团队协作联合风险防范对急诊患儿医院感染的影响

Effects of team cooperation combined with risk prevention on nosocomial infection in emergency children

  • 摘要: 目的 探讨团队协作联合风险防范干预方案对急诊患儿医院感染的影响及护理管理的效果。方法 选取2016年9-12月于医院接受治疗的168例急诊医院感染患儿为研究对象,分为干预组与对照组,各84例,对照组采用传统常规管理护理干预方案,干预组采用团队协作联合风险防范管理护理干预方案。对护理过程中发现的Ⅰ、Ⅱ、Ⅲ级风险事件进行统计,并计算两组患者风险事件发生的总例数。对团队协作联合风险防范患者满意度进行评分,包括治疗护理评分、生活护理评分、心理护理评分及风险事件发现并处理速度评分、安全保证评分(坠床、呛咳等情况)等;统计医院感染发生情况。结果 干预组患者生活护理评分、心理护理评分及治疗性护理评分分别为(8.99±2.34)分、(9.23±3.02)分、(9.12±3.11)分高于对照组(P<0.05)。两组患者在护理管理过程中均发现不同程度的风险事件,其中干预组患者发现Ⅰ、Ⅱ及Ⅲ级风险事件分别为2例、9例及11例均少于对照组,干预组患者总风险事件例数22例少于对照组39例(P=0.025)。干预组患者团队协作中的治疗护理、生活护理、心理护理、风险处理及安全保证满意度评分分别为(4.23±1.11)分、(4.71±1.46)分、(4.35±1.33)分、(9.25±3.10)分及(8.92±2.89)分均高于对照组(P<0.05)。干预组发生医院感染疾病12例少于对照组28例(P=0.046);干预组感染患者共检出病原菌20株,对照组22株。结论 团队协作联合风险防范干预方案较传统常规管理护理干预方案更为有效,能提高团队协作能力,提高管理及护理质量,降低急诊患儿医院感染率。

     

    Abstract: OBJECTIVE To explore clinical effects of team cooperation combined with risk prevention intervention on nosocomial infection in emergency children. METHODS A total of 168 patients of emergency children with nosocomial infection from Sep. 2016 to Dec. 2016 in our hospital were selected as the research objects, and were divided into intervention group and control group, with 84 cases in each group. Patients in control group were received conventional nursing intervention, and patients in intervention group were treated with team cooperation combined with risk prevention emergency hospital management of nursing intervention. The risk events of grade I, II and III in the nursing process were statistically calculated and the total numbers of risk events of the two groups were calculated. The patient satisfaction of team cooperation combined with risk prevention was scored, including nursing score, life nursing score, psychological nursing score and risk events and processing speed score and the safety guarantee score(falling out of bed, choking, etc.). Finally, the incidence of nosocomial infection was statistically analyzed. RESULTS The life nursing score, psychological nursing score and therapeutic nursing score of the intervention group were (8.99±2.34), (9.23±3.02), and (9.12±3.11), respectively, which were significantly higher than those in the control group (P<0.05). Different degrees of risk events were occurred in both groups in the nursing management process. The grade I, II and III risk events in intervention group were 2 cases, 9 cases and 11 cases, which were less than those in the control group. The number of total risk events in the intervention group was 22 cases, which was significantly less than 39 cases of the control group (P =0.025). The satisfaction scores of therapeutic nursing, life nursing, psychological nursing, risk treatment and safety guarantee of the intervention group were (4.23±1.11), (4.71±1.46), (4.35±1.33), (9.25±3.10) and (8.92±2.89), which were significantly higher than those of the control group (P<0.05). There were 12 cases of nosocomial infection in the intervention group, which were significantly less than 28 cases in the control group (P=0.046). Totally 20 strains of pathogenic bacteria were detected in the intervention group, and 22 strains were detected in the control group. CONCLUSION Team cooperation combined with risk prevention intervention is more effective than the conventional management nursing intervention, which can improve the team cooperation ability, improve the management and nursing quality, and reduce the nosocomial infection rate of emergency children.

     

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