新形势常态化护理质量控制在减少住院高危患儿医院感染中的应用效果

目的探讨新形势常态化护理质量控制(质控)在减少住院高危患儿医院感染中的应用效果。方法选择2018年1-12月已实施新形势常态化护理质控期间在湖南省儿童医院住院的70例高危患儿作为护理质控组,并选择2017年1-12月未实施新形势常态化护理质控期间住院的70例高危患儿作为常规护理组。比较两组患儿的医院感染率、医护人员工作的合格率以及家属的护理满意度。结果护理质控组患儿的感染率明显低于常规护理组〔4.29%(3/70)比18.57%(13/70)〕,差异有统计学意义(P<0.05)。共对护理人员的工作进行90次调查,护理质控组医护人员手卫生知识知晓〔90.00%(81/90)比72.22%(65/90)〕、手卫生依从〔88.89%(80/90)比75.56%(68/90)〕、环境卫生抽查监测〔93.33%(84/90)比81.11%(73/90)〕、医院感染知识知晓〔92.22%(83/90)比73.33%(66/90)〕、诊疗区域环境整洁〔95.56%(86/90)比75.56%(68/90)〕、诊疗区域清洁消毒〔95.56%(86/90)比75.56%(68/90)〕、诊疗设备清洁消毒〔97.78%(88/90)比76.67%(69/90)〕、清洗消毒区域整洁〔95.56%(86/90)比74.44%(67/90)〕、每日定时通风〔97.78%(88/90)比78.89%(71/90)〕合格率均明显高于常规护理组,差异均有统计学意义(均P<0.05)。护理质控组患儿家属护理总满意率明显高于常规护理组〔91.43%(64/70)比75.71%(53/70)〕,差异有统计学意义(P<0.05)。结论新形势常态化护理质控应用于住院高危患儿,可降低医院感染的发生率,提高医护人员的工作合格率以及患儿家属的护理满意度,可在临床推广。

Application effect of normalized nursing quality control in the new situation in reducing hospital infection of hospitalized high-risk children

Objective To explore the application effect of the normalized nursing quality control in the new situation (nursing quality control) in reducing hospital infection of hospitalized high-risk children.Methods The 70 cases of high-risk children hospitalized in Hunan Children’s Hospital during January to December 2018 when nursing quality control was implemented were selected as nursing quality control group,and 70 hospitalized high-risk children during January to December 2017 when nursing quality control was not implemented were selected as routine nursing group.The hospital infection status of the two groups of children,the qualified rate of the medical staff and the satisfaction of the family members were compared.Results The infection rate of the nursing quality control group was significantly lower than that of the routine nursing group 4.29% (3/70) vs.18.57% (13/70)],with significant difference (P < 0.05).A total of 90 investigations were conducted on the work of nursing staff in both groups.Compared with routine nursing group,the qualified rates of nursing staff in nursing quality control group were significantly higher in the aspects of knowing the hand hygiene knowledge 90.00% (81/90) vs.72.22% (65/90)],hand hygiene compliance 88.89% (80/90) vs.75.56% (68/90)],environmental sanitation spot check monitoring 93.33% (84/90) vs.81.11% (73/90)],hospital infection knowledge 92.22% (83/90) vs.73.33% (66/90)],clean and tidy environment in the treatment area 95.56% (86/90) vs.75.56% (68/90)],clean and disinfection in the treatment area 95.56% (86/90) vs.75.56% (68/90)],clean and disinfection of diagnosis and treatment equipment 97.78% (88/90) vs.76.67% (69/90)],cleaning of disinfection area 95.56% (86/90) vs.74.44% (67/90)],and daily ventilation 97.78% (88/90) vs.78.89%(71/90)],with significant differences (all P < 0.05).The overall satisfaction rate of family members in nursing quality control group was significantly higher than that in routine nursing group 91.49% (64/70) vs.75.71% (53/70)],with significant difference (P < 0.05).Conclusion The application of nursing quality control to hospitalizedhigh-risk children can reduce the incidence of nosocomial infection,improve the qualified rate of medical staff and the satisfaction of children’s family members,and can be popularized in clinical practice.