PDCA循环管理措施对手术室Ⅰ类清洁切口手术患者的感染控制效果分析

Analysis of infection control in patients with class Ⅰ cleansing surgery of operating room by PDCA circulation management

目的分析PDCA循环管理措施对手术室Ⅰ类清洁切口手术患者的感染控制效果。方法选取于2015年8月至2017年4月我院收治的253例手术患者作为本次研究试验对象。根据随机数表法将患者分成观察组127例和对照组126例。对照组采用常规感染控制措施干预,观察组实施PDCA循环管理措施干预,观察并记录两组患者感染情况和抗菌药物使用情况,记录两组物体表面、空气、恒温箱以及医务人员手部消毒合格率,并进行比较。结果观察组手术室内非无菌物体表面消毒合格率约为91.34%,医务人员手部消毒合格率约为98.43%,且手术室内空气以及恒温箱消毒合格率均高于对照组,两组比较差异有统计学意义(P<0.05)。观察组患者总感染率为3.15%,对照组总感染率为9.52%,两组比较差异有统计学意义(P<0.05)。观察组不同手术类型患者术后抗菌药物使用率低于对照组,两组比较差异有统计学意义(P<0.05)。结论 PDCA循环管理措施对Ⅰ类清洁切口手术患者感染控制情况较为理想。手术室内物品、空气以及医护人员手部消毒合格率较高,术后抗菌药物使用率降低,感染情况减少,感染控制质量高。

Objective To investigate the infection control of PDCA cycle management measures in patients with type Ⅰ clean incision surgery. Methods Totally 253 patients were selected from August 2015 to April 2017 in our hospital as the research objects, and according to the random number table method, they were randomly divided into the observation group of 127 patients and the control group of 126 patients. The control group was intervened with conventional infection control measures, and the observation group adopted PDCA circulation management measures. The infection and the use of antibiotics of the two groups were observed and recorded, the qualified rates of disinfection of the surfaces of objects, air, thermostat and medical staff were recorded and compared. Results The qualified rate of non-sterile surface disinfection in the observation group was about 91.34% , the qualified rate of hand disinfection in the observation group was about 98.43% , the qualified rates of indoor air and incubator in the observation group was significantly higher than those of the control group, and the difference between the two groups was statistically significant （P〈0.05）. The total infection rate of the observation group was about 3. 15% , and the total infection rate in the control group was about 9.52%. There was significant difference between the two groups （ P〈0.05 ）. The use rate of antimicrobial agents in the patients with different surgical types was significantly lower than that in the control group （P〈0.05）. Conclusion PDCA cycle management measures are ideal for infection control in patients with type Ⅰclean incision surgery. There is a high rate of disinfection in the operating room, air and medical staff and the usage rate of antibiotics decreases. The infection reduces and the quality of infection control is high.