肿瘤手术患者医院感染与手术室管理的分析

Nosocomial infections in tumor patients undergoing surgery and management of operating room

目的分析肿瘤手术患者医院感染与手术室管理之间的关系,为降低肿瘤手术患者的医院感染率及制定干预措施提供参考依据。方法选取医院2010年1月-2015年1月200例行肿瘤手术患者,将其分为观察组与对照组,各100例,对照组使用常规护理模式,观察组使用干预护理模式,并分析导致肿瘤手术患者医院感染的危险因素,数据采用SPSS 16.0软件进行统计分析。结果术后1周内对患者进行随访调查发现,观察组医院感染率为2.0%、对照组为8.0%,两组患者医院感染率差异有统计学意义(P<0.05);两组患者感染部位均以手术切口感染为主;单因素分析发现,手术时间>2h、Ⅰ类以上手术切口、侵入性操作、重症监护>3d、术前抗菌药物使用等均是导致肿瘤手术患者发生医院感染的相关危险因素(P<0.05)。结论分析肿瘤手术患者出现医院感染的危险因素,提供有效的手术室管理,能够显著降低医院感染率的发生。

OBJECTIVE To analyze the relationship between the nosocomial infections in tumor patients undergoing surgery and the management of operating room so as to reduce the incidence of nosocomial infections and put forward the intervention measures.METHODS A total of 200 tumor patients who underwent surgeries from Jan 2010 to Jan 2015 were enrolled in the study and divided into the observation group and the control group,with 100 cases in each.The control group was treated with conventional nursing mode,while the observation group was given the intervention nursing mode.The risk factors for the nosocomial infections in the tumor patients were observed,and the statistical analysis of data was performed with the use of SPSS 16.0software.RESULTS The one-week followup indicated that the incidence of nosocomial infections was 2.0%in the observation group,8.0%in the control group,and there was significant difference in the incidence of nosocomial infections between the two groups of patients（P〈0.05）.The patients with surgical incision infections were dominant among the two groups of patients.The univariate analysis showed that the related risk factors for the nosocomial infections in the tumor patients included the operation duration more than 2hours,type I surgical incision,invasive operation,intensive care more than 3days,and preoperative use of antibiotics（P〈0.05）.CONCLUSIONIt is necessary to analyze the risk factors for nosocomial infections in the tumor patients undergoing surgeries and offer the effective management of operating room so as to significantly reduce the incidence of nosocomial infections.