手术室感染控制路径在改善手术室工作人员自我防护及感染控制中的效果研究  

Effect of infection control pathway of operating room on improvement of self-protection of operating room staff and control of infection

作　　者：李贞彩[1] 段道鹏 贾巧丽[1] 王冬丽[1] 尹亮[1] LI Zhen-cai;DUAN Dao-peng;JIA Qiao-li;WANG Dong-li;YIN Liang(Nanyang Central Hospital,Nanyang,Henan 473000,China)

机构地区：[1]南阳市中心医院手术一部,河南南阳473000

出　　处：《中华医院感染学杂志》2018年第22期3501-3504,共4页Chinese Journal of Nosocomiology

基　　金：河南省医学科技攻关计划基金资助项目(201508261)

摘　　要：目的探讨手术室感染控制路径在改善手术室工作人员的自我防护能力与控制手术患者感染发生的作用效果,为手术室实践工作提供参考。方法回顾性选取2015年1月-2017年1月医院手术治疗的3 200例患者,根据手术时间顺序分为研究组和对照组,每组1 600例。对照组给予常规护理,研究组采用感染控制路径。对两组的感染发生情况、术后抗菌药物使用时间、手术室空气洁净率、环境卫生合格率及患者满意度进行比较,对比手术室工作人员在采用感染控制路程控制前后的自我防护情况,包括机械性伤害、生物性、化学性、物理性危害的发生率。结果研究组的感染发生率为0.94%、术后抗菌药物使用时间(2.97±0.18)d低于对照组的2.94%、(5.14±0.72)d(P<0.05);手术室空气洁净率为99.00%、卫生环境卫生合格率98.88%、患者满意度为98.94%均高于对照组(P<0.05);手术室共21名工作人员,采用感染控制路径后手术室工作人员的机械性伤害、生物性、化学性、物理性危害的发生率分别为2.13%、4.81%、1.00%、2.75%明显低于未采用之前(P<0.05)。结论手术室的感染控制情况不理想,感染控制路径能够降低手术室感染率,减少术后抗菌药物使用时间,提高手术室工作人员的防护能力,值得临床应用。OBJECTIVE To explore the effect of infection control pathway of operating room on improvement of self-protection of operating room staff and control of infection so as to provide guidance for practice of the operating room.METHODS A total of 3200 patients who received surgical procedures in the hospital from Jan 2015 to Jan 2017 were retrospectively enrolled in the study and divided into the study group and the control group according to chronological order of surgery,with 1600 cases in each group.The control group was given conventional nursing,while the study group was treated with infection control pathway.The incidence of infection,time of preoperative use of antibiotics,rate of clean air in operating room,qualified rate of environmental hygiene and patient＇s satisfaction were observed and compared between the two groups;the status of self-protection of the operating room staff,including mechanical injuries,biological,chemical,physical hazards,were compared before and after the infection control pathway was carried out.RESULTS The incidence rate of infection of the study group was0.94%,lower than 2.94% of the control group;the time of preoperative use of antibiotics of the study group was（2.97±0.18）days,shorter than（5.14±0.72）days of the control group.The rate of clean air in operating room was 99.00%in the study group,higher than 94.81%in the control group;the qualified rate of environmental hygiene of the study group was 98.88%,higher than 96.13% of the control group;the patient＇satisfaction of the study group was 98.94%,higher than 93.88% of the control group,and there were significant differences（P〈0.05）.There were 21 staffs in the operating rooms;the incidence rates of mechanical injuries,biological,chemical,physical hazards were respectively 2.13%,4.81%,1.00%and 2.75%after the infection control pathway was carried out,significantly lower than those before the infection control pathway was carried out（P〈0.05）.CONCLUSION The control of infection in the operating room is not satis

关 键 词：手术室 感染控制路径 自我防护 感染控制 

分 类 号：R183[医药卫生—流行病学]