To explore the application of refined nursing management in the nosocomial infection management of the comprehensive ICU
探讨护理精细化管理在综合性ICU医院感染管理中的应用

摘要

目的 将护理精细化管理用于综合性ICU医院感染管理中，对其应用价值进行探究。方法 选取2023年9月~2024年10月本院ICU收治的90例患者，随机分组，将行常规护理的45例患者设为对照组，另将行护理精细化管理的45例患者设为观察组，比较两组干预结果。结果 观察组空气、物表、医护人员手各项监测指标合格率分别为93.33%、97.78%、95.56%，较对照组高（P<0.05）；两组医院感染发生率比较，观察组6.67%更低（P<0.05）；两组各项院感控制质量评分相比，观察组更高（P<0.05）；两组护理满意度比较，观察组95.56%更高（P<0.05）。结论 护理精细化管理可有效控制ICU医院感染发生，提高各指标监测合格率及院感控制质量，提高患者满意度，具有推广价值。

Abstract

Objective To apply refined nursing management to the nosocomial infection management in the comprehensive ICU and explore its application value.
Methods A total of 90 patients admitted to the ICU of our hospital from September 2023 to October 2024 were selected and randomly grouped. 45 patients who received routine nursing were set as the control group, and another 45 patients who received refined nursing management were set as the observation group. The intervention results of the two groups were compared.
Results The qualified rates of various monitoring indicators such as air, object surface and hands of medical staff in the observation group were 93.33%, 97.78% and 95.56% respectively, which were higher than those in the control group (P<0.05); The comparison of the incidence of nosocomial infections between the two groups showed that 6.67% was lower in the observation group (P<0.05). Compared with the scores of various hospital infection control qualities in the two groups, the observation group was higher (P<0.05). The comparison of nursing satisfaction between the two groups showed that 95.56% in the observation group was higher (P<0.05).
Conclusion   Refined nursing management can effectively control the occurrence of nosocomial infections in the ICU, improve the qualified rate of monitoring of various indicators and the quality of nosocomial infection control, enhance patient satisfaction, and has promotion value.