基于六西格玛管理循证感控策略捆绑对妇科患者手术部位感染控制的效果  

Effect of evidence-based sensory control strategy based on Six Sigma management on surgical site infection control in gynecological patients

作　　者：卜云芸 刘群 刘桂娟 BU Yunyun;LIU Qun;LIU Guijuan(Department of Gynecology,Xingguo Hospital Affiliated to Gannan Medical University,Jiangxi Province,Ganzhou 342400,China)

机构地区：[1]赣南医科大学附属兴国医院妇科,江西赣州342400

出　　处：《中国当代医药》2025年第9期81-85,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202140827)。

摘　　要：目的探讨基于六西格玛管理循证感控策略捆绑对妇科患者手术部位感染控制的效果。方法选取赣南医科大学附属兴国医院2022年5月至2024年5月收治的86例妇科手术患者作为研究对象,依据不同入院时间对患者进行分组,其中2022年5月至2023年5月收治的43例患者作为对照组,2023年6月至2024年5月收治的43例患者作为观察组。对照组实施常规感染防控,观察组实施基于六西格玛管理循证感控策略。比较两组的患者感染情况(感染发生率、感染严重程度)、患者恢复情况(住院时间、术后体温、医疗费用),以及抗生素使用情况(抗生素使用种类、使用时间、使用剂量)。结果观察组的感染发生率为4.65%(2/43),低于对照组的23.26%(10/43),且观察组感染严重程度轻于对照组,差异有统计学意义(P<0.05)。观察组的住院时间短于对照组,术后体温、医疗费用均低于对照组,差异有统计学意义(P<0.05);观察组的抗生素使用时间短于对照组,使用种类、使用剂量均少于对照组,差异有统计学意义(P<0.05)。结论基于六西格玛管理循证感控策略能降低妇科患者手术部位感染发生率,减轻感染严重程度,缩短患者住院时间,缩减医疗费用,同时减少抗生素的使用,有效提高患者恢复质量,降低医疗成本。Objective To investigate the effect of evidence-based sensory control strategy based on Six Sigma management on surgical site infection control in gynecological patients.Methods A total of 86 patients with gynecological surgery admit-ted to Xingguo Hospital Affiliated to Gannan Medical University from May 2022 to May 2024 were selected as the research objects,and the patients were divided into groups according to different admission times.Among them,43 patients admitted from May 2022 to May 2023 were selected as the control group,and 43 patients admitted from June 2023 to May 2024 were selected as the observation group.The control group implemented routine infection prevention and control,and the observation group implemented evidence-based sensory control strategy based on Six Sigma management.The infection(infection incidence,infection severity),recovery(length of hospital stay,postoperative body temperature,medical expenses),and antibiotic use(type,duration,dose)were compared between the two groups.Results The incidence of infection in the observation group was 4.65%(2/43),which was lower than 23.26%(10/43)in the control group,and the severity of infection in the observation group was lighter than that in the control group,and the differences were statistically significant(P<0.05).The hospitalization time of the observation group was shorter than that of the control group,and the postoperative body temperature and medical expenses were lower than those of the control group,and the differences were statistically significant(P<0.05).The use time of antibiotics in the observation group was shorter than that in the control group,and the types and doses of antibiotics used were less than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Evidence-based sensory control strategy based on Six Sigma management can reduce the incidence of surgical site infection in gynecological patients,reduce the severity of infection,shorten the length of hospital stay,reduce medical cost

关 键 词：六西格玛管理 循证感控策略 妇科手术 手术部位感染 感染控制 

分 类 号：R713[医药卫生—妇产科学]