CAJ | 학술논문

目的探讨分析前馈控制在降低手术后手术部位切口感染发生率的临床效果.方法分析对手术后患者切口进行护理时所潜在的护理安全隐患,根据手术后患者的具体临床特点采取有效的防范措施,以降低切口感染发生率.结果在对患者实施前馈控制后,进一步增强了手术后护理的效果,护理检查年度综合评定由2010年的97.2％上升到2012年的98.9％(x2=7.56,P＜0.05);患者对护理工作的满意度由2010年的94.1％上升到2012年的99.3％ (x2 =13.51,P＜0.05);2012年的感染发生率为3.7％,明显低于2010年的33.5％(x2=28.84,P＜0.05);2012年投诉1例,明显低于2010年的7例(x2=4.69,P＜0.05).结论实施前馈控制明显提高了护理质量,并有效降低了护理风险,进一步提高了患者的满意度,降低了术后手术部位切口感染发生率.
목적 탐토분석전궤공제재강저수술후수술부위절구감염발생솔적림상효과.방법 분석대수술후환자절구진행호리시소잠재적호리안전은환,근거수술후환자적구체림상특점채취유효적방범조시,이강저절구감염발생솔.결과 재대환자실시전궤공제후,진일보증강료수술후호리적효과,호리검사년도종합평정유2010년적97.2％상승도2012년적98.9％(x2=7.56,P＜0.05);환자대호리공작적만의도유2010년적94.1％상승도2012년적99.3％ (x2 =13.51,P＜0.05);2012년적감염발생솔위3.7％,명현저우2010년적33.5％(x2=28.84,P＜0.05);2012년투소1례,명현저우2010년적7례(x2=4.69,P＜0.05).결론 실시전궤공제명현제고료호리질량,병유효강저료호리풍험,진일보제고료환자적만의도,강저료술후수술부위절구감염발생솔.
Objective To explore the clinical effect of the feedforward control to reduce incidence of incision infection in surgical site.Methods The potential security risks of incisions nursing were analyzed after the surgery.The effective preventive measures were taken to reduce incidence of incision infection in surgical site according to the specific clinical characteristics of the patients after surgery.Results After the implementation of the feed-forward control,the effect of post-operative nursing further enhanced,the composite score of nursing checking was increased from 97.2％ in 2010 to 98.9％ in 2012(x2 =7.56,P ＜0.05) ; the satisfaction was increased from 94.1％ in 2010 to 99.3％ in 2012 (x2 =13.51,P ＜ 0.05) ; the infection rate was 3.7％ in 2012,and was significantly lower than 33.5％ in 2010,and the difference was statistically significant (x2 =28.84,P ＜ 0.05) ; the case of complaint was one case in 2012,and was significantly lower than 7 cases in 2010,and the difference was statistically significant (x2 =4.69,P ＜0.05).Conclusions The implementation of feedforward control after surgical operation in our hospital can significantly improve the quality of nursing,effectively reduce the risk of nursing,further improve the satisfaction of the patients,and decrease the incidence of incision infection in surgical site.