Effect of nursing management model based on 5M1E analysis on nosocomial infection of ICU patients with multidrug-resistant bacteria
10.3760/cma.j.cn115682-20210508-01993
- VernacularTitle:基于5M1E分析法的护理管理模式对ICU患者多重耐药菌院内感染的影响
- Author:
Xuxia WANG
1
;
Haijiao ZHANG
;
Tao TIAN
;
Jingjing LUO
;
Hui QU
;
Xinzhai DONG
;
Li QUAN
;
Fangying TIAN
Author Information
1. 山西医科大学第二医院医院感染管理科，太原 030001
- Keywords:
Intensive Care Unit;
5MIE analysis;
Multidrug-resistant bacteria;
Cross infection
- From:
Chinese Journal of Modern Nursing
2021;27(29):3990-3993
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of nursing management model based on the man, machine, material, method, measurement and environment (5M1E) analysis on nosocomial infection of multidrug-resistant organism (MDRO) in Intensive Care Unit (ICU) .Methods:From January 2019 to December 2020, convenience sampling was used to select ICU patients in the Second Hospital of Shanxi Medical University as the research objects. Patients admitted to the hospital from January to December 2019 were taken as the control group ( n=1 224) to implement routine nursing management. Patients admitted to the hospital from January to December 2020 were taken as the observation group ( n=1 134) , and the nursing management model based on 5M1E analysis was implemented. The differences in the use rate of antibacterial drugs, the intensity of antibacterial drug use, the separation amount of newly MDRO per thousand hospitalization days, the length of ICU stay, the total length of stay, and the cost of treatment were compared between the two groups. Results:The use rate of antibacterial drugs, the intensity of antibacterial drug use, and the separation amount of newly MDRO per thousand hospitalization days in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.01) . The length of ICU stay, total length of stay, and treatment costs of the observation group were less than those of the control group, and the differences were statistically significant ( P<0.01) . Conclusions:The nursing management model based on the 5M1E analysis can reduce the use rate of antibacterial drugs in ICU patients, the intensity of antibacterial drug use, the separation amount of newly MDRO per thousand hospitalization days, shorten the length of ICU stay, total length of stay, and reduce treatment costs, which is worthy of clinical promotion.
