手术室感染危险因素分析及护理干预措施研究

Analysis of Risk Factors for Operating Room Infection and Nursing Intervention Measures

目的对手术室感染危险因素及护理干预措施进行探讨。方法方便选择2016年6月—2017年5月1042例手术患者为常规组,依据患者一般资料、手术部位、手术情况、切口感染情况,对手术室感染危险因素进行分析,并对相应护理干预措施进行制定。方便选择2017年6月—2018年5月1146例手术患者为实验组,依据提出的护理干预措施进行干预。统计并对比两组手术切口感染率。结果常规组感染发生率5.4%,实验组感染发生率2.1%,实验组患者手术室切口感染发生率显著低于常规组,组间差异有统计学意义(P<0.05)。通过对常规组1141例患者手术切口感染危险因素的单因素分析,得出手术地点是否为层流室、是否为急诊手术、手术时间是否超过3h、手术时有无参观人员、是否接台手术为切口感染的影响因素。行非条件Logistic回归分析,结果显示手术切口感染的独立危险因素包括非层流室、急诊手术、手术时间超过3h、手术时有参观人员、接台手术。结论实际中引发手术室感染的因素有很多,临床应强化对手术室感染原因的分析,并在此基础上采取针对性干预措施,以有效降低切口感染,促进患者更快康复。

Objective To investigate the risk factors of operating room infection and nursing intervention measures. Methods From June 2016 to May 2017, 1 042 patients were convenient treated as routine group. According to the general data, surgical site, operation and wound infection, the risk factors of operating room infection were analyzed and the corresponding nursing interventions were carried out. From June 2017 to May 2018, 1 146 surgical patients were convenient selected as experimental group, and interventions were conducted according to the proposed nursing interventions. The infection rate of the two groups was counted and compared. Results The incidence of infection in the conventional group was 5.4%, and the incidence of infection in the experimental group was 2.1%. The incidence of incision infection in the experimental group was significantly lower than that in the conventional group. The difference between the two groups was statistically significant (P<0.05). Through a single factor analysis of the risk factors of surgical incision infection in 1 141 patients in the routine group, it was concluded whether the surgical site was a laminar flow chamber, whether it was an emergency operation, whether the operation time was more than 3 hours, whether there were any visitors during the operation, and whether the operation was followed. Influencing factors for wound infection. Unconditional logistic regression analysis showed that independent risk factors for surgical incision infection included non-laminar flow, emergency surgery, operation time of more than 3 hours, visitor during surgery, and follow-up surgery. Conclusion There are many factors influencing the infection of the operating room in practice. The clinical analysis of the causes of infection in the operating room should be strengthened, and targeted intervention measures should be taken on this basis to effectively reduce the wound infection and promote the faster recovery of patients.