The value of nursing intervention based on behavioral change theory in the prevention of multidrug-resistant bacterial infection
基于行为转变理论的护理干预在多重耐药菌感染预防中的价值

摘要

目的 讨论研究基于行为转变理论的护理干预措施对多重耐药菌感染预防工作的影响。方法 将2020年6月到2021年12月期间院内的80例多重耐药菌感染患者纳入研究范围，利用随机分配法划分为对照组（接受常规基础护理）、观察组（接受基于行为转变理论的护理干预），对比两组院内感染情况、重点多重耐药菌检出情况、抗菌药物使用情况、抗菌药物使用前病原学送检情况。对比两组护理人员对多重耐药菌防控行为转变理论掌握情况。结果 观察组院内感染率、重点多重耐药菌检出率、抗菌药物使用率、抗菌药物使用前病原学送检率等数据信息明显比对照组更具优势，P<0.05，有统计学差异。观察组整体护理人员对多重耐药菌防控行为转变理论掌握程度评分明显高于对照组，P<0.05，有统计学差异。结论 基于行为转变理论的护理干预措施对多重耐药菌感染预防工作可产生积极影响，让护理人员更加了解多重耐药菌防控行为转变理论相关知识，积极转变自身护理行为，将多重耐药菌感染率控制在合理范围。

Abstract

Objective: To discuss the impact of nursing interventions based on behavioral change theory on the prevention of multidrug-resistant bacterial infections.
Methods: From June 2020 to December 2021, 80 patients with multi-drug-resistant bacterial infection in the hospital were included in the study, and were divided into the control group (receiving routine basic care) and the observation group (receiving behavior change theory based on the random assignment method) Nursing intervention), the nosocomial infection, the detection of key multidrug-resistant bacteria, the use of antibiotics, and the etiological inspection before the use of antibiotics were compared between the two groups. Comparing the two groups of nursing staff's mastery of the theory of multidrug-resistant bacteria prevention and control behavior change.
Results: The data information such as the nosocomial infection rate, the detection rate of key multidrug-resistant bacteria, the usage rate of antibiotics, and the rate of pathogenic inspection before the use of antibiotics in the observation group were significantly more advantageous than those in the control group, P<0.05, there was a statistical difference . The overall score of nursing staff in the observation group on the theoretical mastery of the transformation of multidrug-resistant bacteria prevention and control behavior was significantly higher than that in the control group, P<0.05, there was a statistical difference.
Conclusion  : Nursing interventions based on the behavior change theory can have a positive impact on the prevention of multidrug-resistant bacteria infection, so that nurses can better understand the knowledge related to the theory of multidrug-resistant bacteria prevention and control behavior change, actively change their own nursing behavior, and make the multidrug-resistant bacteria more effective. The bacterial infection rate was controlled within a reasonable range.