护理观察在手术室消毒隔离技术管理中的应用  

Nursing Observation in Operating Room Disinfection and Isolation Management

作　　者：章一华 张金凤[2] 古锦屏[2] 

机构地区：[1]深圳市职业病防治院护理部,广东深圳518001 [2]赣州市人民医院手术室,江西赣州341000

出　　处：《中华医院感染学杂志》2009年第8期965-967,共3页Chinese Journal of Nosocomiology

基　　金：赣州市卫生局医学科技计划项目(200621)

摘　　要：目的探讨护理观察在手术室消毒隔离技术管理中的应用及价值。方法选定手术室护士和手术医生或科主任为观察员，在手术室尽可能不引人注意地观察30～60min，并独立记录观察到的结果，并直接向全体手术室护士和相关手术科室人员报告，在手术室护士长和科室主任的指导下，全体人员讨论需要解决的问题，针对问题采取措施，并制定工作计划。结果2006年6月-2008年6月通过护理观察发现手术室消毒隔离技术管理中的问题共109个，利用护理观察结果共制定修订近、远期计划45项，落实改进措施109项，使存在的问题不断减少；手术室工作环境、手术物品消毒灭菌、无菌操作技术质控检查合格率分别从2006年3季度的94．2％、97．1％、95．1％提高到2008年2季度的100．0％、100．0％、99．8％。结论护理观察调动了手术室全体护士主动参与管理的积极性，增加了与手术科室的沟通，提高消毒隔离技术质量管理效果；对手术室消毒隔离技术进行持续监控，保证管理的有效性和持续性，防止医院感染。OBJECTIVE To explore uticozation of nursing care in the operating room disinfection and isolation management. METHODS The nurses and doctors operating room were selected as the observers. Obsening in the operating room for 30-60 min, and recorded the results. After the guidance of the staff discussed to address the problem. RESULTS From June 2006 to June 2008, observed in disinfection and isolation problems of operating room management. The measures include 45 long-term plan, measures need to improve the implementation. To continue to reduce the existing problems, the increasing Outstanding operation; Operating room working environment, surgical sterilization materials, sterile technique quality control inspection pass rate in 2006 from the third quarter of 94.2%, 97.1%, 95.1% to 2008 second quarter of 100.0%, 100.0%, 99.8%. CONCLUSIONS The meause can improve the initiative to participate in the management increase the communication between the department and surgery, disinfection and isolation technology improve the quality of management effectiveness. Disinfection and isolation of the operating room are needed to ensure the effectiveness of management to prevent nosocomial infection.

关 键 词：护理观察 手术室 消毒隔离技术 管理 

分 类 号：R187[医药卫生—流行病学]