Effect of the intervention of knowledge and practice education on the incidence of oral fungal infection in patientswith AECOPD
知信行教育的干预对 AECOPD 患者口腔真菌感染发生率的影响

摘要

目的 应用知信行理论模式提高护士 AECOPD 患者口腔真菌感染集束化举措的遵循率，达到降低 AECOPD 患者口腔真菌感染发生率的目标。方法 本研究将 2020 年 8 月至 2022 年 4 月在呼吸与危重症医学科工 作的护士纳为知信行理论模式的实施对象，选取 2020 年 8 月至 2022 年 4 月入住呼吸与危重症医学科的慢性阻塞 性肺疾病急性发作期的患者 97 例为评价对象，对照组采取聚集讲课及示范教育为主要形式的常规教育培训，20 观察组采取口腔真菌感染集束化举措的护士进行知信行干预；比较干预结果。结果 最终纳入呼吸与危重症医学 科护士 45 名，知信行干预后，护士口腔真菌感染集束化干预举措的遵循率在知、信、行三方面的问卷评分均高 于实施前（P＜0.05）；试验组患者口腔真菌感染发生率 8.17%低于对照组的 22.91%（P＜0.05） 结论 知信行理 论模式可提高护士口腔真菌感染集束化干预举措实施遵循率，降低口腔真菌感染发生率。

Abstract

Objective To apply the theory of knowledge and practice to improve the compliance rate of the clustering measures of oral fungal infection in nurses with AECOPD, and to achieve the goal of reducing the incidence of oral fungal infection in patients with AECOPD.
Methods In this study, nurses working in the Department of Respiratory and Critical Care Medicine from August 2020 to April 2022 were selected as the implementation target, and 97 patients with the acute episode of chronic obstructive pulmonary disease in the department from August 2020 to April 2022 were selected. The control group mainly adopted routine education and training by gathering lectures and demonstration education, and 20 nurses adopted the clustering of oral fungal infection to conduct the intervention and compared the intervention results.
Results 45 nurses in the department of respiratory and critical care medicine were included. After the intervention, the compliance rate of oral fungal infection cluster intervention was higher than before knowledge, trust and practice (P <0.05); the incidence of oral fungal infection in the test group was 8.17% less vs. 22.91% (P. P <0.05).
Conclusion   It can improve the rate of implementation and reduce the incidence of oral fungal infection.