手术室感染控制路径临床应用效果探讨

Clinical application of infection control parth way in operation room to

目的探讨手术室感染控制路径的应用对术室提高洁净程度、降低患者感染率及医护人员洗手依从性的影响。方法选择2015年9月—2016年9月行手术治疗的124例患者,随机分为对照组和观察组各62例,对照组行常规护理术室,观察组行手术室感染控制路径护理,对比组间术室洁净度、术后相关指标及医护人员洗手依从性,计量资料组间比较采用t检验,计数资料采用χ~2检验,以P<0.05为差异有统计学意义。结果观察组术前10 min、手术10 min及60min、术毕时术室细菌数均比对照组少(均P<0.05);观察组术后患者感染率4.84%比对照组22.58%低,术后体温、术后3 d白细胞计数、术后抗菌药用时间、切口拆线时间指标均比对照组优(均P<0.05);观察组医护人员无菌操作前、接触患者前后、污物处理后洗手依从均高于对照组(均P<0.05)。结论手术室感染控制路径可有效提升术室洁净度,减少患者术后感染,改善术后情况,提高医护人员洗手依从性,效果显著。

Objective To investigate the effect of infection control path in operation room on improving the cleanliness of the operating room, reducing the infection rate of the patients and the hand washing compliance of the medical staff. Method 124 cases of patients from September 2015 to September 2016 were randomly divided into two groups, the observation group and the control group, each group of 62 patients. According to the operation rooms of different nursing methods, the control group was given the routine nursing care, the observation group was given operation room infection control nursing path care. The cleanliness of the ventricle, the relevant indicators after operation, and the compliance of the medical staff between two groups were compared. The relationship of application effect between the control group and the observation group was compared, count data using χ~2 test, if P〈0.05, difference have statistical sense. Results The number of bacteria in the operation room at different operation time,（10 min before operation, 10 min and 60 min during the operation） for the observation group was significantly lower than the control group（P〈0.05）. The infection rate of the observation group（4.84%） was lower than the control group（22.58%）. The body temperature after operation, postoperative 3 d white blood cell count, antibacterial medicine indicators and time indicator of stiches-out in the observation group were better than the control group（P〈0.05）.The nurses aseptic operation before and after treatment before and after contact with dirt, hand washing compliance in the observation group was higher than that of control group（P 0.05）. Conclusion The infection control path in operation room can effectively improve the cleanliness of the operating room, reduce postoperative infection, improve the postoperative situation, and improve the hand washing compliance of medical staff.