Exploration on the role of infectious disease nurses in the prevention and control of multidrug-resistant bacteria infections
感染科护士在多重耐药菌感染防控中的角色探讨

摘要

目的 探究感染科护士在多重耐药菌感染防控中的具体角色及实际作用，为提升多重耐药菌感染防控效果提供实践依据与理论支持。方法 选取2024年3月-2025年3月期间我院感染科符合严格标准的80例多重耐药菌感染患者作为研究对象，采用随机数字表法将其分为对照组和实验组，每组各40例。对照组患者实施常规感染防控护理，实验组患者在常规护理基础上，由护士承担更具针对性的防控角色。结果 实验组患者的多重耐药菌清除时间显著短于对照组（t=4.236，P=0.000）；实验组院内交叉感染发生率明显低于对照组（χ²=4.114，P=0.043）；实验组患者对防控知识的知晓率显著高于对照组（χ²=6.275，P=0.012）。结论 感染科护士在多重耐药菌感染防控中扮演着监督者、执行者、宣教者和监测反馈者等多重关键角色，通过充分发挥这些角色作用，能够有效缩短多重耐药菌清除时间、降低院内交叉感染发生率、提高患者对防控知识的知晓率，对提升多重耐药菌感染防控效果具有重要意义。

Abstract

Objective To explore the specific roles and practical functions of infectious disease nurses in the prevention and control of multidrug-resistant bacteria infections, and to provide practical basis and theoretical support for improving the effectiveness of such prevention and control.
Methods A total of 80 patients with multidrug-resistant bacteria infections who met strict criteria in the infectious disease department of our hospital from March 2024 to March 2025 were selected as research subjects. They were randomly divided into a control group and an experimental group using a random number table method, with 40 cases in each group. Patients in the control group received routine infection prevention and control nursing, while patients in the experimental group, on the basis of routine nursing, had nurses assume more targeted prevention and control roles.
Results The time for multidrug-resistant bacteria clearance in the experimental group was significantly shorter than that in the control group(t=4.236, P=0.000);the incidence of nosocomial cross-infection in the experimental group was significantly lower than that in the control group(χ²=4.114, P=0.043);the awareness rate of prevention and control knowledge among patients in the experimental group was significantly higher than that in the control group(χ²=6.275, P=0.012).
Conclusion   Infectious disease nurses play multiple key roles such as supervisors, executors, educators, and monitoring feedback providers in the prevention and control of multidrug-resistant bacteria infections. By giving full play to these roles, they can effectively shorten the clearance time of multidrug-resistant bacteria, reduce the incidence of nosocomial cross-infections, and improve patients' awareness of prevention and control knowledge, which is of great significance for enhancing the effectiveness of multidrug-resistant bacteria infection prevention and control.