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目的:探讨在血液科重症监护病房(HCU)感染控制管理工作中引入风险管理模式应用的效果。方法:总结HCU感染控制管理工作,分析感染控制中的风险因素,归纳为:手卫生不到位,工作人员医院感染知识缺乏及对医院感染的严重性认识不足,工作人员在HCU感染控制工作中的参与度不一致,重点个体防护不到位,侵入性诊疗操作增多,环境因素等。提出风险管理模式的对策并将其应用于HCU感染控制中。结果:工作人员包括医护人员和保洁人员手卫生的依从率从85%提高到97.28%,差异有统计学意义(P<0.05),标准预防的执行率从79.44%提高到94.02%,差异有统计学意义(P<0.05),HCU院内感染的发生率从4.82%降低到2.05%,差异有统计学意义(P<0.05),住院患者对于环境卫生的满意率从91.67%提高到96.25%,差异有统计学意义(P<0.05)。结论:将风险管理模式应用于HCU感染控制中可有效提高管理质量,有重要意义。
Objective: To explore the effect of introducing the risk management mode in the control and management of HCU infection in hematology department. Methods: To summarize the control and management of HCU infection and to analyze the risk factors of infection control, summarized as: hand hygiene is not in place, lack of knowledge of hospital staff infection and lack of awareness of the severity of nosocomial infections, staff in HCU infection control work Inconsistent participation, focusing on individual protection is not in place, invasive diagnosis and treatment operations increased, environmental factors. Put forward the countermeasure of risk management mode and apply it to HCU infection control. Results: The compliance rate of hand hygiene of staff, including medical staff and cleaning staff increased from 85% to 97.28%, the difference was statistically significant (P <0.05), and the implementation rate of standard precaution was increased from 79.44% to 94.02% with statistical difference (P <0.05). The incidence of nosocomial infections in HCU decreased from 4.82% to 2.05%, with significant difference (P <0.05). The satisfaction rate of hospitalized patients with environmental health increased from 91.67% to 96.25%, and the difference was statistically significant There was statistical significance (P <0.05). Conclusion: It is significant to apply the risk management model to HCU infection control to improve management quality effectively.