论文部分内容阅读
目的了解银川市6所医疗机构护理人员对手术部位感染预防与控制现状,为制定手术部位感染预防控制的护理措施提供参考依据。方法于2015年7月1日-20日,采用整群抽样的方法共调查116例手术患者,对调查当日每个手术患者填写一份问卷,问卷包括:皮肤准备、术前沐浴、术前“监测血糖/控制血糖”纳入医嘱系统情况及术中保温情况。结果 116名调查对象手术前脱毛备皮的有84例,占72.9%,其中用刀片刮除毛发备皮有63例,占75.0%,在手术当日脱毛备皮的有60例,占71.4%,在病房脱毛备皮的有57例,占67.9%;手术前沐浴的有77例,占66.4%,其中术前一日晚间沐浴的有71例,占92.2%,用氯己定成分的浴液沐浴的有1例,占1.3%;手术前将血糖控制纳入医嘱系统的有61例,占52.6%;手术术中进行保温的有90例,占77.6%,其中用保温毯进行保温的有61例,占67.8%,将术中保温纳入医嘱的有16例,占17.8%。结论宁夏6所医疗机构护理人员在手术前备皮、术前对患者沐浴指导、手术血糖控制及术中保温等手术部位感染预防控制措施上还有待提高;护理人员应在积极总结、学习循证指南及临床实践,及时调整工作方法,积极预防手术部位感染的发生。
Objective To understand the status quo of prevention and control of surgical site infection among the nurses in 6 medical institutions in Yinchuan and to provide reference for the development of nursing measures for the prevention and control of surgical site infections. METHODS: From July 1 to July 20, 2015, a total of 116 surgical patients were investigated by cluster sampling method. A questionnaire was completed for each operative patient on the survey day. The questionnaire included: skin preparation, preoperative bathing, preoperative “Monitoring blood glucose / blood glucose control,” the system into the doctor’s advice and intraoperative insulation. Results In the 116 subjects, there were 84 cases of hair removal and skin preparation before operation, accounting for 72.9% of the total. Among them, 63 cases were scalp hair removal using a razor blade, accounting for 75.0%; 60 cases were hair removal and skin preparation on the day of operation, accounting for 71.4% In the ward hair removal skin preparation in 57 cases, accounting for 67.9%; bath before surgery 77 cases, accounting for 66.4%, of which bathing in the evening before surgery on the 1st day, accounting for 92.2%, with chlorhexidine composition of the bath Bathing in 1 case, accounting for 1.3%; 61 cases of preoperative blood glucose control into the doctor’s order system, accounting for 52.6%; operation during the insulation of 90 cases, accounting for 77.6%, of which insulation blanket insulation 61 Cases, accounting for 67.8%, 16 cases of intraoperative insulation into the doctor’s advice, accounting for 17.8%. Conclusion Nursing staff in 6 medical institutions in Ningxia need to improve precautionary and control measures before and after operation, such as patient bathing instruction, blood glucose control and intraoperative heat preservation. Nursing staff should actively summarize and study evidence-based Guidelines and clinical practice, timely adjustment of working methods, and actively prevent the occurrence of surgical site infection.