Clinical observation on fine management of nosocomial infection in hemodialysis room by PDPC method
PDPC法应用于血液透析室医院感染精细化管理的临床观察

摘要

目的 讨论PDPC法应用于血液透析室医院感染精细化管理的效果。方法 选择我院2019年3月到2021年5月在我院血液透析室进行治疗的患者240例，并利用平均分配的方式将患者分为观察组（120例）和对照组（120例），为观察组的患者在血液透析室的医院感染精细化管理中应用PDPC法，为对照组的患者执行普通的血液透析室医院感染精细化管理，比较两组患者在改进措施执行评分上及相关不良事件发生率上的具体情况。结果 PDPC法应用于血液透析室医院感染管理中后，感控管理质量提升明显，各项监测指标均达到或优于感染管理规范、《血液净化标准振作规程》中的要求。其中观察组在各项指标的达标率均好于对照组，且P＜0.05；观察组在不良事件的发生率上为0.6%，好于对照组的1.8%，且P＜0.05。结论 PDPC法应用于血液透析室医院感染管理中，有助于实现事前控制，是预防和控制医院感染的有效方法。

Abstract

Objective To discuss the effect of PDPC in the fine management of nosocomial infection in hemodialysis room.
Methods A total of 240 patients treated in the hemodialysis room of our hospital from March 2019 to May 2021 were selected, and the patients were divided into observation group (120 cases) and control group (120 cases) by means of average allocation. PDPC method was applied in the refined management of nosocomial infection in the hemodialysis room for patients in the observation group. The patients in the control group were treated with the common intensive management of nosocomial infection in hemodialysis room, and the specific situation of the two groups in the implementation score of improved measures and the incidence of related adverse events was compared.
Results After PDPC method was applied in the management of nosocomial infection in hemodialysis room, the quality of sensory control management was improved significantly, and all monitoring indexes reached or exceeded the requirements of infection management standard and Blood purification Standard improvement Procedure. The achievement rate of the observation group was better than that of the control group, and P < 0.05; The incidence of adverse events in the observation group was 0.6%, which was better than that in the control group (1.8%), and P < 0.05.
Conclusion   PDPC is an effective method to prevent and control nosocomial infection in hemodialysis room.