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目的为了进一步探讨导致手术室感染发生的临床不安全因素,从而针对这些因素探究临床有效护理管理应对措施。方法本文总结了广东省江门市人民医院近三年(2010年1月-2013年1月)收治手术室患者335例为研究对象,按照患者的手术类型、有无参观、是否放置引流管、是否接台手术进行分组,比较感染发生率情况;同时按照是否感染进行分组,并比较患者的平均年龄、平均手术时间和平均卧床时间。结果急诊手术组患者、有见习人员组患者、接台手术组患者的感染发生率均显著的升高,且组间比较差异有统计学意义(P均<0.05);在平均年龄、平均手术时间、平均卧床时间等三项指标上,感染组患者均明显高于非感染组(P均<0.05)。结论导致手术室感染的不安全因素主要包括手术性质、是否有人参观、是否接台手术,同时患者年龄较大,手术时间较长、卧床时间较长均会增加手术室感染的发生几率,在临床实践过程中,应从多方面有针对性强化手术护理管理,确保手术感染率得到有效的控制。
Objective To further explore the clinical factors that lead to the occurrence of infection in the operating room, so as to explore the clinical effective nursing management response to these factors. Methods This article summarizes 335 patients admitted to the operating room in Jiangmen City People’s Hospital of Guangdong Province for the past three years (January 2010 to January 2013). According to the type of surgery, whether or not to visit the drainage tube, is it Then the operation was divided into groups to compare the incidence of infection; at the same time according to the infection grouping, and the average age of patients, the average operation time and average bed time. Results The incidence of infection in patients in emergency surgery group, trainee group and patients in operation group increased significantly (P <0.05), and the mean age, mean operative time , Average bed time and other three indicators, the infected group were significantly higher than the non-infected group (P all <0.05). Conclusion The main factors contributing to the infection of operating room are the nature of the operation, whether it is visited, whether the operation is performed, the age of the patient, the longer operation time and the longer bed time all will increase the incidence of infection in the operating room. In the process of practice, surgical nursing management should be strengthened in many ways to ensure effective control of surgical infection rate.