摘要
目的探讨分析脊柱手术医院感染的相关因素,优化手术室护理管理模式,提出多点反馈,以实证数据为手段的管理模式,检验、指导感染控制,提高管理水平,为临床提供依据。方法选取2014年1月-2014年12月医院脊柱手术患者800例为对照组,2015年1月-2015年12月医院脊柱手术患者1 100例为实验组,对照组实施传统管理方案,实验组实施多点反馈管理模式,回顾性分析对照组医院感染的相关因素,并分析医院感染患者的病原菌分布。比较两组患者医院感染情况,对实施前后手术室空气、物体表面、医务人员手、无菌物品进行采样,比较细菌培养合格率。结果实验组的医院感染发生率为1.36%(15/1100),低于对照组患者的医院感染发生率3.13%(25/800)(χ~2=6.97,P=0.007);实施前空气合格率为82.5%、医务人员手合格率为85.0%、物体表面合格率为83.8%、无菌物品合格率为90.0%,实施后空气合格率为93.8%、医务人员手合格率为96.3%、物体表面合格率为95.0%、无菌物品合格率为98.8%,差异均有统计学意义(P<0.05)。结论手术室是医院感染控制的重点科室,优化手术室管理模式,进行多点反馈管理,能促进手术室医院感染相关制度的落实,有效降低脊柱手术医院感染的发生率,保障医疗质量。
OBJECTIVE To investigate the risk factors of nosocomial infection in spinal surgery, optimize the opera- tion room nursing management mode, and propose multipoint feedback mode, with empirical data as a means of management, so as to inspect and guide infection control, improve the management, and provide the basis for clinical practice. METHODS A total of 800 cases of patients with spinal surgery from Jan. 2014 to Dec. 2014 were selected as control group, with implementation of the traditional management program, and 1100 spinal surgery patients from Jan. 2015 to Dec. 2015 were selected as observation group, using multipoint feedback management mode. The related factors of nosocomial infection of control group were retrospectively analyzed, and the distribu- tion of pathogens in infected patients was analyzed. The nosocomial infection rate was compared between the two groups. Before and after the implementation of the multipoint feedback mode, the operation room air, surface, medical personnel hand, and sterile items were sampled, and the bacterial culture qualified rate was compared. RESULTS The nosocomial infection rate of observation group was 1.36% （15/1100）, which was less than 3.13%（25/800） of control group, and the difference betWeen the two groups was significant （X^2= 6.97 ,P=0.007）. Be- fore the implementation of the multipoint feedback management mode, air qualified rate was 82.5%, medical per- sonnel hands qualified rate was 85.0%, surface qualified rate was 83.8%, and sterile qualified rate was 90% after implementing of the multipoint feedback management mode, air qualified rate was 93.8%, medical personnel hands qualified rate was 96.3%, surface qualified rate was 95%, and sterile qualified rate was 98.9%. The differ- ences were significant between the two groups （P〈0.05）. CONCLUSION The operation room is the key depart- ment of nosocomial infection control, the multipoint feedback management can improve the infection control, ef-fectively reduce the incidence of hospital infection in spinal surgery, and ensure the quality of medical service.
作者
徐小群
许多
滕红林
XU Xiao-qun;XU Duo;TENG Hong-lin(First Affiliated Hospital of Wenzhou Medical University, Wenzhou , Zhejiang 325025, Chin)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第8期1273-1276,共4页
Chinese Journal of Nosocomiology
基金
国家自然基金面上资助项目(81771348)
关键词
脊柱手术
医院感染
手术室
护理干预
Spinal surgery
Nosocomial infection
Operation room
Nursing intervention
