医护一体化感染防控管理对眼科手术感染的防控效果研究
作者:
作者单位:

1.武汉科技大学医学院公共卫生学院, 湖北 武汉 430060;2.武汉大学人民医院麻醉科, 湖北 武汉 430060;3.武汉大学人民医院感染预防与控制办公室, 湖北 武汉 430060

作者简介:

通讯作者:

吴磊  E-mail: wulei@wust.edu.cn

中图分类号:

R197.323.4

基金项目:

湖北省重点实验室基金(2021KFH023)


Effect of doctor-nurse integrated infection control management on prevention and control of infection in ophthalmic surgery
Author:
Affiliation:

1.School of Public Health, School of Medicine, Wuhan University of Science and Technology, Wuhan 430060, China;2.Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan 430060, China;3.Office of Infection Prevention and Control, Renmin Hospital of Wuhan University, Wuhan 430060, China

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    摘要:

    目的 探讨手术室医护一体化感染防控管理对眼科手术患者医院感染的防控效果。 方法 选取2019年8月—2020年1月眼科手术患者4 612例, 设为对照组, 按照常规医护管理模式进行管理; 选取2020年5—10月眼科手术患者4 905例, 设为干预组, 按照医护一体化感染防控管理模式进行管理, 对干预前后医护人员医院感染防控态度、行为和眼科手术后医院感染情况进行调查与分析。 结果 医护一体化感染防控管理前、后患者医院感染率分别为1.22‰(6例)、0.22‰(1例), 两组比较差异有统计学意义(χ2=3.892, P=0.049)。实施一体化感染防控管理模式后医护人员对口罩佩戴、手卫生、无菌操作、医疗废物处置和职业防护方面的医院感染防控态度得分均高于干预前, 医护人员口罩佩戴、手卫生、无菌操作、医疗废物处置、职业防护和手术间环境管理医院感染防控行为得分均高于干预前, 差异均具有统计学意义(均P<0.05)。 结论 手术室内医护一体化感染防控管理可有效降低眼科手术患者医院感染, 改善医护人员的医院感染防控态度和行为。

    Abstract:

    Objective To evaluated the effect of doctor-nurse integrated infection control management in operating room on prevention and control of healthcare-associated infection (HAI) in patients undergoing ophthalmic surgery. Methods 4612 patients with ophthalmic surgery from August 2019 to January 2020 were selected as the control group and implemented routine medical management mode; 4905 patients with ophthalmic surgery from May to October 2020 were selected as the intervention group and implemented doctor-nurse integrated infection control mana-gement mode, HAI prevention and control attitude and behavior of health care workers (HCWs) before and after the intervention as well as HAI after ophthalmic surgery were investigated and analyzed. Results HAI rates of patients before and after the implementation of doctor-nurse integrated infection control management were 1.22‰ (n=6) and 0.22‰ (n=1) respectively, there was significant difference between two groups (χ2=3.892, P=0.049). After the implementation of integrated infection control management mode, scores of HCWs' HAI prevention and control attitude on mask wearing, hand hygiene, aseptic operation, medical waste disposal and occupational protection were all higher than those before the intervention, scores of HCWs' HAI prevention and control behavior on mask wearing, hand hygiene, aseptic operation, medical waste disposal, occupational protection and operating room environmental management were all higher than those before the intervention (all P < 0.05). Conclusion The doctor-nurse integrated infection control management can effectively decrease HAI in patients undergoing ophthalmic surgery, improve the attitude and behavior of HCWs towards HAI prevention and control.

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引用本文

万杏,何宇红,吴磊.医护一体化感染防控管理对眼科手术感染的防控效果研究[J]. 中国感染控制杂志,2023,(2):195-199. DOI:10.12138/j. issn.1671-9638.20231408.
Xing WAN, Yu-hong HE, Lei WU. Effect of doctor-nurse integrated infection control management on prevention and control of infection in ophthalmic surgery[J]. Chin J Infect Control, 2023,(2):195-199. DOI:10.12138/j. issn.1671-9638.20231408.

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  • 收稿日期:2022-10-08
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  • 在线发布日期: 2024-04-28
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