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目的:探讨一体化管理在预防肾内科患者医院感染中的应用效果,为加强患者院内感染控制工作提供参考。方法:研究对象选取为2013~2014年浙江省杭州市萧山区第一人民医院肾内科收治的1579例患者,2014年1月开始实施一体化管理,将实施前(2013年)的患者作为对照组,实施后(2014年)的患者作为研究组,对照组采用常规管理措施,研究组采用一体化管理模式,比较两组医院感染控制情况和患者满意度。结果:研究组住院48h的医院感染发生率为3.4%,显著低于对照组的5.4%(P<0.05);研究组患者的满意度为98.4%,显著高于对照组的95.0%(P<0.05)。结论:一体化管理有效提高了医护协作率,能够降低肾内科患者的医院感染率,改善患者的满意度。
Objective: To explore the application of integrated management in the prevention of nosocomial infections in patients with nephrology, and to provide reference for strengthening the control of nosocomial infections in patients. Methods: The subjects were selected from 1579 patients who were admitted to Department of Nephrology, First People’s Hospital of Xiaoshan District, Hangzhou City, Zhejiang Province from 2013 to 2014. Integrative management was implemented in January 2014 and patients before implementation (2013) were taken as control group , Patients after implementation (2014) as the research group and control group as the conventional management measures. The research group adopted the integrated management mode to compare the infection control and patient satisfaction of the two groups. Results: The incidence of nosocomial infection was 3.4% in study group 48h after hospitalization, which was significantly lower than that in control group (5.4%, P <0.05). The satisfaction rate of study group was 98.4%, which was significantly higher than that of control group (95.0%, P < 0.05). Conclusion: The integrated management can effectively improve the medical cooperation rate, reduce the nosocomial infection rate and improve the patient satisfaction.