经腹全子宫切除术手术部位感染目标性监测及集束化干预措施效果评估

发布时间：2018-09-08 09:27

【摘要】：目的了解某三甲医院妇科经腹全子宫切除术手术部位感染(SSI)的发病率和集束化干预措施的依从性,评估集束化干预措施对SSI的预防控制效果。方法选取妇科2014年3月—2015年10月所有行经腹全子宫切除术的患者作为目标性监测对象,2014年3—9月为基线调查期,2014年10月—2015年10月为干预期(实施新集束化干预措施),比较干预前后各项干预措施的依从率,以及SSI发病率。结果共监测222例经腹全子宫切除术患者,SSI发病率为5.86%,手术P75时间为2 h。干预期传统措施依从率较基线期均有不同程度的提高,依从率提高幅度最大的是术后跟踪回访(64.16%),其次为术前会阴部消毒(39.07%)和手卫生(21.34%);而新干预措施依从率均达到100.00%。干预后经腹全子宫切除术SSI发病率为2.27%(3/132),低于干预前的11.11%(10/90),差异有统计学意义(χ~2=7.583,P0.05)。结论开展经腹全子宫切除术SSI目标性监测,可提高集束化干预措施的依从率,降低SSI发病率。
[Abstract]:Objective to investigate the incidence of (SSI) infection in gynecological department after abdominal hysterectomy and the compliance of cluster intervention in a triple A hospital, and to evaluate the effect of cluster intervention on the prevention and control of SSI. Methods all patients undergoing abdominal hysterectomy from March 2014 to October 2015 were selected as the target surveillance objects. The baseline survey period was from March to September 2014 and the intervention period from October 2014 to October 2015. To compare the compliance rate of each intervention before and after intervention, And the incidence of SSI. Results the incidence of SSI in 222 patients undergoing total abdominal hysterectomy was 5.86 and P75 was 2 hours. The compliance rate of traditional measures in dry expectation was higher than that in baseline period. The largest improvement was follow-up visit (64.16%), followed by preoperative perineal disinfection (39.07%) and hand hygiene (21.34%), and the compliance rate of new intervention measures reached 100.00g. The incidence of SSI after total abdominal hysterectomy was 2.27% (3 / 132), which was lower than that before intervention (11.11%) (10 / 90). The difference was statistically significant (蠂 ~ (2 / 2) 7.583). Conclusion the objective monitoring of SSI through abdominal hysterectomy can improve the compliance rate of cluster intervention and reduce the incidence of SSI.
【作者单位】：常州市第二人民医院;
【基金】：江苏省卫生和计划生育委员会2014—2015年度预防医学科研基金(Y2015018)
【分类号】：R713.42

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