基于循證理論構(gòu)建的多學(xué)科診療網(wǎng)格化血管導(dǎo)管相關(guān)感染管控體系的臨床實(shí)踐

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Construction of management system of MDT for the gridding vessel catheter associated infection based on the evidence-based theory and its application effect

ZHOU Beibei，YU Xiurong LIU Min，GAO Guixiu

Zaozhuang Municipal Hospital，Shandong 277100 China

Corresponding Author  YU Xiurong，E-mail：986690249@qq.com

Abstract Objective：To apply the multi-disciplinary treatment（MDT） grid based vessel catheter associated infection（VCAI） control system based on evidence-based theory to clinical work and evaluate its application effect.Methods：The MDT grid based VCAI control system constructed was applied to train medical staff and conduct control.The mastery of VCAI related knowledge of medical staff on patients，standardized infection prevention measures implementation rate of medical staff on patients，and VCAI incidence rate of patients before and after the application of this system were compared.Results：After application，the assessment scores of VCAI related knowledge for doctors were higher than before application，the assessment scores of VCAI related knowledge for nurses were also higher than before application.The implementation rate of standardized infection prevention measures of medical staff on patients has been improved，the incidence of VCAI among all patients in the hospital decreased from 0.093 9% to 0.010 7%，and the differences were statistically significant（P<0.05）.Conclusion：Applying the MDT grid based VCAI management system based on evidence-based theory to clinical can reduce the incidence of VCAI and ensure patient safety.

Keywords  multi-disciplinary treatment，MDT; vessel catheter associated infection; evidence-based theory; nursing quality; nosocomial infection; incidence

摘要  目的：將基于循證理論構(gòu)建多學(xué)科診療（MDT）網(wǎng)格化血管導(dǎo)管相關(guān)感染（VCAI）管控體系應(yīng)用于臨床工作中并評(píng)價(jià)其應(yīng)用效果。（剩余5759字）