风险评估对手术室感染防控质量的影响

Influence of risk assessment on the quality of infection control in operating room

目的探讨风险评估对手术室感染防控质量的影响。方法选取2017年1~12月于我院进行手术的2668例患者作为对照组,选取2018年1~12月于我院进行手术的2813例患者作为干预组。对照组患者进行常规护理干预,干预组患者通过风险评估筛选出感染高风险环节,并采取针对性干预措施。比较两组患者的感染防控质量及手术部位感染发生率。结果干预组的手术室环境物表监测合格率、无菌技术操作规范率、外科洗手合格率、术前皮肤准备合格率均高于对照组,差异有统计学意义(P<0.05)。干预组的手术部位感染发生率为0.24%,低于对照组的0.86%,差异有统计学意义(P<0.05)。结论手术室实施风险评估管理,针对重点环节进行有效的干预,显著提高了手术室感染防控管理质量,值得临床推广应用。

Objective To explore the influence of risk assessment on the quality of infection control in operating room.Methods A total of 2668 patients who received surgeries in our hospital from January to December 2017 were assigned to the control group,and 2813 patients who received surgeries in our hospital from January to December 2018 were categorized into the intervention group.The patients in the control group were given routine nursing intervention,and high-risk links through risk assessment were selected and targeted intervention measures were adopted in the intervention group.The quality of infection prevention and control and the incidence of infection at the surgical site were compared between the two groups.Results The qualification rate of surface monitoring on the operation instruments,the standardization rate of aseptic operation,the qualification rate of surgical hand washing and preoperative skin preparation in the intervention group were all higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of infection at the surgical site in the intervention group was 0.24%,which was lower than that in the control group accounting for 0.86%,and the difference was statistically significant(P<0.05).Conclusion The implementation of risk assessment and effective interventions on key links can significantly improve the quality of infection control in the operating room,which is worthy of clinical promotion and application.