CAJ | 학술논문

目的了解综合医院手术室感染情况,分析现阶段医院手术室感染的影响因素,改善手术室医疗质量,保障病人安全.方法选取哈尔滨市6家三级综合医院和6家二级综合医院的手术室护士长,采用问卷调查法调查手术室感染情况,分析手术室发生感染的危险因素.结果 2009年6家二级医院手术室全年手术量为3211台,发生医院感染163例,发生手术室感染19例；6家三级医院手术室全年手术量为7 592台,发生医院感染1 339例,发生手术室感染11例.影响手术室感染的因素为:医护人员手卫生、器械物品消毒灭菌与隔离、手术室环境、手术室布局与工作流程.结论手术室感染控制应在手卫生、消毒灭菌隔离、环境、布局及工作流程这几个方面加强管理,减少手术室感染的发生数量.
목적 료해종합의원수술실감염정황,분석현계단의원수술실감염적영향인소,개선수술실의료질량,보장병인안전.방법 선취합이빈시6가삼급종합의원화6가이급종합의원적수술실호사장,채용문권조사법조사수술실감염정황,분석수술실발생감염적위험인소.결과 2009년6가이급의원수술실전년수술량위3211태,발생의원감염163례,발생수술실감염19례；6가삼급의원수술실전년수술량위7 592태,발생의원감염1 339례,발생수술실감염11례.영향수술실감염적인소위:의호인원수위생、기계물품소독멸균여격리、수술실배경、수술실포국여공작류정.결론 수술실감염공제응재수위생、소독멸균격리、배경、포국급공작류정저궤개방면가강관리,감소수술실감염적발생수량.
Objective To investigate 12 general hospitals operating room infection management of in Harbin city,analyze current hospital operating room infection control factors,and to improve the operating room health care quality,increase patient safety and security.Methods Harbin Heading nurses in the operating room of six three and six two general hospitals were selected as the object of study ; using questionnaires to explore the operating room risk factors for infection.Results Overall operation number in six two general hospital was 3 211 in one year,and 163 operations occurred hospital infection,19 operations occurred operation room infection; overall operation number in six three hospital was 7 592 one year,hospital and operation room infection number were 1339 and 11,respectively.Factors influencing operation infection were as following:hand hygiene of the staff,sterilization and isolation of equipment,environment of operation room,and layout and workflow.Conclusions Operating room infection control management should be strengthened in hand hygiene,disinfection and sterilization isolation,environment,layout and work flow,which can effectively reduce the incidence of infection in the operating room number.