首页|风险视角下的清单式管理及闭环管理在烧伤病房多药耐药菌感染预防中的应用

风险视角下的清单式管理及闭环管理在烧伤病房多药耐药菌感染预防中的应用

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目的 探讨烧伤病房多药耐药菌(MDROs)感染预防中应用风险视角下的清单式管理结合闭环管理的价值。方法 选取2020年5月-2023年5月解放军第926医院收治的烧伤患者共计84例,根据随机数字表法分成干预组(n=42)和对照组(n=42),对照组采用常规管理,干预组采用风险视角下的清单式管理结合闭环管理,比较两组MDROs感染发生率、生活质量及患者满意度。结果 干预组MDROs感染发生率(9。52%)低于对照组(28。57%)(P<0。05);管理后两组生活质量综合评定问卷-74(GQOL-74)评分提高(P<0。05),干预组评分较对照组更高(P<0。05);干预组管理满意度较对照组更高(P<0。05)。结论 烧伤病房中应用风险视角下的清单式管理结合闭环管理,能有效降低MDROs感染发生率,改善患者生活质量,提高患者满意度。
Application of checklist management combined with closed-loop management in the prevention of multidrug-resistant organisms infection in burn wards from the perspective of risk
OBJECTIVE To explore the value of applying inventory management combined with closed-loop manage-ment from the perspective of risk in the prevention of multidrug-resistant organisms(MDROs)infection in burn wards.METHOD A total of 84 burn patients who were admitted in the 926 Hospital of the PLA Joint Service Sup-port Force from Jan.2020 to Jan.2022 were selected,and divided into the intervention group(n=42)and the control group(n=42)according to the method of randomized numerical table,the control group was given rou-tine management,while the intervention group was managed by checklist management under the risk perspective in combination with the closed-loop management,and the incidence of MDROS infection,quality of life and pa-tients'satisfaction were compared between the two groups.RESULTS The incidence of MDROs infection in the in-tervention group(9.52%)was lower than that of the control group(28.57%)(P<0.05).After management,the scores of Generic Quality Life Inventory-74(GQOL-74)in both groups were improved(P<0.05),and the scores of the intervention group were higher than that of the control group(P<0.05).The management satisfac-tion of the intervention group was higher than that of the control group(P<0.05).CONCLUSION The applica-tion of inventory management combined with closed-loop management from the perspective of risk in burn wards can effectively reduce the incidence of MDROs infection,improve the quality of life of patients,and improve pa-tient satisfaction.

Multidrug-resistant organismsBurn wardList managementClosed-loop managementInfection prevention

王娅、刘敏、刘德蜜、杜丽萍、赵金楠、姚志慧

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中国人民解放军联勤保障部队第九二六医院烧伤整形科,云南开远 661699

多药耐药菌 烧伤病房 清单式管理 闭环管理 感染预防

国家自然科学基金地区基金资助项目云南省科技厅基础研究专项基金资助项目

81860338202401AT070153

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(20)