加強質(zhì)量管理對手術(shù)室醫(yī)院感染的控制效果分析

劉曉南　彭紅英　陳應(yīng)強

【摘要】 目的：探索加強手術(shù)室質(zhì)量管理對醫(yī)院感染控制效果。方法：選擇2015年1- 5月貴州醫(yī)科大學(xué)附屬白云醫(yī)院收治的300例手術(shù)室患者作為對照組，對照組患者手術(shù)過程中采取手術(shù)室常規(guī)質(zhì)量管理；選擇2015 年6- 12月入院的300例手術(shù)室患者作為觀察組，觀察組患者手術(shù)過程中采取加強手術(shù)室質(zhì)量管理。結(jié)果：觀察組患者醫(yī)院感染發(fā)生率明顯低于對照組患者，差異有統(tǒng)計學(xué)意義（P<0.05）；觀察組中，手術(shù)中低體溫的患者、器械處理不當和手術(shù)后患者高血糖等的發(fā)生率明顯低于對照組，兩組差異有統(tǒng)計學(xué)意義（P<0.05）；而手術(shù)室環(huán)境表面清潔不徹底和手衛(wèi)生操作不當兩組差異無統(tǒng)計學(xué)意義（P>0.05）。結(jié)論：加強手術(shù)室質(zhì)量管理對手術(shù)室醫(yī)院感染控制效果非常明顯，對于手術(shù)室質(zhì)量管理具有很好的借鑒意義。

【關(guān)鍵詞】 手術(shù)室； 質(zhì)量管理； 控制； 醫(yī)院感染； 效果

doi：10.14033/j.cnki.cfmr.2017.4.083 文獻標識碼 A 文章編號 1674-6805（2017）04-0151-03

【Abstract】 Objective：To explore the effect of strengthen quality management on hospital infection control in operating room.Method：The treated 300 cases of surgery patients between January 2015 and May 2015 in our hospital were selected as control group.The control group patients during the surgery were adopted conventional quality management of the operating room.The treated 300 cases of surgery patients between June 2015 and December 2015 were selected as observation group.The observation group patients during the surgery were adopted the strengthen quality management of the operating room.Result：The nosocomial infection rate of patients of observation group were significantly lower than control group，the difference was statistically significant（P<0.05）.In observation group，the rate of low temperature in surgery，improper handling devices and control of hyperglycemia in patients were significantly lower than the control group（P<0.05）.And the difference of operating room environment surface cleaning not thoroughly and hand hygiene improper rate between two groups was not statistically significant（P>0.05）.Conclusion：The effect of strengthen quality management of the operating room to control the hospital infection is very obvious，and has the very good reference for quality management of the operating room.

【Key words】 Operating room； Quality management； Control； Hospital infection； Effect

First-authors address：The Affiliated Baiyun Hospital of Guizhou Medical University，Guiyang 550014，China

醫(yī)院感染管理作為一門新興的學(xué)科，在各大醫(yī)院不斷提高醫(yī)療質(zhì)量、保證患者就醫(yī)安全的情況下逐漸受到重視，加強醫(yī)院管理，降低醫(yī)院感染的發(fā)生是目前醫(yī)院研究的重要課題[1]。手術(shù)室是開放性治療的重要場所，術(shù)后感染不僅延長患者住院時間，增加醫(yī)療費用，同時也增加醫(yī)護人員的工作負擔，預(yù)防與控制術(shù)后感染是手術(shù)成功的關(guān)鍵[2-3]。本文探討加強手術(shù)室質(zhì)量管理對手術(shù)室醫(yī)院感染控制的管理效果，對2015年1-12月共

600例患者的臨床管理資料進行相關(guān)總結(jié)分析，相應(yīng)報告如下所示。

1 資料與方法

1.1 一般資料

選擇2015年1-5月筆者所在醫(yī)院收治的300例手術(shù)室患者作為對照組，對照組患者手術(shù)過程中采取手術(shù)室常規(guī)質(zhì)量管理；選擇2015年6-12月入院的300例手術(shù)室患者作為觀察組，觀察組患者手術(shù)過程中采取加強規(guī)范手術(shù)室質(zhì)量管理。所有患者需行外科手術(shù)治療。觀察組中男171例，女129例，年齡36～76歲，平均（40.5±6.7）歲；普外科67例，骨科58例，婦科87例，神經(jīng)外科53例，其他科室35例。對照組中男154例，女146例，年齡35～ 68歲，平均（42.4±6.2）歲；普外科59例，骨科68例，婦科83例，神外科56例，其他科室34例。兩組患者性別、年齡、手術(shù)位置等一般資料差異無統(tǒng)計學(xué)意義（P>0.05），具有可比性。