6S管理模式在外科手术患者预防感染中的应用

Application of 6S management model in prevention of infections in patients undergoing surgical procedure

目的探讨6S管理模式在外科手术患者预防感染中应用价值,为预防外科手术后发生感染提供理论基础。方法选取2011年12月-2012年12月96例外科需要手术治疗的患者,按照数字法随机分为两组,每组48例;对照组患者在手术治疗的同时采用常规的护理模式进行护理;观察组在对照组的基础之上实施6S管理模式[整理(sort)、整顿(straighten)、清扫(sweep)、清洁(sanitary)、素养(sentiment)和安全(safety)]进行干预,观察两组患者手术切口感染、并发症发生率和住院天数,患者管理质量评估评分及手术操作实施情况,采用SPSS13.0软件分析,组间进行t检验,计数资料采用χ2检验。结果观察组患者术后无感染发生,对照组发生感染3例,感染率6.25%;患者并发症发生率观察组2.08%、对照组6.25%,实施6S管理模式后医师及护理人员操作流程评分及病例质量考核评分均高于实施前和对照组,两组比较,差异均有统计学意义(P<0.05)。结论 6S管理模式对预防手术部位的感染有较好的效果,明显降低了手术部位感染的发生率及并发症的发生率,规范了医护人员操作流程及优化了临床资料质量。

OBJECTIVE To study the value of 6S management model in prevention of infections in the patients undergoing surgical procedure so as to provide theoretical basis for the prevention of postoperative infections. METHODS Totally 96 patients who needed the surgical procedure from Dec 2011 to Dec 2012 were enrolled in the study and randomly divied into two groups, with 48 cases in each, then the control group was treated with the COnventional nursing while the surgical procedure was performed, the observation group was additionally given the 6S management model based on the conventional nursing, including sort, straighten, sweep, sanitary, sentiment, and safety; the incidence of incision infections and complications and the hospitalization duration were observed and compared between the two groups, the quality of management and the status of surgical procedure were evaluated, the statistical analysis was performed with the use of SPSS13.0 software, the t-test was conducted for the eompar- ison, and the ehi-square test was carried out for the count data. RESULTS None cases of postoperative infections occurred in the observation group, while the infections occurred in 3 cases with the infection rate of 6. 25%; the incidence of complications was 2.08% in the observation group, 6.25% in the control group. After the managementation of the 6S management model, the operation procedure score of the doctor and nursing staff and the quality assessment score of the cases were significantly higher than those before the implementation of the 6S management model and those of the control group, the differences between the two groups were statistically significant （p〈0. 05）. CONCLUSION The 6S management mode can achieve significant effect on the prevention of surgical site infections, markedly reduce the incidence of surgical site infections and the complications, standardize the opera- tion procedure, and optimize the quality of clinical data.