循证护理在外科系统中预防医院感染的应用  

Application of evidence-based nursing in prevention of nosocomial infections in surgery departments

作　　者：肖玲[1] 王国强[2] 李茁[3] 李丹[3] 郭惠玲[3] 

机构地区：[1]吉林大学中日联谊医院新民院区普外科,吉林长春130021 [2]吉林大学中日联谊医院行政部,吉林长春130021 [3]吉林大学中日联谊医院普外科,吉林长春130021

出　　处：《中华医院感染学杂志》2016年第18期4286-4287,4290,共3页Chinese Journal of Nosocomiology

基　　金：吉林省自然科学基金项目(201015174)

摘　　要：目的探讨循证护理在外科系统预防医院感染的作用。方法选取2014年9月-2015年3月在普外科行手术治疗的497例患者为对照组;另选2015年4-10月普外科手术患者526例为观察组;对照组按医院感染常规进行护理,观察组依据医院感染规范和循证护理原则进行护理,比较两组患者的医院感染率和住院时间。结果两组患者经临床护理干预后,对照组497例患者中,发生医院感染患者64例,感染率为12.88%;观察组526例患者中,发生医院感染患者41例,感染率为7.79%;对照组患者住院时间为(15.13±3.7)d,观察组患者住院时间为(10.20±4.3)d;观察组患者医院感染的发生率及住院时间均明显低于对照组,差异有统计学意义(P<0.05)。结论依据循证医学制定的护理措施对预防和控制医院感染有明显的效果。OBJECTIVE To explore the effect of evidence-based nursing on prevention of nosocomial infection in surgery departments.METHODS A total of 497 patients who received surgical procedures in general surgery department from Sep 2014 to Mar 2015 were chosen as the control group,and 526 patients who received surgical procedures in general surgery department from Apr 2015 to Oct 2015 were set as the observation group.The control group was given conventional nursing,while the observation group was given nursing based on the nosocomial infection criteria and evidence-based nursing principles.The incidence of nosocomial infections and length of hospital stay were observed and compared between the two groups of patients.RESULTS After the clinical nursing interventions were taken,the nosocomial infections occurred in 64 of 497patients in the control group,with the infection rate 12.88%;the nosocomial infections occurred in 41 of 526patients in the observation group,with the infection rate 7.79%,the incidence of nosocomial infections of the observation group was significantly lower than that of the control group（P〈0.05）.The length of hospital stay of the observation group was（10.20±4.3）days,significantly shorter than（15.13±3.7）days of the control group（P〈0.05）.CONCLUSIONThe nursing measures that are developed based on the evidence-based medicine can achieve significant effect on prevention and control of the nosocomial infections.

关 键 词：循证护理 预防 医院感染 

分 类 号：R197.3[医药卫生—卫生事业管理]