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目的探讨医护一体医院感染预防与控制(院感防控)模式在医院感染(院感)管理中的效果,以提高科室感染管理质量的作用,不断促进科室感染管理工作的持续改进。方法 2013年9月开始实施医护一体院感防控,采用自身前后对照研究的方法对传统院感防控模式(2013年9月前)和医护一体院感防控模式(实施后第3、6个月评价)进行效果比较,从手卫生、医疗废物、消毒隔离、多重耐药菌、职业暴露和传染病监测上报6个方面内容进行指标评价。结果医护一体院感防控模式的实施在院感的医疗废物处理正确率、消毒隔离知识掌握正确率、职业暴露知识掌握正确率、传染病监测正确率5个方面均高于传统院感防控模式,差异有统计学意义(P<0.05);在手卫生执行和多重耐药菌感染的正确率方面虽有波动,但仍显示医护一体院感防控模式优于传统模式,差异有统计学意义(P<0.05);医护一体院感防控模式实施后,科室院感防控综合水平从全院第34名上升至第3名。结论医护一体院感防控模式对科室的院感监控有促进作用,对提高院感管理质量有重要意义。
Objective To explore the effect of hospital infection prevention and control (nosocomial infection prevention and control) model in the management of nosocomial infection (nosocomial infection) in order to improve the quality of departmental infection management and continuously promote the continuous improvement of departmental infection management. Methods In September 2013, the hospital started to implement prevention and control of nosocomial infection and adopted the method of self-control study to evaluate the effectiveness of traditional nosocomial control (before September 2013) and prevention and control of nosocomial infection Month evaluation) to compare the effectiveness of indicators from hand hygiene, medical waste, disinfection and isolation, multi-drug resistant bacteria, occupational exposure and infectious disease monitoring report six aspects of index evaluation. Results The implementation of health care and body care prevention and control model in the hospital feeling of the correct rate of medical waste treatment, disinfection and isolation knowledge to master the correct rate of occupational exposure to master the correct rate of knowledge, the accuracy of infectious disease monitoring were higher than the traditional hospital control (P <0.05). Although there were some fluctuations in the accuracy of hand hygiene implementation and multi-drug resistant bacterial infection, it still showed that the prevention and control mode of hospital-physical integration was superior to the traditional model with the difference statistically (P <0.05). After the implementation of health care and one hospital prevention and control model, the comprehensive prevention and control level of hospital nosocomial sense rose from No. 34 in the hospital to No. 3. Conclusion The physician-physician-physician-patient model of prevention and control has the promotion effect on the hospital yard surveillance, which is of great significance to improve the quality of hospital management.