普外手术患者医院感染与手术室集束化护理管理的相关性研究

A study on the correlation between hospital infection and cluster nursing management in operating room of general surgery patients

目的观察分析普外手术患者医院感染的发生情况与手术室集束化护理管理的相关性,为制定医院感染预防计划提供依据。方法选取2017年1~12月普外手术治疗的122例患者为对照组,给予常规护理管理;同期选择普外手术治疗的122例患者为观察组,给予手术室集束化护理管理。将手术间的环境管理、手术物品管理、手术人员操作、连台手术与否、手术时间长短、术前是否予以抗生素治疗、不同年龄、手术切口的类型等因素进行单因素以及多因素Logistic回归分析,总结医院感染与手术室集束化护理管理的相关性。结果观察组患者医院感染发生率明显低于对照组,差异有统计学意义(P<0.05);单因素分析总结手术间的环境管理、手术物品的管理、手术人员操作、手术时间、术前使用抗生素、不同的年龄、连台手术与否、手术切口的类型等是普外手术患者医院感染的影响因素(P<0.05);多因素分析显示手术人员操作、手术时间、手术切口的类型是普外手术患者医院感染主要危险因素,而术前抗生素应用与手术室护理人员对手术间环境的管理、手术物品的管理、手术人员规范化操作的管理是主要保护性因素(P<0.05)。结论针对普外手术患者的医院感染情况需要做好相关预防,提高手术室护理管理,确保手术效果,降低医院感染发生率。

Objective To observe and analyze the correlation between the incidence of nosocomial infection in patients undergoing general surgery and the intensive nursing management in the operating room,to provide the basis for the establishment of nosocomial infection prevention plan. Methods 122 patients treated with general surgery from January to December 2017 were selected as the control group,and conventional nursing management was given.In the same period,122 patients with general surgery were selected as the observation group,and the operating room cluster nursing management was given.Between the operation of environmental management,operation management,operation personnel,even whether surgery or not,length of time of surgery,preoperative antibiotic treatment and different factors including age,the type of incision Logistic regression analysis for single factor and multiple factors,summed up the hospital infection cluster the correlation of nursing management and the operating room. Results The incidence of nosocomial infection in the observation group was significantly lower than that in the control group,and the difference was statistically significant (P < 0.05);Univariate analysis and summary of interoperative environmental management,management of surgical items,operation of surgical personnel,operation time,preoperative antibiotics,different ages,whether the operation with or without Taiwan connection,and the type of incision are the influencing factors of nosocomial infection in patients undergoing general surgery (P < 0.05);Multifactor analysis showed that the operation personnel operation, operation time,the type of incision is a major risk factor for general surgery patients with hospital infection,and preoperative antibiotic application environment between the operating room nursing staff for operation and management,operation of items management standardization,operation personnel management is the main protective factors (P < 0.05). Conclusion In view of the nosocomial infection of patients undergoing general surgery,relevant prevention should be done to improve the nursing management of operating room,ensure the operation effect and reduce the incidence of nosocomial infection.