综合控制对妇科手术患者医院感染的影响

发布时间：2018-06-23 10:06

本文选题：综合控制 + 妇科　；参考：《中华医院感染学杂志》2015年10期

【摘要】：目的探究综合控制方案对妇科手术患者发生医院感染的影响,以降低临床感染率。方法选取2012年1月-2013年1月医院妇科治疗后出院的2 200例患者作为对照组,分析对照组术后感染患者的特征,并以此制定综合控制方案,随后于2013年2月-2014年2月采取综合控制方案,并选取其中2 200例出院患者作为观察组进行回顾性调查分析,比较综合控制方案实施前后妇科医护人员的理论知识和操作技能的合格率及两组患者的术后感染率。结果患者年龄、感染部位以及住院时间等因素是影响患者医院感染的危险因素;实施综合控制方案后,包括理论知识考核以及操作技能的考核合格率均有显著提高(P0.01);对比综合控制方案前后患者感染情况,对照组术后医院感染率为9.86%、观察组为1.95%,实施综合控制方案后,患者感染率有显著地下降(P0.01)。结论综合控制方案有利于提高妇科门诊手术室的区域分配合理水平,促进医师对手术不同环节的层层把关,同时加强了医护人员无菌意识,有效降低患者接受妇科术后医院感染的概率。
[Abstract]:Objective to explore the effect of comprehensive control scheme on nosocomial infection in patients undergoing gynecological surgery, and to reduce the clinical infection rate. Methods from January 2012 to January 2013, 2 200 patients who were discharged after gynecological treatment were selected as the control group. The characteristics of postoperative infection patients in the control group were analyzed, and a comprehensive control scheme was established. From February 2013 to February 2014, a comprehensive control program was adopted, and 2 200 discharged patients were selected as the observation group for retrospective investigation and analysis. To compare the qualified rate of theoretical knowledge and operation skills of gynecological staff before and after the implementation of the comprehensive control scheme and the postoperative infection rate of the two groups. Results factors such as age, site of infection and length of stay were the risk factors of nosocomial infection. The qualified rate of the examination of theoretical knowledge and operation skills was significantly improved (P0.01). Compared with the patients before and after the comprehensive control program, the nosocomial infection rate in the control group was 9.86, and that in the observation group was 1.95.After the implementation of the comprehensive control scheme, the hospital infection rate in the control group was 9.86 and 1.95 respectively. The infection rate decreased significantly (P0.01). Conclusion the comprehensive control scheme is beneficial to improve the rational level of regional distribution of gynecological outpatient operating room, to promote the doctors to check the different links of operation, and to strengthen the aseptic consciousness of medical and nursing staff at the same time. The probability of nosocomial infection after gynecological surgery was reduced effectively.
【作者单位】：山东医学高等专科学校妇产科教研室;临沂市人民医院妇科;
【基金】：山东省自然科学基金资助项目(Y2010C02)
【分类号】：R713

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