强化风险管理模型结合循证实践对乳腺外科手术室感染控制和细菌学检测合格率的影响  

Influence of strengthening risk management models combined with evidence-based practice on infection control and bacterial testing qualification rate in breast surgery operating rooms

作　　者：钟萍儿 赵恺 戚丽平 ZHONG Ping-er;ZHAO Kai;QI Li-ping(Surgical Department of Zhuji City Hospital of Traditional Chinese Medicine,Zhuji,Zhejiang 311800,China)

机构地区：[1]诸暨市中医医院手术室,浙江诸暨311800

出　　处：《环境与健康杂志》2025年第2期173-176,共4页Journal of Environment and Health

摘　　要：目的探讨手术室循证实践结合强化风险管理对乳腺外科手术感染控制、细菌学检测合格率的效果。方法分别选取2019年、2020年、2021年诸暨市中医医院乳腺外科接收的接受手术治疗的90例、97例、94例患者为本研究对象,实施手术室循证结合强化风险管理。另外选取2018年该院实施手术室循证管理期间接受手术治疗的患者95例为对照组。对比近年来乳腺外科Ⅰ类切口抗菌药物使用比例、手术室病原菌检查合格情况、手术室患者切口感染的发病率、患者的满意度情况。结果2018年各季度乳腺外科Ⅰ类切口抗菌药物预防性使用的比例较高且控制不稳定,2019年、2020年、2021年各季度均较2018年得到了更好的控制。手术室细菌检查工作中抽检结果显示,自2019年起手术室的细菌抽检合格率明显升高。2018年手术室感染的发生率为4.21%(4/95),2019年为2.22%(2/90),2020年为1.03%(1/97),2021年1.06%(1/94),呈现稳定的下降趋势。2019年、2020年、2021年的患者满意度明显高于2018年,差异有统计学意义(P<0.05),但三年之间对比未见明显差异(P>0.05)。结论手术室循证结合强化风险管理对乳腺外科手术室感染具有较好的控制效果,能够有效降低手术室感染的发生率,提升患者满意度。Objective To understand the effect of operating room evidence-based practice combined with enhanced risk management on infection control and bacteriological detection in breast surgery.Methods In 2019,2020 and2021,90,97 and 94 patients received surgical treatment in our hospital were chosen respectively for the evidencebased management and intensive risk management.In addition,95 patients who underwent surgical treatment during the operating room evidence-based management in 2018 were selected as the control group.Compared with the proportion of the use of class I incision antibacterial drugs in breast surgery in recent years,the qualification of the pathogen examination in the operating room,the incidence of incision infection in the operating room patients,and the satisfaction of patients.Results The proportion of prophylactic use of class I incision antibiotics in breast surgery was high in each quarter of 2018 and the control was unstable,with better control in 2019,2020 and 2021compared with 2018.The results of bacterial testing in the operating room showed that the qualified rate of bacterial sampling in the operating room significantly increased since 2019.The incidence of infection in the operating room was 4.21%(4/95)in 2018,2.22%(2/90)in 2019,1.03%(1/97)in 2020 and 1.06%(1/94)in 2021respectively,showing a stable downward trend.Patient satisfaction was significantly higher in 2019,2020,and 2021than in 2018(P<0.05),but there was no significant difference between the three years(P>0.05).Conclusion The evidence-based combined with intensive risk management has a good control effect on the operating room infection of breast surgery patients,which can effectively improve the passing rate of environmental detection and patient satisfaction,and reduce the incidence of infection in the operating room.

关 键 词：手术室循证管理 强化风险管理 乳腺外科 手术室感染 患者满意度 

分 类 号：R47[医药卫生—护理学]