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目的:探讨护理综合管理措施防范手术室感染的成效,为降低手术室感染提供参考。方法:医院从2015年3月开始采用综合管理措施防范手术室感染,收集2014年3月~2015年2月和2015年3月~2016年2月手术室日常沉降菌监测合格情况,比较实施护理综合管理措施前后手术室感染情况,比较实施前后手术室感染医患纠纷情况。结果:实施护理综合管理措施前3间手术室沉降菌常规监测合格率为90.00%,共实施手术5624台,患者发生手术室感染89例,患者感染率1.58%,医护人员感染45例,因手术感染导致医患纠纷23起,发生率0.41%。实施护理综合管理措施防范手术室感染后,3间手术室沉降菌监测合格率为98.00%,共实施手术5589台,患者发生手术室感染45例,患者感染率0.81%,医护人员感染12例,因手术感染导致医患纠纷15起,发生率0.27%。实施护理综合管理措施防范手术室感染后手术室沉降菌合格率明显高于实施前,患者和医护人员感染率及医患手术室感染纠纷均明显低于实施前,组间比较差异显著(P<0.05)。结论:采用护理综合管理措施防范手术室感染效果显著,具有较高的价值,完善相关措施,进一步降低手术室感染发生率。
Objective: To explore the effectiveness of comprehensive nursing management measures to prevent infection in operating room and to provide reference for reducing operating room infection. Methods: From March 2015, the hospital started to adopt comprehensive management measures to prevent the infection in the operating room and collected the monitoring results of routine sedimentation in the operating room from March 2014 to February 2015 and March 2015 to February 2016, and compared the implementation of nursing Before and after the comprehensive management measures of infection in the operating room, compared with before and after the implementation of operating room infection doctor-patient disputes. Results: The overall compliance rate of routine monitoring of sedimentation in the first three operating rooms was 90.00%. A total of 5624 operations were performed, including 89 cases of operating room infection, 1.58% of patients infected with infection, 45 cases of infection of medical staff, Infection led to 23 medical disputes, the incidence of 0.41%. Implementation of comprehensive management measures for nursing After preventing infection in the operating room, the monitoring rate of the sedimentation in the three operating rooms was 98.00%. A total of 5589 operations were performed. There were 45 cases of operating room infection, infection rate of patients was 0.81%, infection of medical staff was 12, 15 cases of medical disputes caused by surgical infection, the incidence of 0.27%. Implementation of comprehensive management measures for nursing care Prevention of operating room infection after operation room infection settlement rate was significantly higher than before implementation, the infection rate of patients and medical staff and doctors and patients infected with the operating room were significantly lower than before the implementation of the difference was significant (P < 0.05). Conclusion: The comprehensive nursing management measures to prevent the infection in the operating room are effective, have high value and improve the relevant measures to further reduce the incidence of infection in the operating room.