宁夏6所医疗机构护理人员对手术部位感染预防与控制的调查分析  

Investigation and analysis of prevention and control of surgical site infections by nursing staff of 6 medical institutions in Ningxia

作　　者：任洁琼[1] 来颖[2] 杨宝忠[3] 孙彩霞[4] 冯群[5] 尚旭琴 梁月红 

机构地区：[1]宁夏医科大学总医院康复医学科,宁夏银川750004 [2]宁夏医科大学总医院护理部,宁夏银川750004 [3]宁夏医科大学总医院院内感染科,宁夏银川750004 [4]宁夏医科大学总医院NICU,宁夏银川750004 [5]石嘴山市第一人民医院护理部,宁夏石嘴山753000 [6]宁夏固原市原州区人民医院护理部,宁夏固原756000 [7]中宁县人民医院护理部,宁夏中宁755100

出　　处：《中华医院感染学杂志》2016年第21期4987-4989,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解银川市6所医疗机构护理人员对手术部位感染预防与控制现状,为制定手术部位感染预防控制的护理措施提供参考依据。方法于2015年7月1日-20日,采用整群抽样的方法共调查116例手术患者,对调查当日每个手术患者填写一份问卷,问卷包括:皮肤准备、术前沐浴、术前"监测血糖/控制血糖"纳入医嘱系统情况及术中保温情况。结果 116名调查对象手术前脱毛备皮的有84例,占72.9%,其中用刀片刮除毛发备皮有63例,占75.0%,在手术当日脱毛备皮的有60例,占71.4%,在病房脱毛备皮的有57例,占67.9%;手术前沐浴的有77例,占66.4%,其中术前一日晚间沐浴的有71例,占92.2%,用氯己定成分的浴液沐浴的有1例,占1.3%;手术前将血糖控制纳入医嘱系统的有61例,占52.6%;手术术中进行保温的有90例,占77.6%,其中用保温毯进行保温的有61例,占67.8%,将术中保温纳入医嘱的有16例,占17.8%。结论宁夏6所医疗机构护理人员在手术前备皮、术前对患者沐浴指导、手术血糖控制及术中保温等手术部位感染预防控制措施上还有待提高;护理人员应在积极总结、学习循证指南及临床实践,及时调整工作方法,积极预防手术部位感染的发生。OBJECTIVE To understand the current status of prevention and control of surgical site infections by nursing staff of 6 medical institutions in Yinchuan so as to provide guidance for development of prevention and con- trol measures for the surgical site infections. METHODS From Jul 1, 2015 to Jul 20,2015, totally 116 surgery pa- tients were investigated by using cluster sampling method, then a questionnaire was filled out for each patient on the survey day, of which the content included the skin preparation, preoperative bathing, inclusion of preoperative monitoring of blood sugar/control of blood sugar into the system of medical advice, and intraoperative heat preser- vation. RESULTS Of totally 116 patients who were investigated, 84 （72.9 %） were treated with preoperative skin shaving and preparation, of whom 63 （75.0%） were treated with blade scraping of hair for skin preparation, 60 （71.4%o） were treated with skin preparation on the day of surgery, 57 （67.9%） were treated with skin prepara- tion in wards. Totally 77 （66.4%） patients were treated with preoperative bathing, of whom 71 （92.2%） were treated with the bathing at night on one day before the surgery, 1 （1.3 %） was treated with bathing by using bath foam containing chlorhexidine. There were 61 （52.6 %） patients whose preoperative control of blood sugar was in- cluded into the medical advice system. Totally 90 （77.6 %） patients were treated with intraoperative heat preser- vation, of whom 61 （67.8 %） were treated with heat preservation by using insulation blanket, and 16 （17.8 %） were treated with the inclusion of intraoperative heat preservation into the medical advice system. CONCLUSION The prevention and control measures for the surgical site infections that are taken by the nursing staff of 6 medical institutions in Ningxia, including the preoperative skin preparation, guidance for preoperative bathing, control of blood sugar, and intraoperative heat preservation, need to be improved. It is necessary for th

关 键 词：护理人员 手术部位感染 

分 类 号：R619.3[医药卫生—外科学]