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目的探讨手术室感染控制路径的应用对术室提高洁净程度、降低患者感染率及医护人员洗手依从性的影响。方法选择2015年9月—2016年9月行手术治疗的124例患者,随机分为对照组和观察组各62例,对照组行常规护理术室,观察组行手术室感染控制路径护理,对比组间术室洁净度、术后相关指标及医护人员洗手依从性,计量资料组间比较采用t检验,计数资料采用χ~2检验,以P<0.05为差异有统计学意义。结果观察组术前10 min、手术10 min及60min、术毕时术室细菌数均比对照组少(均P<0.05);观察组术后患者感染率4.84%比对照组22.58%低,术后体温、术后3 d白细胞计数、术后抗菌药用时间、切口拆线时间指标均比对照组优(均P<0.05);观察组医护人员无菌操作前、接触患者前后、污物处理后洗手依从均高于对照组(均P<0.05)。结论手术室感染控制路径可有效提升术室洁净度,减少患者术后感染,改善术后情况,提高医护人员洗手依从性,效果显著。
Objective To explore the effect of operating room infection control path on the room to improve the cleanliness, reduce the infection rate and the compliance of medical staff to wash hands. Methods A total of 124 patients undergoing surgical treatment from September 2015 to September 2016 were randomly divided into control group and observation group with 62 patients in each group. The control group received routine nursing room and observation group underwent operation room infection control path. Group room cleanliness, postoperative related indicators and medical staff to wash compliance, measurement data were compared between groups using t test, count data usingχ ~ 2 test to P <0.05 for the difference was statistically significant. Results In the observation group, the number of bacteria in the operating room was lower than that in the control group (P <0.05) at 10 min before operation and 10 min and 60 min after operation. The postoperative infection rate in the observation group was 4.84% lower than that in the control group (22.58% The body temperature, the white blood cell count 3 days after operation, the antibacterial time and the time of incision suture removal were all better than the control group (all P <0.05). Before and after the aseptic operation, After washing compliance were higher than the control group (all P <0.05). Conclusion The path of infection control in the operating room can effectively improve the cleanliness of the operating room, reduce the postoperative infection, improve the postoperative condition and improve the compliance of the medical staff in hand washing.