中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
10期
2362-2363,2366
,共3页
李世红%王苏荣%孟琴%刘天凤%李彦华
李世紅%王囌榮%孟琴%劉天鳳%李彥華
리세홍%왕소영%맹금%류천봉%리언화
综合控制%妇科%感染
綜閤控製%婦科%感染
종합공제%부과%감염
Integrated control%Gynecology department%Infection
目的:探究综合控制方案对妇科手术患者发生医院感染的影响,以降低临床感染率。方法选取2012年1月-2013年1月医院妇科治疗后出院的2200例患者作为对照组,分析对照组术后感染患者的特征,并以此制定综合控制方案,随后于2013年2月-2014年2月采取综合控制方案,并选取其中2200例出院患者作为观察组进行回顾性调查分析,比较综合控制方案实施前后妇科医护人员的理论知识和操作技能的合格率及两组患者的术后感染率。结果患者年龄、感染部位以及住院时间等因素是影响患者医院感染的危险因素;实施综合控制方案后,包括理论知识考核以及操作技能的考核合格率均有显著提高(P<0.01);对比综合控制方案前后患者感染情况,对照组术后医院感染率为9.86%、观察组为1.95%,实施综合控制方案后,患者感染率有显著地下降(P<0.01)。结论综合控制方案有利于提高妇科门诊手术室的区域分配合理水平,促进医师对手术不同环节的层层把关,同时加强了医护人员无菌意识,有效降低患者接受妇科术后医院感染的概率。
目的:探究綜閤控製方案對婦科手術患者髮生醫院感染的影響,以降低臨床感染率。方法選取2012年1月-2013年1月醫院婦科治療後齣院的2200例患者作為對照組,分析對照組術後感染患者的特徵,併以此製定綜閤控製方案,隨後于2013年2月-2014年2月採取綜閤控製方案,併選取其中2200例齣院患者作為觀察組進行迴顧性調查分析,比較綜閤控製方案實施前後婦科醫護人員的理論知識和操作技能的閤格率及兩組患者的術後感染率。結果患者年齡、感染部位以及住院時間等因素是影響患者醫院感染的危險因素;實施綜閤控製方案後,包括理論知識攷覈以及操作技能的攷覈閤格率均有顯著提高(P<0.01);對比綜閤控製方案前後患者感染情況,對照組術後醫院感染率為9.86%、觀察組為1.95%,實施綜閤控製方案後,患者感染率有顯著地下降(P<0.01)。結論綜閤控製方案有利于提高婦科門診手術室的區域分配閤理水平,促進醫師對手術不同環節的層層把關,同時加彊瞭醫護人員無菌意識,有效降低患者接受婦科術後醫院感染的概率。
목적:탐구종합공제방안대부과수술환자발생의원감염적영향,이강저림상감염솔。방법선취2012년1월-2013년1월의원부과치료후출원적2200례환자작위대조조,분석대조조술후감염환자적특정,병이차제정종합공제방안,수후우2013년2월-2014년2월채취종합공제방안,병선취기중2200례출원환자작위관찰조진행회고성조사분석,비교종합공제방안실시전후부과의호인원적이론지식화조작기능적합격솔급량조환자적술후감염솔。결과환자년령、감염부위이급주원시간등인소시영향환자의원감염적위험인소;실시종합공제방안후,포괄이론지식고핵이급조작기능적고핵합격솔균유현저제고(P<0.01);대비종합공제방안전후환자감염정황,대조조술후의원감염솔위9.86%、관찰조위1.95%,실시종합공제방안후,환자감염솔유현저지하강(P<0.01)。결론종합공제방안유리우제고부과문진수술실적구역분배합리수평,촉진의사대수술불동배절적층층파관,동시가강료의호인원무균의식,유효강저환자접수부과술후의원감염적개솔。
OBJECTIVE To explore the impact of integrated control program on incidence of nosocomial infections in the patients of gynecological outpatient operating rooms so as to reduce the incidence of clinical infections . METHODS A total of 2 200 patients who were treated in the gynecology department and discharged from Jan 2012 to Jan 2013 were selected as the control group ,the characteristics of the patients with postoperative infections were analyzed so as to formulate the integrated control program ,subsequently ,the integrated control program was adopted in the gynecology department from Feb 2013 to Feb 2014 ,and 2 200 discharged patients were assigned as the observation group so as to conduct the retrospective survey ;the qualified rates of theoretical knowledge and operation skills of the health care workers and the incidence of postoperative infections were observed and com‐pared before and after the integrated control program was implemented .RESULTS The age ,infection sites ,and length of hospital stay were the risk factors associated with nosocomial infections in the patients .The qualified rates of both the theoretical knowledge assessment and operation skill assessment were significantly improved after the integrated control program was implemented (P<0 .01) .As compared with the prevalence of infections before and after the integrated control program was implemented ,the incidence of postoperative nosocomial infections was 9 .86% in the control group ,1 .95% in the observation group ,and the infection rate was significantly reduced after the integrated control program was implemented (P<0 .01) .CONCLUSION The integrated control program may help to improve the reasonable area distribution of the gynecological outpatient operating room ,ensure that the doctors make checks at all levels ,and intensify the awareness of sterilization of the health care workers so as to effectively reduce the incidence of nosocomial infections after the gynecologic surgery .