基于德尔菲法的优化管理在手术室防控感染中的应用效果

Application effects of optimized management based on Delphi method in prevention and control of infection in operating room

目的:观察基于德尔菲法的优化管理在手术室防控感染中的应用效果。方法:回顾性分析2021年6月至2022年7月21名手术室护理人员的临床资料,于2021年6—12月实施常规管理,2022年1—7月实施基于德尔菲法的优化管理,比较基于德尔菲法的优化管理实施前后手术室环境卫生合格率、手术室护理质量、手术室护理人员技术操作评分和防控知信行评分。结果:实施后手术室空气质量、手卫生、物品表面、消毒剂、消毒物品合格率均高于实施前,差异有统计学意义(P<0.05);实施后手术室消毒灭菌质量、手术器械准备、仪器设备使用及管理、巡回护士配合度等护理质量评分和总分均高于实施前,差异有统计学意义(P<0.05);实施后手术室护理人员标本送检、用药准确、器械消毒和感染防护等技术操作评分均高于实施前,差异有统计学意义(P<0.05);实施后护理人员知识、态度、行为等防控知信行评分均高于对照组,差异有统计学意义(P<0.05)。结论:基于德尔菲法的优化管理应用于手术室防控感染可提高手术室环境卫生合格率、手术室护理质量评分、手术室护理人员技术操作评分和防控知信行评分,效果优于常规管理。

Objective:To observe application effects of optimized management based on Delphi method in prevention and control of infection in operating room.Methods:The clinical data of 21 operating room nursing staffs from June 2021 to July 2022 were retrospectively analyzed.The routine management was implemented from June to December 2021,and the optimized management based on Delphi method was implemented from January to July 2022.The qualified rate of environmental sanitation in operating room,the nursing quality in operating room,the technical operation scores of the nursing staffs in operating room,and the knowledge-attitude-belief score of prevention and control were compared before and after the implementation of optimized management based on Delphi method.Results:After the implementation,the qualified rates of ambient air quality,hand hygiene,article surface,disinfectant and disinfection articles in the operating room were higher than those before the implementation,and the differences were statistically significant(P<0.05).After the implementation,the nursing quality scores and the total score of disinfection and sterilization quality of operating room,preparation of surgical instruments,use and management of instruments and equipment,and cooperation degree of utility nurses were higher than those before the implementation,and the differences were statistically significant(P<0.05).After the implementation,the scores of technical operations such as specimen submission,accurate medication,instrument disinfection as well as prevention and control of infection of the operating room nurses were higher than those before the implementation,and the differences were statistically significant(P<0.05).Further,after the implementation,the scores of knowledge-attitude-belief of prevention and control of the nursing staffs were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:The optimized management based on Delphi method in the prevention and control of infection in operating room can improve the qualified rate of environmental sanitation in operating room,the scores of nursing quality in operating room,the scores of technical operation of the nursing staffs in operating room and the scores of knowledge-attitude-belief of prevention and control.Moreover,it is superior to the routine management.