| 摘要: |
| 目的：探讨基于风险管理方案在预防新生儿重症监护室（NICU）患儿院内感染中的应用价值。方法：选取2022年6月-2023年6月本院NICU收治的134例患儿为对象。以2022年6月-12月入组的67例患儿为对照组，以2023年1月-6月入组的67例患儿为观察组。对照组采用常规管理，观察组采用风险管理方案。比较两组院内感染发生率、卫生合格率及满意度。结果：对照组NICU院内感染发生率为10.45%（7/67），高于观察组的1.49%（1/67）（P < 0.05）。观察组空气质量、病区卫生、医护人员手部卫生合格率高于对照组（P < 0.05）。观察组配奶间设施、洗浴间设施、诊疗设备、监测仪器消毒合格率均高于对照组（P < 0.05）。观察组住院及抗生素应用时间短于对照组（P < 0.05）。观察组家属对管理的满意度为97.01%，高于对照组的82.09%（P < 0.05）。结论：风险管理方案用于NICU，可降低院内感染发生率，提高卫生设施、医用物品消毒合格率及患儿家属的满意度，缩短患儿住院时间。 |
| 关键词: 风险管理方案 新生儿重症监护室 院内感染 |
| DOI： |
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| 基金项目: |
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| Application and Analysis of Prevention of Nosocomial Infection in NICU Children Based on Risk Management Scheme |
| MIAO Yu |
| (Hospital Infectious Disease Department，Xuzhou Maternal and Child Health Hospital) |
| Abstract: |
| Objective：To explore the application value of risk management scheme to prevent nosocomial infection in neonatal intensive care unit（NICU）. Methods：A total of 134 children admitted to NICU from June 2022 to June 2023 were selected as subjects. A total of 67 children enrolled from June to December 2022 were selected as control group，and 67 children enrolled from January to June 2023 were selected as observation group. The control group adopted conventional management，and the observation group adopted risk management. The incidence of nosocomial infection，hygiene qualification rate and satisfaction were compared between the two groups. Results：The incidence of NICU nosocomial infection in control group was 10.45%（7/67），higher than that in observation group（1.49%（1/67）（P < 0.05）. The pass rate of air quality，ward hygiene and hand hygiene of medical staff in observation group was higher than that in control group（P < 0.05）. The qualified rate of disinfection of milk room facilities，bath room facilities，diagnosis and treatment equipment and monitoring instruments was higher than that of control group（P < 0.05）. The duration of hospitalization and antibiotic application in observation group was shorter than that in control group（P < 0.05）. The satisfaction of management in the observation group was 97.01%，higher than that in the control group（82.09%，P < 0.05）. Conclusion：The risk management scheme used in NICU can reduce the incidence of nosocomial infection，improve the qualified rate of disinfection of sanitary and medical articles and the satisfaction of children’s families，and shorten the hospital stay of children. |
| Key words: Risk Management Plan Neonatal Intensive Care Unit Nosocomial Infection |
