李雄英　　党生花

[摘要] 目的 探討设立院感监控护士对医院感染管理质量的影响。 方法 选择我院2018年12月至2019年12月手术室与ICU室为观察对象，以设立院感监控护士前后的时间为分界点，观察和比较设立院感监控护士前后医院感染管理质量指标评分、医护人员感染知识知晓率以及患者感染率的变化情况。 结果 设立院感监控护士后，医院感染管理质量指标评分为（466.45±12.54）分，医护人员的感染知识知晓率为100.00%，手术室、ICU室的感染率分别为1.00%、2.50%;设立院感监控护士前，医院感染管理质量指标评分为（364.22±15.78）分，医护人员的感染知识知晓率为45.46%，手术室、ICU室的感染率分别为4.00%、15.00%。设立院感监控护士后的医院感染管理质量指标评分和医护人员的感染知识知晓率均显著高于设立院感监控护士前，手术室、ICU室的感染率显著低于设立院感监控护士前（P<0.05）。 结论 设立院感监控护士能够显著提高医院的感染管理质量以及医护人员的感染知识知晓率，有效降低医院的感染率。

[关键词] 院感监控护士;感染管理;感染知识;感染率

[中图分类号] R197.3         [文献标识码] C          [文章编号] 1673-9701（2021）09-0159-04

The impacts of setting up nosocomial infection monitoring nurses on the quality of nosocomial infection management

LI Xiongying   DANG  Shenghua

Department of Central Sterile Supply， CITIC Huizhou Hospital， Huizhou   516006，China

[Abstract] Objective To explore the impacts of setting up nosocomial infection monitoring nurses on the quality of nosocomial infection management. Methods The operating room and ICU room of our hospital from December 2018 to December 2019 were selected as the observation objects， and the time before and after setting up the nosocomial infection monitoring nurse was taken as the cut-off point，the changes of nosocomial infection management quality index score， infection knowledge awareness rate of medical staff and patient infection rate before and after setting up the nosocomial infection monitoring nurse were observed and compared. Results After the establishment of nosocomial infection monitoring nurses， the nosocomial infection management quality index score was（466.45±12.54） points， the awareness rate of infection knowledge among medical staff was 100.00%， and the infection rates in operating room and ICU room were 1.00% and 2.50% respectively. Before the establishment of nosocomial infection monitoring nurses， the nosocomial infection management quality index score was （364.22±15.78） points， the awareness rate of infection knowledge among medical staff was 45.45%， and the infection rates in operating room and ICU room were 4.00% and 15.00% respectively.The quality index score of nosocomial infection management and the awareness rate of infection knowledge of medical staff after setting up nosocomial infection monitoring nurses were significantly higher than those before setting up nosocomial infection monitoring nurses，while the infection rate in operating room and ICU room was significantly lower than that before the establishment of nosocomial infection monitoring nurses（P<0.05）. Conclusion Setting up nosocomial infection monitoring nurses can significantly improve the quality of nosocomial infection management and the awareness rate of infection knowledge among medical staff，and effectively reduce the nosocomial infection rate.

[Key words] Nosocomial infection monitoring nurse; Infection management; Infection knowledge; Infection rate

医院是一个人员流动性较大的场所，前来就诊的人员身上携带的病原体就可能存在于医院的空气中或附着在物品上[1]。若不加以干预措施，就可能导致交叉感染的情况出现，严重影响患者的治疗效果，甚至威胁部分的重症患者的生命[2]。传统院感管理的措施不够完善，既没有意识到感染知识宣传的重要性，也没有意识到监管人员在管理工作中的重要性，导致管理预防感染的效果并不理想[3]。尤其是手术室和ICU室的感染防范工作，其中患者比普通患者更容易因为病原体和细菌的侵袭而出现感染和高热等症状，导致其治疗效果和生命安全出现危险[4]。……