CAJ | 학술논문

根据手术部位感染风险特点，在文献分析的基础上，综合运用德尔菲法、问卷调查法、风险矩阵法等，构建手术部位感染风险指标体系及风险量化矩阵，对手术部位感染风险因素进行定级与分类。研究提示，手术技巧和手术时间长是手术部位感染最为关键的风险影响因素，其次是手术室环境维护不到位和患者基础情况评估纠正不足。手术部位感染风险管理，应重点针对影响风险的关键因素进行监控与治理，提高资源的优化利用和手术部位感染防控能力。
근거수술부위감염풍험특점，재문헌분석적기출상，종합운용덕이비법、문권조사법、풍험구진법등，구건수술부위감염풍험지표체계급풍험양화구진，대수술부위감염풍험인소진행정급여분류。연구제시，수술기교화수술시간장시수술부위감염최위관건적풍험영향인소，기차시수술실배경유호불도위화환자기출정황평고규정불족。수술부위감염풍험관리，응중점침대영향풍험적관건인소진행감공여치리，제고자원적우화이용화수술부위감염방공능력。
In view of risk characteristics of surgical site infection,the risk factors of the infection were graded and classified while the risk indicators system and risk assessment matrix for surgical site infection were built,based on literature analysis,integrated use of documents analysis,Delphi method and risk quantification matrix.The study indicated that surgical skills of the surgeon and surgical time length are the most important risk factors,followed by insufficient maintenance of the operating room environment and poor baseline assessment of the patient.Risk control of surgical site infection needs to focus on these key factors,optimize utilization of resources and improve the prevention and control ability of surgical site infection.