基于循证理念的手术室感染控制管理对老年患者髋关节置换术后感染的影响

Effects of operating room infection control management based on evidence-based concept on postoperative infection in elderly patients

目的:探讨基于循证理念的手术室感染控制管理对老年患者髋关节置换术后感染的影响。方法:本院于2018年4月开始实施基于循证理念的手术室感染控制管理干预,将2017年6月至2018年3月实施常规干预控制的80例老年髋关节置换术患者纳入实施前,将2018年4月至2018年12月实施基于循证理念的手术室感染控制管理干预的老年髋关节置换术患者90例纳入实施后,比较两组病原菌检出率、消毒合格率、术后感染率以及护理质量。结果:实施后病原菌检出率5.56%,低于实施前的18.75%(P<0.05);实施前后空气、无菌包消毒检测合格率比较(P>0.05);实施后物体表面、医护人员手部、消毒液检测合格率分别为94.44%,98.89%,96.67%,高于实施前的81.25%,90.00%,85.00%(P<0.05);实施后患者感染发生率6.67%,低于实施前的16.25%(P>0.05)。结论:手术室感染控制路径可降低老年患者病原菌检出率,提高消毒检测合格率,降低术后感染发生率。

Objective:To explore effects of operating room infection control management based on evidence-based concept on postoperative infection in elderly patients.Methods:Since April 2018,operating room infection control management intervention based on evidence-based concept was implemented in the hospital.All 80 elderly patients who underwent routine intervention control from June 2017 to March 2018 were included into pre-implementation,while 90 patients who underwent operating room infection control management based on evidence-based concept from April 2018 to December 2018 were included into post-implementation.The pathogen detection rate,disinfection qualification rate,postoperative infection rate and nursing quality were compared between the two groups.Results:The detection rate of pathogens after implementation was lower than that before implementation(5.56%vs 18.75%)(P<0.05).There was no significant difference in qualification rate of air or aseptic package disinfection before and after implementation(P>0.05).After implementation,qualification rates of object surface,hands of medical personnel and disinfectant test were 94.44%,98.89%,and 96.67%,respectively,which were higher than those before implementation(81.25%,90.00%,85.00%)(P<0.05).After implementation,incidence of infection was lower than that before implementation(2.22%vs 11.25%)(P>0.05).After implementation,scores of environmental management,disinfection isolation,nursing monitoring and nursing safety quality were higher than those before implementation(P<0.05).Conclusion:The operating room infection control pathways can reduce detection rate of pathogens in elderly patients,improve qualification rates of disinfection test,reduce incidence of postoperative infection and improve nursing quality.