医院感染质控小组在手术室感染预防中的效果  

Effect of quality control group of nosocomial infection in prevention of infections in operation room

作　　者：冯秋颜[1] 

机构地区：[1]海南省中医院手术室,海南海口570203

出　　处：《实用临床医药杂志》2018年第6期82-85,89,共5页Journal of Clinical Medicine in Practice

基　　金：海南省卫生厅课题(琼卫2011-28)

摘　　要：目的探讨医院感染质控小组在手术室感染预防中的应用效果。方法选取2014年5月—2015年5月成立医院感染质控小组前行手术治疗的216例患者作为对照组,选取2015年6月—2016年6月成立感染质控小组后行手术治疗的227例患者作为观察组。比较2组患者术后医院感染率、感染部位、手术室感染控制质量评分、患者满意率、医疗纠纷发生率、手术器械污染率。结果观察组医院感染率为14.98%,低于对照组的28.24%(P<0.05),2组感染部位均以肺部为主,但对照组切口感染、血流感染比例较高;观察组患者的各项手术室感染控制质量评分和总分均高于对照组(P<0.05);观察组的患者满意率为96.48%,高于对照组的80.09%(P<0.05);观察组医疗纠纷发生率和手术器械污染率分别为2.2%和0,低于对照组的8.33%和3.24%(P<0.05)。结论成立医院感染质控小组并切实开展相关工作,能够降低术后感染发生率,优化手术室感染控制效果,提升患者满意率,减少医疗纠纷。Objective To analyze effect of quality control group of nosocomial infection in prevention of infections in operation room. Methods A total of 216 patients from May 2014 to May 2015 before the establishment of quality control group for nosocomial infections surgeries were selected as the control group, and another 227 patients with surgery after establishment of quality control group from June 2015 to June 2016 were selected as observation group. The postoperative nosocomial infec- tion rates, and infected sites of the patients in the two groups were observed and compared. The oper- ation room infection control quality scores, satisfaction, the incidences of medical disputes, the inci- dences of surgical instruments contamination in two groups were compared. Results The nosocomial infection rate of the observation group was 14.98%, which was lower than 28.24% in the control group （ P 〈 0.05 ）. The infection of two groups mainly occurred in the lungs, however the ratios of in- cision infection, blood infection of the control group were higher. The total scores of various operation room infection control quality scores and total scores in the observation group were higher than that in the control group （P 〈 0.05 ）. The satisfaction in the observation group was 96.48% , which was sig- nificantly higher than 80.09% in the control group, the incidences of medical disputes and surgical instruments contamination were 2.2% and 0, which were significantly lower than 8.33% and 3.24% in the control group （ P 〈 0.05 ）. Conclusion The quality control group for nosocomial infections can reduce the incidence of postoperative infection, optimize the effect of operation room infection control, improve the patients＇satisfaction, reduce medical disputes.

关 键 词：医院感染 质控小组 手术室感染 预防 

分 类 号：R472.3[医药卫生—护理学]