CAJ | 학술논문

目的：探讨控制层流手术间院内感染的护理管理措施。方法：选择2012年2月至2013年2月本院层流手术室(LFOR)开展强化质量管理及护理管理后手术室251例护理资料为观察组，选择2012年2月前的109例护理资料为常规管理及护理对照组。分析比较2组术中空气菌落数、医务人员手菌落数及医院感染发生率，同时调查护理满意度。结果：强化质量管理及护理管理后，手术中LFOR空气菌落数为(117.5±50.9)cfu/m3，手菌落数为(1.9±0.7)cfu/m3，观察组手术患者感染率为0.80%，显著低于对照组，其差异具有统计学意义(P＜0.05)；强化质量管理及护理管理后患者对LFOR护理非常满意率、总满意率分别为86.9%、96.8%，均明显优于对照组的66.1%、87.2%，差异有统计学意义(P＜0.05)。结论：强化人员、物料进出管理，严格执行各项规章制度如无菌操作，设置人流、物流通道，控制参观学习人员数量，降低开关手术门频率，减小室内走动，及时处理污染物，定期细菌培养均可减小感染发生率。
목적：탐토공제층류수술간원내감염적호리관리조시。방법：선택2012년2월지2013년2월본원층류수술실(LFOR)개전강화질량관리급호리관리후수술실251례호리자료위관찰조，선택2012년2월전적109례호리자료위상규관리급호리대조조。분석비교2조술중공기균락수、의무인원수균락수급의원감염발생솔，동시조사호리만의도。결과：강화질량관리급호리관리후，수술중LFOR공기균락수위(117.5±50.9)cfu/m3，수균락수위(1.9±0.7)cfu/m3，관찰조수술환자감염솔위0.80%，현저저우대조조，기차이구유통계학의의(P＜0.05)；강화질량관리급호리관리후환자대LFOR호리비상만의솔、총만의솔분별위86.9%、96.8%，균명현우우대조조적66.1%、87.2%，차이유통계학의의(P＜0.05)。결론：강화인원、물료진출관리，엄격집행각항규장제도여무균조작，설치인류、물류통도，공제삼관학습인원수량，강저개관수술문빈솔，감소실내주동，급시처리오염물，정기세균배양균가감소감염발생솔。
Objective: To investigate into the management strategies of infections in the laminar flow operation room (LFOR). Methods: The nursing data of 251patients in LFOR from February 2012 to February 2013 when the hospital having enhanced the quality and nursing management were classified into the observation group and the nursing data of 109 patients before February 2012 when having been carried out the conventional management and nursing strategies were put into the control group. The bacteria numbers in the air during the process of operation and in the hands of hospital staffs as well as nosocomial infection rates in both groups were compared and the nursing satisfaction were investigated at the same time. Results: After the hospital having enhanced the quality and nursing management, the air bacteria numbers in LFOR at the operating time were (117.5±50.9)cfu/m3 while the bacteria numbers in the hands (1.9±0.7)cfu/m3, meanwhile, the nosocomial infection rate in the observation group was 0.80% notably lower to the control group and the difference between them showed statistical meaning (P<0.05); the satisfaction rates of many degrees and overall degrees in the observation group were 86.9% and 96.8% respectively, which were better than 66.1% and 87.2% respectively in the control group, and the differences were significant (P<0.05). Conclusion: To enhance the management of staffs and materials turnover, rigidly comply with the regula-tions like aseptic manipulation, establish special pathway for staffs and materials, control observers numbers, de-crease the opening and closing frequencies of the operation room doors, prevent moving in the room, promptly dis-pose of the polluted resources as well as regularly culture the bacteria can all reduce the occurrence rates of nosoco-mial infections.