综合控制对妇科手术患者医院感染的影响  

Impact of integrated control on nosocomial infections in patients of gynecological outpatient operating rooms

作　　者：李世红 王苏荣[2] 孟琴 刘天凤[2] 李彦华 

机构地区：[1]山东医学高等专科学校妇产科教研室,山东临沂276003 [2]临沂市人民医院妇科,山东临沂276003

出　　处：《中华医院感染学杂志》2015年第10期2362-2363,2366,共3页Chinese Journal of Nosocomiology

基　　金：山东省自然科学基金资助项目(Y2010C02)

摘　　要：目的探究综合控制方案对妇科手术患者发生医院感染的影响,以降低临床感染率。方法选取2012年1月-2013年1月医院妇科治疗后出院的2 200例患者作为对照组,分析对照组术后感染患者的特征,并以此制定综合控制方案,随后于2013年2月-2014年2月采取综合控制方案,并选取其中2 200例出院患者作为观察组进行回顾性调查分析,比较综合控制方案实施前后妇科医护人员的理论知识和操作技能的合格率及两组患者的术后感染率。结果患者年龄、感染部位以及住院时间等因素是影响患者医院感染的危险因素;实施综合控制方案后,包括理论知识考核以及操作技能的考核合格率均有显著提高(P<0.01);对比综合控制方案前后患者感染情况,对照组术后医院感染率为9.86%、观察组为1.95%,实施综合控制方案后,患者感染率有显著地下降(P<0.01)。结论综合控制方案有利于提高妇科门诊手术室的区域分配合理水平,促进医师对手术不同环节的层层把关,同时加强了医护人员无菌意识,有效降低患者接受妇科术后医院感染的概率。OBJECTIVE To explore the impact of integrated control program on incidence of nosocomial infections in the patients of gynecological outpatient operating rooms so as to reduce the incidence of clinical infections . METHODS A total of 2 200 patients who were treated in the gynecology department and discharged from Jan 2012 to Jan 2013 were selected as the control group ,the characteristics of the patients with postoperative infections were analyzed so as to formulate the integrated control program ,subsequently ,the integrated control program was adopted in the gynecology department from Feb 2013 to Feb 2014 ,and 2 200 discharged patients were assigned as the observation group so as to conduct the retrospective survey ;the qualified rates of theoretical knowledge and operation skills of the health care workers and the incidence of postoperative infections were observed and com‐pared before and after the integrated control program was implemented .RESULTS The age ,infection sites ,and length of hospital stay were the risk factors associated with nosocomial infections in the patients .The qualified rates of both the theoretical knowledge assessment and operation skill assessment were significantly improved after the integrated control program was implemented （P〈0 .01） .As compared with the prevalence of infections before and after the integrated control program was implemented ,the incidence of postoperative nosocomial infections was 9 .86% in the control group ,1 .95% in the observation group ,and the infection rate was significantly reduced after the integrated control program was implemented （P〈0 .01） .CONCLUSION The integrated control program may help to improve the reasonable area distribution of the gynecological outpatient operating room ,ensure that the doctors make checks at all levels ,and intensify the awareness of sterilization of the health care workers so as to effectively reduce the incidence of nosocomial infections after the gynecologic surgery .

关 键 词：综合控制 妇科 感染 

分 类 号：R713[医药卫生—妇产科学]