加强外科换药室护理安全管理在防范院内感染中的应用  

Strengthening the Application of Nursing Safety Management in Surgical Dressing Room in Preventing Nosocomial Infection

作　　者：陈学梅[1] CHEN Xue-mei(Department of Infection Management,TCM Hospital of Xinghua,Xinghua,Jiangsu Province,225700 China)

机构地区：[1]江苏省兴化市中医院感染管理科,江苏兴化225700

出　　处：《中外医疗》2018年第24期157-159,共3页China & Foreign Medical Treatment

摘　　要：目的探讨加强护理安全管理在外科换药室中的临床应用,防范院内感染的发生。方法方便选取2016年1月—2018年2月期间在该院外科换药室换药的82例患者,对其临床资料进行回顾性分析,将其随机分为研究组和对照组,各为41例,对照组进行常规管理,研究组在其基础上加强对外科换药室护理安全管理,观察并比较两组换药合格率、创伤愈合的情况、感染发生的情况及满意率等。结果研究组换药合格率为100.00%显著优于对照组85.37%,比较差异有统计学意义(χ~2=4.226,P<0.05);研究组创口均痊愈,无感染病例发生,感染发生率为0.00%,显著低于对照组14.63%,比较差异有统计学意义(χ~2=4.981,P<0.05);研究组满意率97.56%显著优于对照组82.93%,比较差异有统计学意义(χ~2=4.109,P<0.05);研究组空气检测合格率100.00%、手卫生检测合格率100.00%、无菌包检测合格率100.00%、消毒液检测合格率100.00%、显著优于对照组,比较差异有统计学意义(χ~2=4.012、4.012、4.577、4.012,P<0.05)。结论对外科换药室加强护理安全管理,效果显著,可显著提高换药合格率,降低感染的发生,促进患者伤口愈合,改善护患关系,值得临床推广。Objective To explore the clinical application of nursing safety management in surgical dressing room and prevent the occurrence of nosocomial infection. Methods 82 patients were convenient selected from January 2016 to February2018 in the surgical dressing room of the hospital. The clinical data were retrospectively analyzed and randomly divided intostudy group and control group, 41 cases each. The control group conducted routine management. The research groupstrengthened the nursing safety management of the surgical dressing room on the basis of the observation group, and observed and compared the dressing pass rate, wound healing status, infection occurrence, and satisfaction rate between thetwo groups. Results The passing rate of 100.00% in the study group was significantly better than that in the control group（85.37%）. The difference was statistically significant （X^2=4.226, P〈0.05）. The wounds in the study group were all cured, noinfection occurred, and the infection rate was 0.00%, significantly lower than the control group of 14.63%, the differencewas statistically significant （X^2=4.981, P〈0.05）; the satisfaction rate of the study group was 97.56% significantly better thanthe control group 82.93%, the difference was statistically significant（X^2= 4.109, P〈0.05）; The study group＇s air test pass rate100.00%, hand hygiene test pass rate 100.00%, sterile bag test pass rate 100.00%, disinfectant test pass rate 100.00%, significantly better than the control group, the difference was statistically significant （X^2= 4.012, 4.012, 4.577, 4.012, P〈0.05）.Conclusion It is effective to strengthen nursing safety management in surgical dressing room, which can significantly improve the pass rate of dressing changes, reduce the occurrence of infection, promote wound healing and improve the relationship between nurses and patients, and is worthy of clinical promotion.

关 键 词：护理安全管理 外科 换药室 临床应用 防范 院内感染 

分 类 号：R473[医药卫生—护理学]