CAJ | 학술논문

目的：探讨数字化视频监控在手术室外科手消毒中的应用效果。方法我院手术室2013年1～6月采用直接观察法监管手术室外科手消毒（监控前组），2013年7～12月采用数字化视频监控法监管手术室外科手消毒（监控后组），比较监控前后手术人员外科手消毒后手部皮肤细菌菌落数监测结果、外科手消毒正确率和清洁切口手术部位感染率。结果数字化视频监控前后外科手消毒后手部皮肤细菌菌落数监测结果差异无统计学意义（P ＞0．05）；清洁切口手术部位感染率从监控前0．62％降至监控后的0．20％（χ2＝4．079，P ＝0．043）；手术医生、护士和实习生的外科手消毒正确率监控后明显提高，差异均均有统计学意义（P ＜0．05）。结论数字化视频监控可促进手术人员外科手消毒的规范化、标准化，确保手术患者安全。
목적：탐토수자화시빈감공재수술실외과수소독중적응용효과。방법아원수술실2013년1～6월채용직접관찰법감관수술실외과수소독（감공전조），2013년7～12월채용수자화시빈감공법감관수술실외과수소독（감공후조），비교감공전후수술인원외과수소독후수부피부세균균락수감측결과、외과수소독정학솔화청길절구수술부위감염솔。결과수자화시빈감공전후외과수소독후수부피부세균균락수감측결과차이무통계학의의（P ＞0．05）；청길절구수술부위감염솔종감공전0．62％강지감공후적0．20％（χ2＝4．079，P ＝0．043）；수술의생、호사화실습생적외과수소독정학솔감공후명현제고，차이균균유통계학의의（P ＜0．05）。결론수자화시빈감공가촉진수술인원외과수소독적규범화、표준화，학보수술환자안전。
Objective To investigate the effect of application of digital video monitoring on surgical hand disinfection in the operation room.Methods The surgical hand disinfection in the operation room was inspected by a direct observation method during January to June of 2013(before monitoring group)while the process was monitored by the digital video monitoring during July to Decem -ber of 2013(after monitoring group).The skin bacterial colony number of the disinfection hand, the correct rate of surgical hand disin -fection and the infection rate of surgical incision site were compared between the two groups .Results There was no significant differ-ence in monitoring results of bacterial colony count in hand skin after surgical hand disinfection between the two groups (P >0.05).Op-eration incision site infection rate was decreased from 0.62% before monitoring to 0.20% after monitoring(χ2 =4.079,P =0.043). The correct rate of surgical disinfection of surgeons ,operation room nurses and intern nurses was significantly improved after monitoring (P <0.05).Conclusion The digital video monitoring can promote the normalization and standardization of surgical hand disinfection of operation personnel and thus ,ensure the safety of patients.