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目的引入流程管理理论,使普通病房的感染管理工作程序化、规范化。方法建立并应用医院感染管理操作流程,在内科、外科8个病区临床应用,采用回顾性调查的方法进行比较。结果感染管理流程实施前后,外科与内科医院感染率分别为9.06%、7.45%与5.82%、4.69%,两组患者医院感染发生率差异有统计学意义(P<0.01),无菌物品使用合格率外科与内科分别为96.38%、98.74%与90.71%、94.48%,两组实施前后差异有统计学意义(P<0.05),医护人员手卫生依从性差异有统计学意义(P<0.01)。结论医院感染管理流程的建立与应用,具有可操作性和实用性,可降低医院感染发生率。
Objective To introduce the theory of process management so that the management of infection in ordinary wards is programmed and standardized. Methods Establish and apply the procedure of nosocomial infection management in clinical and surgical ward of eight wards, using retrospective survey methods to compare. Results The prevalence rates of surgical and medical hospitals were 9.06%, 7.45% and 5.82%, 4.69% respectively before and after the infection management process was implemented. The incidence of nosocomial infections was significantly different between the two groups (P <0.01) The rates of surgery and internal medicine were 96.38%, 98.74% and 90.71%, 94.48% respectively. There was significant difference between the two groups before and after the implementation (P <0.05). The difference of hand hygiene compliance among medical staff was statistically significant (P <0.01). Conclusion The establishment and application of hospital infection management process is feasible and practicable, which can reduce the incidence of nosocomial infection.