外科手术患者发生医院感染与手术室护理管理的相关因素研究

Study on related factors of nosocomial infection and nursing management in operation room in surgical patients

目的研究外科手术患者发生医院感染与手术室护理管理的相关因素。方法按随机数字表法抽取2015年9月～2017年12月期间于本院实施外科手术的170例患者作为研究对象,观察医院感染的发生情况。收集全部患者一般资料进行分析,采用Logistic回归方程进行计算,探讨外科手术患者发生医院感染与手术室护理管理的相关因素。结果共170例实施外科手术患者,其中5例发生医院感染,约占2.94%;未发生医院感染165例,约占97.06%。外科手术后发生医院感染及未发生医院感染患者在手术时间、入ICU时间、手术接台次数、使用抗生素时间等一般资料上差异有统计学意义(P <0.05)。将上述有差异资料带入Logistic回归方程计算,发现手术时间、入ICU时间、手术接台次数、使用抗生素时间均为医院感染的影响因素。结论外科手术患者发生医院感染的相关因素较多,根据手术室实际情况加强手术室护理管理,制定相应预防策略,加强及对护理人员的技术操作培训,严格遵循无菌操作原则,杜绝一切可能引起医院感染的高危因素,保障患者住院安全。

Objective To study the related factors of nosocomial infection and nursing management in operating room in surgical patients.Methods One hundred and seventy patients undergoing surgery in our hospital from September 2015 to December 2017 were selected and occurrence of nosocomial infection was observed.The general data of all patients were collected for analysis and the logistic regression equation was used to calculate to explore related factors of nosocomial infection and nursing management in operating room in surgical patients.Results Among 170 surgical patients,5 cases were with nosocomial infection accounting for 2.94%and 165 cases were without nosocomial infection accounting for 97.06%.General data of operation time,time of staying in ICU,number of surgical procedures,time to use antibiotics for cases with and without nosocomial infection were significantly different(P<0.05).Logistic regression equation was used to calculate the above data,and it was found that the operative time,time of staying in ICU,number of surgical procedures,time to use antibiotics were all influencing factors of nosocomial infection.Conclusion There are many related factors of nosocomial infection in surgical patients.According to the actual situation of the operating room,what should do is to strengthen nursing management in operating room,formulate corresponding prevention strategies,strengthen technical operation training of nursing staff and to strictly follow aseptic operation principle.Therefore,all high risk factors of nosocomial infection can be eliminated to ensure the safety of hospitalized patients.