中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2012年
29期
23-25
,共3页
外科手术%医院感染%手术室护理管理
外科手術%醫院感染%手術室護理管理
외과수술%의원감염%수술실호리관리
Surgery%Nosocomial infection%Nursing management of operation room
目的 探讨普通外科手术患者发生医院感染与手术室护理管理的相关因素,为降低手术室相关医院感染的发生率提供科学依据.方法 将2009年8月至2010年8月于我院进行手术发生医院感染的304例患者作为对照组,将2010年9月至2011年10月的151例患者作为干预组,对所有病例进行回顾性分析,对可能影响医院感染的手术室护理因素进行单因素和多因素Logistic回归分析.结果 通过单因素分析,共筛选出8个与医院感染有关的手术室护理因素:切口类型、手术时间、接台手术与否、入ICU时间、术前使用抗生素、是否有参观人员、侵入性操作；多因素Logistic回归分析结果筛选出5个高度相关因素:入ICU时间、切口类型、手术时间、术前使用抗生素、接台手术.对照组的复发率和并发症的发生率显著高于干预组.结论 在手术室护理工作中,可采取一系列的手术室护理管理干预,以降低普通外科手术医院感染的发生率.
目的 探討普通外科手術患者髮生醫院感染與手術室護理管理的相關因素,為降低手術室相關醫院感染的髮生率提供科學依據.方法 將2009年8月至2010年8月于我院進行手術髮生醫院感染的304例患者作為對照組,將2010年9月至2011年10月的151例患者作為榦預組,對所有病例進行迴顧性分析,對可能影響醫院感染的手術室護理因素進行單因素和多因素Logistic迴歸分析.結果 通過單因素分析,共篩選齣8箇與醫院感染有關的手術室護理因素:切口類型、手術時間、接檯手術與否、入ICU時間、術前使用抗生素、是否有參觀人員、侵入性操作；多因素Logistic迴歸分析結果篩選齣5箇高度相關因素:入ICU時間、切口類型、手術時間、術前使用抗生素、接檯手術.對照組的複髮率和併髮癥的髮生率顯著高于榦預組.結論 在手術室護理工作中,可採取一繫列的手術室護理管理榦預,以降低普通外科手術醫院感染的髮生率.
목적 탐토보통외과수술환자발생의원감염여수술실호리관리적상관인소,위강저수술실상관의원감염적발생솔제공과학의거.방법 장2009년8월지2010년8월우아원진행수술발생의원감염적304례환자작위대조조,장2010년9월지2011년10월적151례환자작위간예조,대소유병례진행회고성분석,대가능영향의원감염적수술실호리인소진행단인소화다인소Logistic회귀분석.결과 통과단인소분석,공사선출8개여의원감염유관적수술실호리인소:절구류형、수술시간、접태수술여부、입ICU시간、술전사용항생소、시부유삼관인원、침입성조작；다인소Logistic회귀분석결과사선출5개고도상관인소:입ICU시간、절구류형、수술시간、술전사용항생소、접태수술.대조조적복발솔화병발증적발생솔현저고우간예조.결론 재수술실호리공작중,가채취일계렬적수술실호리관리간예,이강저보통외과수술의원감염적발생솔.
Objective To investigate the related factors of the occurrence of nosocomial infection and nursing management in operating room for general surgery patients,and provide a scientific basis to reduce the incidence of nosocomial infection of the operating room. Methods 304 patients with nosocomial infection from August 2009 to August 2010 in our hospital for surgery were set as the control group.151 cases from September 2010 to October 2011 were named as the intervention group.All cases were analyzed retrospectively.The nursing factors which might affect nosocomial infection in operation room were analyzed by univariate and multivariate logistic regression analysis. Results By univariate analysis,eight operation room nursing factors related to nosocomial infection were screened out:the type of incision,operation time,the following surgery or not,into ICU time,preoperative use of antibiotics,visitors of operations or not,invasive operation.5 highly correlated factors were screened out by multi-factor logistic regression analysis:admission to the ICU time,incision type,operation time,preoperative use of antibiotics,then following surgery.The infection rate and prolapse rate of the control group were significantly higher than those of the intervention group. Conclusions In nursing work of the operation room,we can take a series of nursing management interventions to reduce the incidence of nosocomial infection of general surgery.
