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目的:探讨建立危重症患者多药耐药菌护理风险预警制度的措施和实施成效。方法:在重症监护室(ICU)建立患者多药耐药菌感染预警制度,识别、预报并分析患者感染多药耐药菌的风险,在护理工作中制定风险预警方案并施行,观察成效。结果:建立危重症患者多药耐药菌护理风险预警制度前后护理人员的多药耐药菌知识了解率差异显著(P<0.05);建立危重症患者多药耐药菌护理风险预警制度前后医院多药耐药菌预防实施对象差异显著(P<0.05);建立危重症患者多药耐药菌护理风险预警制度前,危重症患者多药耐药菌感染率为2.33%,建立风险预警制度后,危重症患者多药耐药菌感染率为1.46%,建立前后差异显著(P<0.05)。结论:建立危重症患者多药耐药菌护理风险预警制度可以提高护理人员的多药耐药菌知识了解率,有效识别易感染多药耐药菌患者,降低危重症患者多药耐药菌感染率,提高医院护理质量。
Objective: To explore the establishment of early-warning system for multi-drug resistant bacteria in critically ill patients and its effectiveness. Methods: To establish an early warning system for multidrug-resistant bacterial infection in intensive care unit (ICU), to identify, predict and analyze the risk of MDR-infected patients, to establish a risk warning plan in nursing work and to observe the results. Results: The knowledge-based rate of multidrug-resistant bacteria in nurses before and after the establishment of critical risk management system for multidrug-resistant bacteria in critically ill patients was significantly different (P <0.05). The risk warning system for multidrug-resistant bacteria in critically ill patients was established before and after the hospital (P <0.05). Before establishing the risk warning system for multi-drug resistant bacteria in critically ill patients, the infection rate of multidrug-resistant bacteria in critically ill patients was 2.33%. After establishing the risk warning system . The infection rate of multidrug-resistant bacteria in critically ill patients was 1.46%, which was significantly different between before and after establishment (P <0.05). Conclusion: The establishment of early warning system of nursing risk of multi-drug resistant bacteria in critically ill patients can improve the knowledge rate of multidrug-resistant bacteria in nursing staff, effectively identify patients susceptible to multidrug-resistant bacteria and reduce multidrug-resistant bacterial infections in critically ill patients Rate, improve the quality of hospital care.