实施感染预防束联合预防性护理在手术部位医院感染预防和控制作用

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英文篇名：Prevention and control of nosocomial infection in operative sites by implementing infection prevention bundle and preventive nursing 作者：王新刚 ; 张晶 ; 林玉萍 英文作者：WANG Xingang;ZHANG Jing;LIN Yuping;Nursing Department,Jiuquan City People's Hospital;Operating Room,Jiuquan City People's Hospital;Sensing Department,Jiuquan City People's Hospital; 关键词：感染预防束 ; 预防性护理 ; 手术部位医院感染 英文关键词：infection prevention bundle;;preventive nursing;;nosocomial infection in surgical site 中文刊名：GONE 英文刊名：Foreign Medical Sciences(Section of Medgeography) 机构：酒泉市人民医院护理部;酒泉市人民医院手术室;酒泉市人民医院感染科; 出版日期：2019-06-30 出版单位：国外医学(医学地理分册) 年：2019 期：v.40;No.160 语种：中文; 页：GONE201902013 页数：4 CN：02 ISSN：61-1102/R 分类号：54-56+80

摘要

目的探究感染预防束联合预防性护理在手术部位医院感染预防和控制中的应用效果。方法选择2018年1月至2018年12月本院接收手术治疗的6 500例患者为研究对象,纳入符和本研究的6 212例患者,将6月份之前仅实施预防性护理的3 022例患者设为对照组,将6月份之后联合实施感染预防束及预防性护理的3 190例患者设为实验组,对比两组患者手术部位感染发生情况及一般治疗情况。结果①对照组3 022例患者中发生手术部位感染率3.08%,实验组3 190例患者中发生手术部位感染率1.60%,两组对比差异具有统计学意义(P<0.05);②对照组患者中表浅缺口手术部位感染发生率为0.53%,实验组为0.41%,两组对比差异无统计学意义(P>0.05),对照组器官腔隙手术部位感染发生率为2.55%,显著低于实验组的1.19%(P<0.05);③对照组患者住院时间及医疗费用均高于实验组患者(P<0.05)。结论实施感染预防束联合预防性护理能够显著降低手术部位医院感染发生率,有利于提高患者预后。
        Objective To explore the application effect of infection prevention bundle combined with preventive nursing in the prevention and control of nosocomial infection in surgical site.Methods A total of 6 500 patients who underwent surgical treatment in our hospital from Jan.2018 to Dec.2018 were enrolled in the study.The 6 212 patients enrolled in the study,and the 3 022 patients who only received preventive care before June were set as the control group,and 3 190 patients who were combined with infection prevention bundles and preventive care after June were set as experimental group.Comparison of the incidence of surgical site infection and general treatment in the two groups.Results ①In the control group,3 022 patients had a surgical site infection rate of 3.08%,and in the experimental group,3190 patients had a surgical site infection rate of 1.60%.The difference between the two groups was statistically significant(P<0.05).②In the control group,the incidence of superficial incision was 0.53%,and the experimental group was 0.41%.There was no significant difference between the two groups(P>0.05).The incidence of infection in the operative cavity was 2.55%,which was significantly lower than the experimental group's 1.19%(P<0.05).③The hospitalization time and medical expenses of the control group were higher than those of the experimental group(P<0.05).Conclusion The implementation of infection prevention bundle combined with preventive care can significantly reduce the incidence of nosocomial infection at the surgical site,which is conducive to improving the prognosis of patients.

引文

[1]朱志杨,阮新贤,林凌.肝胆手术部位感染的临床特征及相关因素分析[J].中华医院感染学杂志,2014,24(3):701-702.
    [2]Davies BM,Jones A,Patel HC.Surgical-site infection surveillance in cranial neurosurgery[J].British J Neur,2016,30(1):3-6.
    [3]宛丽,于巧秀,王红.集束化护理应用于预防手术部位感染的探讨[J].护士进修杂志,2014,29(14):1334-1336.
    [4]江淑芳,刘惕,周健,等.综合护理干预对预防骨科手术部位感染的效果观察[J].护士进修杂志,2015,30(4):332-333.
    [5]Gonzalez DO,Ambeba E,Minneci PC,et al.Surgical site infection after stoma closure in children:outcomes and predictors[J].J Surg Res,2016,209:234-239.
    [6]张俊烁,褚忠华,方喜,等.不同术中保温对开腹手术患者低体温及手术部位感染的影响[J].中国临床药理学杂志,2015,31(18):1834-1836.
    [7]吕平.手术室护理干预降低手术部位感染率的效果[J].实用临床医药杂志,2015,19(6):147-149.
    [8]余静,许贤智,韩继红,等.手术部位感染危险因素分析[J].中华医院感染学杂志,2015,25(8):1830-1832.
    [9]吴婧.护理风险管理在预防与控制手术部位感染中的作用[J].国外医学(医学地理分册),2017,38(3):285-286.
    [10]刘颂,王萌,丁杰,等.手术部位感染与手卫生相关性研究[J].中国实用外科杂志,2017,37(6):84-87.
    [11]张玉芬.规范化护理管理在预防与控制医院感染中的应用[J].中国医药导报,2014,11(25):119-121.
    [12]王飞,张秀月,齐月,等.综合干预策略对神经外科手术部位感染控制的效果评价[J].中华医院感染学杂志,2014,24(3):676-679.