胡慧瑛

[摘要]目的 探讨优质护理干预对预防产科母婴同室病房院内感染的效果。方法 选取我院2014年1月～2015年8月收治的母婴同室分娩的产妇71例作为研究对象，根据入院顺序进行编号并利用随机数表法将所有研究对象分为对照组35例和观察组36例，对照组患者予以常规护理，观察组患者实施优质护理干预，观察比较两组患者的院内感染发生率、护理满意度。结果 观察组产妇上呼吸道感染、表浅切口感染、泌尿系统感染等院内感染发生率8.3%，明显低于对照组34.3%（P<0.05）；对照组护理满意度80.0%，观察组护理满意度为97.2%，观察组护理满意度明显高于对照组（P<0.05）。结论 优质护理干预对预防产科母婴同室病房院内感染（上呼吸道感染、表浅切口感染等）的效果突出，深受患者认可，值得推广。

[关键词]优质护理干预；产科；母婴同室；院内感染

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0183-03

Effect analysis of high quality nursing intervention on prevention of nosocomial infection in“rooming-in”in obstetrical department

HU Hui-ying

Department of Gynecology，Shangrao People′s Hospital in Jiangxi Province，Shangrao 334000，China

[Abstract]Objective To explore the efficacy of high quality nursing intervention on prevention of nosocomial infection in “rooming-in”.Methods A total of 71 delivered puerperae from January 2014 to August 2015 in “rooming-in” in our hospital were selected.According to the order of admission and a random number table，all participants were divided into control group （n=35） and observation group （n=36）.In the control group，regular nursing was used，while in the observation group，high quality nursing intervention was adopted.The incidence of nosocomial infection and nursing satisfaction were compared between the two groups.Results In the observation group，the incidence of nosocomial infection including upper respiratory tract infection，superficial incision infection，and urinary system infection，etc. was 8.3%，much lower than that in the control group accounting for 34.3% （P<0.05）.The nursing satisfaction in the control group was 80.0%，while in the observation group，the satisfaction rate was 97.2%.The nursing satisfaction in the observation group was significantly higher than that in the control group （P<0.05）.Conclusion High quality nursing intervention on the prevention of nosocomial infection including upper respiratory tract infection and superficial wound infection，etc.in “rooming-in” in obstetrical department obtains a prominent effect，and is well-recognized by patients，which is worthy of promotion.

[Key words]High quality nursing intervention；Obstetrics；Rooming-in；Nosocomial infection

母嬰同室主要是指产后产妇与新生儿在24 h内同处于一个房间，且之后每天与产妇分离的时间≤1 h，是加强母婴情感、增强母乳喂养以及母婴健康的有效方法。但由于产妇与新生儿身体较为虚弱，同处一室容易发生院内感染，会增加护理安全事故的发生风险，因此做好母婴同室护理干预工作至关重要[1-2]。本研究以71例母婴同室分娩的产妇为例，主要探讨优质护理干预预防院内感染的应用价值，现报道如下。

1资料与方法

1.1一般资料

于我院2014年1月～2015年8月收治的产妇中选取71例母婴同室分娩的产妇作为研究对象，根据入院顺序进行编号并利用随机数表法分为观察组（n=36）与对照组（n=35）。对照组产妇年龄22～32岁，平均（26.2±3.1）岁；其中剖宫产14例，自然分娩21例；文化程度：大专及以上学历14例，初高中18例，小学及文盲3例。观察组产妇年龄23～33岁，平均（26.6±3.5）岁；……