【摘要】 目的探讨院感医务人员监督对减少患者发生医院感染的效果。方法选取2016年1-8月于医院接受治疗的患者1827例为研究对象,其中2016年1-4月901例患者为对照组,2016年5-8月926例患者为试验组,对照组采用常规治疗及护理方法,试验组以医院感染预防标准开展工作,并由院感医务人员进行监督管理,两组患者的护理和医护人员相同,并采用轮值护理制度,观察两组患者标准落实、发生感染及多药耐药菌(MDROs)检出率。结果试验组医务人员落实标准预防规定的人数多于对照组(Z=123.999,P<0.001);住院期间试验组患者感染率低于对照组(χ2=5.812,P=0.023);试验组患者MDROs检出率低于对照组,差异有统计学意义(P<0.05)。结论医务人员院感监督能够提高医护人员的护理水平和护理质量,减少患者MDROs检出率,降低医院患者的感染率。更多还原

【Abstract】 OBJECTIVE To explore the effect of healthcare workers′supervision on reduction of incidence of nosocomial infections.METHODS A total of 1827 patients who were treated in hospitals from Jan 2016 to Aug 2016 were recruited as the study objects,901 patients who were treated from Jan 2016 to Apr 2016 were assigned as the control group,and 926 patients who were treated from May 2016 to Aug 2016 were assigned as the experimental group.The control group was treated with conventional therapy and nursing,while the experimental group was treated with standard prevention of nosocomial infections and was supervised by the healthcare workers engaged in infection control.The two groups of patients were given the same care and nursing,the rotational care system was adopted.The number of healthcare workers who took the standard prevention measures,incidence of infection and isolation rate of multidrug-resistant organisms(MDROs)were observed and compared between the two groups of patients.RESULTS The number of healthcare workers who took the standard prevention measures was significantly larger in the experimental group than in the control group(Z=123.999,P<0.001);the infection rates of the experimental group was significantly lower than that of the control group during the hospital stay(χ2=5.812,P=0.023);the isolation rate of MDROs of the experimental group was significantly lower than that of the control group(P <0.05).CONCLUSIONThe healthcare workers′supervision on control of infection may improve the nursing quality of the healthcare workers and reduce the isolation rate of MDROs as well as the incidence of nosocomial infection.更多还原