.42%,真菌2株占3.23%;观察组医院感染管理质量(85.25±3.50)分显著高于对照组(66.50±2.15)分(P0.05);观察组医护人员手卫生依从性、器械质量检查、环境卫生抽查监测、抗菌药物合理使用和无菌操作的合格率较对照组均显著提高(P0.05)。结论目视管理有助于提高精神科医院感染管理质量,从而降低医院感染发生率,是一种十分有效的管理方法。
[Abstract]:Objective to investigate the effect of visual control on nosocomial infection in inpatients with schizophrenia. 796 schizophrenic patients were treated as observation group. From January 2013 to December 2014, 761 schizophrenic patients were treated as control group. The patients in the control group were managed by routine intervention and nosocomial infection control measures. The observation group carried out visual management program, counted the number of nosocomial infections, calculated the nosocomial infection, sampled and identified the strains of the nosocomial infection patients, and counted the hand hygiene compliance of the two groups of medical and nursing personnel. The qualified rate of rational use of antibiotics and aseptic operation and the management quality of nosocomial infection were investigated. Results 36 cases of nosocomial infection occurred in the control group and the infection rate was 4.73%. There were 19 cases of nosocomial infection in the observation group and the infection rate was 2.39%. The nosocomial infection rate in the observation group was significantly lower than that in the control group (P 0.05). A total of 62 pathogenic bacteria were detected in 55 patients with schizophrenia, of which 43 were gram-negative bacteria (69.35), 17 Gram-positive bacteria (27.42), and 2 fungi (3.23%). The management quality of nosocomial infection in the observation group (85.25 卤3.50) was significantly higher than that in the control group (66.50 卤2.15) (P 0.05). The observation group medical staff hand hygiene compliance, equipment quality inspection, environmental hygiene spot check and monitoring. The qualified rate of rational use and aseptic operation of antimicrobial agents was significantly higher than that of the control group (P 0.05). Conclusion Visual management is helpful to improve the quality of hospital infection management in psychiatric department and thus reduce the incidence of nosocomial infection. Is a very effective management method.
【作者单位】：河北医科大学第一医院精神卫生科;河北医科大学第一医院护理部;
【基金】：河北省卫生厅科研基金资助项目(20110298)
【分类号】：R473.74
【正文快照】： 精神分裂症是精神障碍性疾病,其特征为精神活动不协调和脱离现实,包括情感、意志、认知、行为等多种精神活动的异常[1-2]。精神分裂症患病率约为1%,多发于青壮年,且有反复发作的特点,不但给患者造成巨大的影响,也给家庭和社会带来沉重的负担[3-4]。目前,精神分裂症的发病机制

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