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目的研究医院感染防控体系在心血管内科患者中的应用效果,为临床心血管内科患者控制感染提供参考依据。方法选择2016年1月-2016年10月于医院心血管内科接受治疗的2 147例患者为观察组,2015年1月-2015年10月治疗的2 015例患者为对照组;对照组患者给予常规护理,观察组患者在医院感染防控体系下进行护理,分析心血管内科感染患者的感染部位和病原菌构成,比较两组患者的感染率、护理满意度和采样合格率。结果观察组有73例出现感染,感染率为3.40%,对照组有132例出现感染,感染率为6.55%(P<0.05);观察组感染部位以呼吸道为主,共64例占87.67%,共分离病原菌81株,以革兰阴性菌为主,共53株占65.43%;观察组患者的病房空气、医护人员手部、物体表面、无菌物品和消毒剂的采样合格率显著高于对照组(P<0.05);观察组总满意率为98.46%,对照组总满意率为82.68%(P<0.05)。结论医院感染防控体系在心血管内科患者中的应用可以显著降低患者感染率,提高采样合格率及患者护理满意度。
Objective To study the application of prevention and control system of nosocomial infection in patients with cardiovascular diseases and to provide reference for the control of clinical cardiovascular patients. Methods A total of 2,147 patients admitted to the hospital from January 2016 to October 2016 were selected as observation group and 2 015 patients treated from January 2015 to October 2015 as control group. Patients in control group The patients in the observation group were treated under the nosocomial infection control system. The infection sites and pathogenic bacteria in the patients with cardiovascular infection were analyzed. The infection rate, nursing satisfaction and sampling pass rate were compared between the two groups. Results In the observation group, 73 cases were infected and the infection rate was 3.40%. In the control group, 132 cases were infected with the infection rate of 6.55% (P <0.05). In the observation group, respiratory tract was the main infection area, with 64 cases accounting for 87.67% A total of 81 strains of pathogens were isolated, mainly Gram-negative bacteria, accounting for a total of 53 strains of 65.43%; observation group patients ward air, health care workers hand, object surface, sterile goods and disinfectant sampling pass rate was significantly higher than the control Group (P <0.05). The total satisfaction rate of the observation group was 98.46%, while that of the control group was 82.68% (P <0.05). Conclusion The application of hospital infection prevention and control system in patients with cardiovascular diseases can significantly reduce the patient infection rate, improve the sampling pass rate and patient satisfaction.