中国感染控制杂志2017，Vol.16Issue(12)：1182-1184,1188,4.DOI:10.3969/j.issn.1671-9638.2017.12.017
专职感控护士督导对综合干预措施依从性及VAP发病率的影响
Effect of full-time infection control nurses' supervision on the compliance to comprehensive intervention measures and incidence of ventilator-associated pneumonia
摘要
Abstract
Objective To evaluate the effect of full-time infection control nurses' supervision on the compliance to implementation of comprehensive intervention measures and incidence of ventilator-associated pneumonia (VAP).Methods Full-time infection control nurses in the general intensive care unit(ICU) of a hospital were assigned,compliance to comprehensive intervention measures among all patients who were admitted to ICU was monitored.September 2012-April 2014 was pre-intervention stage,May 2014-December 2015 was post-intervention stage.Utilization of ventilator and occurrence of VAP before and after implementing intervention measures were analyzed statistically.Results A total of 1 373 patients were monitored before intervention,1 477 were monitored after intervention.Utilization rates of ventilator before and after intervention were 31.89％ and 40.95％ respectively.Incidence of VAP before and after intervention were 31.97‰ and 17.82‰ respectively,incidence of MDRO infection were 11.99‰ and 6.41‰ respectively.Microbial monitoring results of environmental object surface after intervention were all qualified (all≤5 CFU/cm2).Fluorescence labeling clearance rate and hand hygiene compliance rate increased gradually in each quarter,reached more than 80％ in the latter period;compliance to semireclining position was all 100％ from the fourth quarter of 2014 to the fourth quarter of 2015.Conclusion Through implementation of comprehensive intervention measures by full time infection control nurses,incidence of VAP can be decreased significantly,quality of medical treatment is improved,and safety of patients is ensured.关键词
感控护士/综合干预措施/呼吸机相关肺炎/依从性Key words
infection control nurse/comprehensive intervention measure/ventilator-associated pneumonia/compliance分类
医药卫生引用本文复制引用
周俊,唐红萍,张丽娟,黄丽华..专职感控护士督导对综合干预措施依从性及VAP发病率的影响[J].中国感染控制杂志,2017,16(12):1182-1184,1188,4.
