环节质量管理在外科手术室中的应用效果及对切口感染发生率的影响  

Application effect of link quality management in surgical operation room and its influence on the incidence of incision infection

作　　者：李艳萍[1] 王婷婷[1] LI Yanping;WANG Tingting(Baoji Central Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院,陕西宝鸡721008

出　　处：《临床医学研究与实践》2023年第18期159-162,共4页Clinical Research and Practice

摘　　要：目的探讨环节质量管理在外科手术室中的应用效果及对切口感染发生率的影响。方法选取2020年10月至2021年10月于本院行外科手术治疗的98例患者为研究对象,按不同手术室干预方法将其分为对照组和观察组,各49例。对照组实施常规手术室管理,观察组在手术室中实施环节质量管理。结果观察组的术前访视、术中护理、护理安全、无菌操作、术后管理评分及总分均高于对照组(P<0.05)。术后12 h,两组的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均高于术前,但观察组低于对照组(P<0.05)。观察组的Ⅰ、Ⅱ、Ⅲ类切口感染发生率均低于对照组(P<0.05)。观察组的切口甲级愈合率是69.39%,高于对照组的36.73%(P<0.05)。结论环节质量管理在外科手术室中可有效提升手术室护理质量,减轻患者术后炎性反应,降低切口感染发生率,并促进切口良好愈合。Objective To explore the application effect of link quality management in surgical operating room and its influence on the incidence of incision infection.Methods From October 2020 to October 2021,98 patients who underwent surgical operation treatment in our hospital were selected as the research objects and divided into control group and observation group according to different operating room intervention methods,with 49 cases in each group.The control group implemented routine operating room management,and the observation group implemented link quality management in the operating room.Results The preoperative visit,intraoperative nursing,nursing safety,aseptic operation,postoperative management scores and total score of the observation group were higher than those of the control group(P<0.05).At 12 h after operation,the levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in the two groups were higher than those before operation,but those in the observation group were lower than the control group(P<0.05).The incidences of typeⅠ,ⅡandⅢincision infection in the observation group were lower than those in the control group(P<0.05).The grade A healing rate of incision in the observation group was 69.39%,which was higher than 36.73%in the control group(P<0.05).Conclusion Link quality management in surgical operating room can effectively improve the quality of nursing in the operating room,reduce the postoperative inflammatory response of patients,reduce the incidence of incision infection,and promote good incision healing.

关 键 词：环节质量管理 外科手术室 切口愈合 切口感染 

分 类 号：R473[医药卫生—护理学]