持续质量改进对阑尾炎患者术后感染的预防作用  

Effect of continuous quality improvement on postoperative infection prophylaxis in appendicitis patients

作　　者：肖淑红[1] 袁爱林[2] 高红玉[3] 王身芳[4] 王杨[5] 

机构地区：[1]三亚市中医院外科,海南三亚572000 [2]三亚市中医院护理部,海南三亚572000 [3]三亚市中医院消毒中心,海南三亚572000 [4]三亚市中医院内科,海南三亚572000 [5]海南医学院外科,海南海口571199

出　　处：《中华医院感染学杂志》2013年第18期4429-4430,4433,共3页Chinese Journal of Nosocomiology

基　　金：海南省自然科学基金项目(30715)

摘　　要：目的通过持续质量改进(CQI)护理模式在阑尾炎切除术患者中的应用,探讨分析对术后感染的预防效果。方法选取2008年1月-2013年1月医院收治的阑尾炎切除术患者100例,随机分为对照组和观察组,各50例,观察组采用CQI模式下护理;对照组采用常规护理,观察两组患者术后感染的发生率、患者对护理的满意度。结果观察组患者感染6例,感染率12.0%;对照组患者感染18例,感染率36.0%,两组患者术后感染率对比差异有统计学意义(P<0.05);观察组患者对护理的总满意率为100.0%,对照组为76.0%,两组对比差异有统计学意义(P<0.05)。结论 CQI模式在预防阑尾炎患者术后感染效果良好,可明显降低术后感染的发生,值得在临床上推广。OBJECTIVE To analyze effect of continuous quality improvement （CQI） on prevention of postoperative infections in patients with appendicitis. METHODS A total of 100 patients who underwent appendectomy from Jan 2008 to Jan 2013 were enrolled in the study and randomly divided into the control group and the observation group, with 50 cases in each, then the observation group was given nursing under CQI mode, the control group was treated with routine nursing; the incidence of postoperative infections and the patientsr satisfaction with nurs- ing were observed between the two groups. RESULTS There were 6 （12.0%） cases of patients with infections in the observation group and 18 （36.0 %） cases in the control group, the difference in the incidence of postoperative infections between the two groups was significant; the patientst satisfaction rate with the nursing was 100.0% in the observation group, 76. 0% in the control group, the difference between the two groups was significant （P〈0.05）. CONCLUSION The CQI mode can achieve good effect on prevention of postoperative infections in the appendicitis patients and significantly reduce the incidence of postoperative infections, which is worthy to be promoted in the hospital.

关 键 词：持续质量改进 阑尾炎 术后感染 预防效果 

分 类 号：R619.3[医药卫生—外科学]