手术室护士执行预防用抗菌药物的影响因素  

Analysis of influencing factors of nurses in operating room implementing preven-tive antibiotics

作　　者：康迪 王广青 徐豫新 李铮[1] Kang di;Wang Guangqing;Xu YuXin;Li Zheng(First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院

出　　处：《临床心身疾病杂志》2020年第6期175-177,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨手术室护士执行预防用抗菌药物的影响因素.方法 将290例需行手术治疗且术前需预防性使用抗菌药物的患者根据是否顺利执行预防用抗菌药物分为两组,顺利执行组237例,未顺利执行组53例.比较两组患者的用药情况及护士执行情况,分析手术室护士执行预防用抗菌药物的影响因素.结果 两组用药种类、联合用药、用药时长比较差异无统计学意义(P>0.05),顺利执行组用药时机为切皮前<0.5 h的患者显著少于未顺利执行组(P<0.05).两组护士工作年限、职称、明确用药医嘱、术前访视、抗菌药物知识培训情况比较差异均有统计学意义(P<0.05).患者用药时机、护士工作年限、护士职称、明确用药医嘱、术前访视、抗菌药物知识培训情况为手术室护士执行预防用抗菌药物的影响因素(P<0.05).结论 手术室护士执行预防用抗菌药物的影响因素主要为护士及其执行情况,采取相应的干预措施,有利于提高手术预防用抗菌药物的顺利执行率,保证手术顺利进行.Objective To analyze the influencing factors of nurses in operating room implementing preven-tive antibiotics.Methods 290 patients underwent surgical treatment and required prophylactic antibiotics before surgery were selected,and all patients divided into two groups according to whether successfully implemented,there were 237 cases in successfully implemented group,and 53 cases in non-successfully implemented group.Compare the medication situation of the two groups of patients and the executive con-dition of nurses,and analyze the influencing factors of nurses in the operating room to implement preven-tive antibiotics.Results There was no significant difference in the types of medications,combination medications,and duration of medication between the two groups(P>0.05).The number of patients in the smooth implementation group whose medication timing was<0.5 h before skin incision was signifi-cantly less than that in the non-smooth implementation group(P<0.05).There were statistically signifi-cant differences between the two groups of nurses in terms of working years,professional titles,clear medication orders,preoperative visits,and antibacterial knowledge training(P<0.05).Patient medica-tion timing,nurses’working years,nurse's job title,clear medication instructions,preoperative visits,antibacterial knowledge training were the influencing factors for nurses in operating room to implement preventive antibacterial drugs(P<0.05).Conclusions The influencing factors of operating room nurses perform preventive antibiotics are mainly nurses and their implementation.Taking corresponding interven-tion measures will help improve the smooth implementation rate of antibacterial drugs for surgical preven-tion and ensure the smooth progress of the operation.

关 键 词：手术室 护士 手术 抗菌药物 预防用药 影响因素 

分 类 号：R472.3[医药卫生—护理学]