三级无缝隙质量管理对手术室医院感染的效果分析
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摘要
目的:研究三级无缝隙质量管理对手术室医院感染的实施效果。方法:选取2015年9月-2017年8月在本院接受手术的患者2 000例为研究对象,以2015年9月-2016年8月实施手术的1 000例为对照组,2016年9月-2017年8月实施手术的1 000例为观察组。对照组予以常规护理,观察组则予以三级无缝隙质量管理。分别对比两组术后手术室医院感染和护理过程中不规范现象发生情况以及患者的满意度。结果:观察组手术室感染率为2.2%(22/1 000),明显低于对照组的4.3%(43/1000),差异有统计学意义(χ~2=7.013,P=0.008)。观察组手术室护理过程中不规范现象发生率为4.1%(41/1 000),明显低于对照组的6.7%(67/1 000),差异有统计学意义(χ~2=6.617,P=0.010)。观察组患者的满意度为99.1%(991/1 000),明显高于对照组的94.2%(942/1 000),差异有统计学意义(χ~2=37.078,P=0.000)。结论:三级无缝隙质量管理可显著降低手术室医院感染发生风险,同时减少手术室护理过程中不规范现象发生,提高患者满意度,值得临床推广应用。
Objective:To study the effect of three-level seamless quality management on nosocomial infection in operating room.Method:A total of 2 000 patients undergone surgery from September 2015 to August 2017 in our hospital were selected as the study subjects.1 000 patients were undergone surgery from September 2015 to August 2016 as the control group,and 1 000 patients from September 2016 to August 2017 as the observation group.The control group was treated with routine nursing, the observation group was given threelevel seamless quality management. the incidence of nosocomial infection in operating room,the occurrence of irregular phenomena in operating room nursing and satisfaction degree of patients were compared between the two groups.Result:The infection rate of the operating room in the observation group was 2.2%(2/1 000),which was significantly lower than 4.3%(43/1 000) in the control group,the difference was statistically significant( χ~2=7.013,P=0.008).The incidence of irregular phenomenon in operating room nursing in the observation group was 4.1%(41/1 000),which was significantly lower than that 6.7%(67/1 000) in the control group,the difference was statistically significant( χ~2=6.617,P=0.010).The satisfaction degree of the observation group was 99.1%(991/1 000),which was significantly higher than 94.2%(942/1 000) of the control group,the difference was statistically significant( χ~2=37.078,P=0.000).Conclusion:Three-level seamless quality management can significantly reduce the risk of nosocomial infection in operation room, at the same time reduce the irregular phenomenon in the nursing process of the operation room,improve satisfaction degree of patients.It is worthy of clinical popularization and application.
Objective:To study the effect of three-level seamless quality management on nosocomial infection in operating room.Method:A total of 2 000 patients undergone surgery from September 2015 to August 2017 in our hospital were selected as the study subjects.1 000 patients were undergone surgery from September 2015 to August 2016 as the control group,and 1 000 patients from September 2016 to August 2017 as the observation group.The control group was treated with routine nursing, the observation group was given threelevel seamless quality management. the incidence of nosocomial infection in operating room,the occurrence of irregular phenomena in operating room nursing and satisfaction degree of patients were compared between the two groups.Result:The infection rate of the operating room in the observation group was 2.2%(2/1 000),which was significantly lower than 4.3%(43/1 000) in the control group,the difference was statistically significant( χ~2=7.013,P=0.008).The incidence of irregular phenomenon in operating room nursing in the observation group was 4.1%(41/1 000),which was significantly lower than that 6.7%(67/1 000) in the control group,the difference was statistically significant( χ~2=6.617,P=0.010).The satisfaction degree of the observation group was 99.1%(991/1 000),which was significantly higher than 94.2%(942/1 000) of the control group,the difference was statistically significant( χ~2=37.078,P=0.000).Conclusion:Three-level seamless quality management can significantly reduce the risk of nosocomial infection in operation room, at the same time reduce the irregular phenomenon in the nursing process of the operation room,improve satisfaction degree of patients.It is worthy of clinical popularization and application.
引文
[1]郭瑞萍,秦红英,黄米娜,等.手术室感染控制策略对术后感染及手术室空气洁净度的影响研究[J].中华医院感染学杂志,2017,27(23):5484-5486,5494.
[2]袁平,薛仕珍.抗菌药物管理前后心脏介入手术感染率比较[J].医药导报,2017,36(11):1317-1319.
[3]刘宁.探析细节护理在手术室护理工作中应用的具体措施和临床效果[J].中国医学创新,2016,13(29):101-104.
[4]孙斌.手术室感染控制路径临床应用效果探讨[J].社区医学杂志,2017,15(12):14-16.
[5]傅启英,赵君君,王芳,等.无缝隙护理质量管理在消化内镜诊疗、手术中的作用[J].中外医学研究,2017,15(27):158-159.
[6]王婷,李方龙,吴双燕,等.全方位立体干预措施预防种植牙医院感染的效果研究[J].中华医院感染学杂志,2017,27(23):5509-5511.
[7]李贞彩,王冬丽,涂书玲,等.手术室感染控制路径对手术室洁净程度及感染率的影响[J].临床心身疾病杂志,2018,24(1):124-126.
[9]戴银伟.手术患者发生切口感染的手术室相关因素分析及护理对策[J].中国现代医生,2017,55(15):144-146.
[9]卢仕萍.手术患者发生切口感染的手术室相关因素及护理策略探讨[J].中外医学研究,2017,15(18):76-78.
[10]李冬杰.品管圈活动对精神科门诊患者护理工作满意度影响[J].中国民康医学,2014,26(19):125-126.
[11]高轶.手术室感染暴露危险因素分析及护理预防措施的效果研究[J].中国医学创新,2017,14(18):76-79.
[12]张明霞,许铮,周萍,等.结肠与直肠癌患者手术部位感染的危险因素[J].中国感染控制杂志,2017,16(8):745-748.
[13]陈广萍,周慧敏.手术室综合护理干预对老年患者术后肺部感染率的影响[J].中国医学创新,2017,14(10):78-81.
[14]黎惠莲,成善操,欧洁梅,等.手术室感染控制路径对手术部位感染发生率的影响[J].中国医学创新,2016,13(21):82-84.
[15]马丽霞,张运金,蓝寿园,等.无缝隙护理对手术患者切口感染的影响[J].护理实践与研究,2016,23(3):103.
[16]黄儒,晏胜兰,高小阳.综合护理管理在胎儿新生儿消化系统疾病围术期的应用效果[J].中国当代医药,2017,24(4):177-181.
[17]范洁,赵长伟.无缝隙护理配合SBAR模式在急诊-ICU转送中的应用[J].中国现代医生,2017,55(29):132-135
[18]李治玲.无缝隙护理管理模式在手术患者中的应用分析[J].数理医药学杂志,2016,29(9):1399-1400.
[2]袁平,薛仕珍.抗菌药物管理前后心脏介入手术感染率比较[J].医药导报,2017,36(11):1317-1319.
[3]刘宁.探析细节护理在手术室护理工作中应用的具体措施和临床效果[J].中国医学创新,2016,13(29):101-104.
[4]孙斌.手术室感染控制路径临床应用效果探讨[J].社区医学杂志,2017,15(12):14-16.
[5]傅启英,赵君君,王芳,等.无缝隙护理质量管理在消化内镜诊疗、手术中的作用[J].中外医学研究,2017,15(27):158-159.
[6]王婷,李方龙,吴双燕,等.全方位立体干预措施预防种植牙医院感染的效果研究[J].中华医院感染学杂志,2017,27(23):5509-5511.
[7]李贞彩,王冬丽,涂书玲,等.手术室感染控制路径对手术室洁净程度及感染率的影响[J].临床心身疾病杂志,2018,24(1):124-126.
[9]戴银伟.手术患者发生切口感染的手术室相关因素分析及护理对策[J].中国现代医生,2017,55(15):144-146.
[9]卢仕萍.手术患者发生切口感染的手术室相关因素及护理策略探讨[J].中外医学研究,2017,15(18):76-78.
[10]李冬杰.品管圈活动对精神科门诊患者护理工作满意度影响[J].中国民康医学,2014,26(19):125-126.
[11]高轶.手术室感染暴露危险因素分析及护理预防措施的效果研究[J].中国医学创新,2017,14(18):76-79.
[12]张明霞,许铮,周萍,等.结肠与直肠癌患者手术部位感染的危险因素[J].中国感染控制杂志,2017,16(8):745-748.
[13]陈广萍,周慧敏.手术室综合护理干预对老年患者术后肺部感染率的影响[J].中国医学创新,2017,14(10):78-81.
[14]黎惠莲,成善操,欧洁梅,等.手术室感染控制路径对手术部位感染发生率的影响[J].中国医学创新,2016,13(21):82-84.
[15]马丽霞,张运金,蓝寿园,等.无缝隙护理对手术患者切口感染的影响[J].护理实践与研究,2016,23(3):103.
[16]黄儒,晏胜兰,高小阳.综合护理管理在胎儿新生儿消化系统疾病围术期的应用效果[J].中国当代医药,2017,24(4):177-181.
[17]范洁,赵长伟.无缝隙护理配合SBAR模式在急诊-ICU转送中的应用[J].中国现代医生,2017,55(29):132-135
[18]李治玲.无缝隙护理管理模式在手术患者中的应用分析[J].数理医药学杂志,2016,29(9):1399-1400.