持续性质量改进措施对手术室医院感染控制的效果分析

Analysis of Continuous Quality Improvement Measures on Nosocomial Infection Control in Operating Rooms

目的分析持续性质量改进措施应用于手术室医院感染控制的效果。方法将2018年1月-2020年1月在大连医科大学附属第一医院接受手术治疗的200例患者纳入研究。按照开展持续性质量改进措施的干预前后分为实施前组和实施后组各100例。分析实施前后手术室环境、医护人员手卫生、无菌物品检测合格率,以及患者切口感染率、对手术室护理感受情况和医疗纠纷、护理不良事件发生率的差异。结果实施后组手术室环境、医护人员手卫生以及无菌物品检测合格率均高于实施前组,差异均具有统计学意义(P<0.05)。实施后组患者切口感染发生率为2.00%,低于实施前的10.00%,差异有统计学意义(P<0.05)。实施后组患者对手术室护理感受各项评分均高于实施前组,差异均具有统计学意义(P<0.05)。实施后组医疗纠纷、护理不良事件发生率分别为0和1.00%,均低于实施前组的4.00%和7.00%,差异均有统计学意义(P<0.05)。结论持续性质量改进措施能够提高手术室医院感染控制效果,同时能够改善患者对手术室护理感受,降低医疗纠纷和护理不良事件发生率。

Objective Analyze the effect of continuous quality improvement measures applied to nosocomial infection control in operating rooms.Methods A total of 200 patients who underwent surgical treatment in the First Affiliated Hospital of Dalian Medical University from January 2018 to January 2020 were included in the study.According to the continuous quality improvement measures before the intervention,200 patients were divided into the pre-implementation group and the post-implementation group with 100 cases in each group.Analyze the differences in the operating room environment,hand hygiene of medical staff,and the test pass rate of sterile items before and after implementation,as well as the infection rate of patients’incisions,the experience of operating room care,medical disputes,and the incidence of adverse nursing events.Results After the implementation,the operating room environment,medical staff's hand hygiene and sterile test pass rates were all significantly higher than those of the pre-implementation group(P<0.05).The incidence of incision infection in the post-implementation group was 2.00%,which was significantly lower than 10.00% before the implementation(P<0.05).The scores of the patients in the post-implementation group on nursing experience in the operating room were significantly higher than those in the pre-implementation group(P<0.05).The incidence of medical disputes and adverse nursing events in the postimplementation group were 0 and 1.00%,respectively,which were significantly lower than the 4.00% and 7.00% in the pre-implementation group(P<0.05).Conclusion Continuous quality improvement measures can improve the effect of nosocomial infection control in the operating room,and improve the patienfs experience of nursing in the operating room,and reduce the incidence of medical disputes and adverse nursing events.