宁夏6所医疗机构护理人员对手术部位感染预防与控制的调查分析

发布时间：2018-04-23 11:10

本文选题：护理人员 + 手术部位感染　；参考：《中华医院感染学杂志》2016年21期

【摘要】：目的了解银川市6所医疗机构护理人员对手术部位感染预防与控制现状,为制定手术部位感染预防控制的护理措施提供参考依据。方法于2015年7月1日-20日,采用整群抽样的方法共调查116例手术患者,对调查当日每个手术患者填写一份问卷,问卷包括:皮肤准备、术前沐浴、术前"监测血糖/控制血糖"纳入医嘱系统情况及术中保温情况。结果 116名调查对象手术前脱毛备皮的有84例,占72.9%,其中用刀片刮除毛发备皮有63例,占75.0%,在手术当日脱毛备皮的有60例,占71.4%,在病房脱毛备皮的有57例,占67.9%;手术前沐浴的有77例,占66.4%,其中术前一日晚间沐浴的有71例,占92.2%,用氯己定成分的浴液沐浴的有1例,占1.3%;手术前将血糖控制纳入医嘱系统的有61例,占52.6%;手术术中进行保温的有90例,占77.6%,其中用保温毯进行保温的有61例,占67.8%,将术中保温纳入医嘱的有16例,占17.8%。结论宁夏6所医疗机构护理人员在手术前备皮、术前对患者沐浴指导、手术血糖控制及术中保温等手术部位感染预防控制措施上还有待提高;护理人员应在积极总结、学习循证指南及临床实践,及时调整工作方法,积极预防手术部位感染的发生。
[Abstract]:Objective to understand the current situation of prevention and control of surgical site infection by nurses in 6 medical institutions in Yinchuan City, and to provide reference basis for making nursing measures for prevention and control of surgical site infection. Methods from July 1 to 20, 2015, 116 patients with operation were investigated by cluster sampling. Preoperative monitoring of blood glucose / control of blood glucose was incorporated into the doctor's order system and intraoperative heat preservation. Results there were 84 cases (72.9%) with hair and skin removal before operation, 63 cases (75.0%) with razor blade, 60 cases (71.4%) with hair and skin removal on the day of operation, 57 cases with hair and skin in ward. There were 77 cases (66.4%) bathed before operation, of which 71 cases (92.2%) were bathed in the evening before operation, 1 case (1.3%) was bathed with chlorhexidine, and 61 cases (1.3%) brought blood sugar control into the doctor's order system before operation. There were 90 cases (77.6%) with heat preservation during operation, of which 61 cases (67.8%) were insulated by heat preservation blanket, and 16 cases (17.8%) were put into the doctor's order. Conclusion the nursing staff of 6 medical institutions in Ningxia need to improve the measures of preventing and controlling the infection of surgical site, such as skin preparation before operation, preoperative bath guidance, blood glucose control and intraoperative heat preservation, etc. Learn Evidence-based guidelines and clinical practice, adjust working methods in time, and actively prevent infection of surgical site.
【作者单位】：宁夏医科大学总医院康复医学科;宁夏医科大学总医院护理部;宁夏医科大学总医院院内感染科;宁夏医科大学总医院NICU;石嘴山市第一人民医院护理部;宁夏固原市原州区人民医院护理部;中宁县人民医院护理部;
【分类号】：R47

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