谢晓霞　欧建爱　黄银欢　黄团爱

【摘要】 目的：探讨消化内科内镜治疗中应用护理质量管理对感染控制的影响。方法：选取2018年4月-2019年4月笔者所在医院消化内科收治的100例患者，随机分为试验组（50例）与对照组（50例）。对照组接受常规护理，试验组在对照组基础上接受护理质量管理。对两组各项感染监测指标进行收集、分析和对比。结果：试验组内镜水槽、消毒液、内腔合格率均高于对照组，差异均有统计学意义（P<0.05）。试验组院内感染率低于对照组，差异有统计学意义（P<0.05）。结论：在消化内科内镜治疗患者中应用基于护理质量管理体系的护理策略，能够与医院整体感染管理体系互相交叉，互为补充，进一步控制消化内科患者的感染情况，值得推广。

【关键词】 护理质量管理 消化内镜 感染

doi：10.14033/j.cnki.cfmr.2020.16.061 文献标识码 B 文章编号 1674-6805（2020）16-0-02

Effects of Nursing Quality Management on Infection Control in Endoscopic Therapy of Gastroenterology/XIE Xiaoxia， OU Jianai， HUANG Yinhuan， HUANG Tuanai. //Chinese and Foreign Medical Research， 2020， 18（16）： -150

[Abstract] Objective： To explore the effects of nursing quality management on infection control in endoscopic therapy of gastroenterology. Method： From April 2018 to April 2019， 100 patients admitted to the department of gastroenterology of our hospital and were randomly divided into the experimental group （50 cases） and the control group （50 cases）. The control group received routine nursing， and the experimental group received nursing quality management on the basis of the control group. The infection monitoring indexes of the two groups were collected， analyzed and compared. Result： The qualified rates of flume， disinfectant and internal cavity of digestive endoscopy in the experimental group were higher than those of the control group， and the differences were statistically significant （P<0.05）. The infection rate in the experimental group was lower than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： The application of nursing strategy based on nursing quality management system can cross and complement with the overall infection management system of the hospital， and further control the infection of patients in the department of gastroenterology. It is worth popularizing.

[Key words] Nursing quality management Digestive endoscopy Infection

First-authors address： Zhaoqing First Peoples Hospital， Zhaoqing 506020， China

国外研究显示，建立消化内科护理质量指标对于消化内科患者肠道清洁度管理和营养管理具有显著提升效果[1]。但目前我国消化内科护理质量指标的建立仍属于摸索前进阶段，缺乏相关指南或标准[2]。故本研究选取2018年4月-2019年4月笔者所在医院消化内科收治的100例患者，探讨消化内科内镜治疗中应用护理质量管理对感染控制的影响，结果令人满意，报道如下。

1 资料与方法

1.1 一般资料

选取2018年4月-2019年4月笔者所在医院消化内科收治的100例患者。纳入标准：（1）年龄18～70岁;（2）符合食管胃底静脉曲张出血或大肠腺瘤息肉或消化性溃疡出血诊断标准，并接受内镜治疗;（3）意识清楚。排除标准：（1）妊娠或哺乳期妇女;（2）無法耐受内镜治疗;（3）合并精神类疾病，无法配合完成治疗。使用随机数字表法分为试验组与对照组，每组50例。试验组男34例，女16例;平均年龄（58.1±5.8）岁。对照组男30例，女20例;平均年龄（58.9±7.0）岁。两组性别、年龄比较，差异无统计学意义（P>0.05），具有可比性。研……