循证管理在医院手术室感染控制中的影响分析

Effect of evidence-based management on control of infections in operating rooms

  • 摘要: 目的 探讨循证管理在医院手术室感染控制中的影响,为降低医院手术室感染率提供参考依据。方法 收集医院手术室2014年1-12月病患感染情况及环境监测情况相关资料及在2015年1-12月开展循证管理后的相关资料,采用SPSS17.0软件对两组资料进行比较分析。结果 开展循证管理前(2014年)的手术室感染率为9.39%,开展循证管理后(2015年)为3.60%,两者差异有统计学意义(P<0.05); 医院实行循证管理后,物体表面、医务人员手、空气、紫外线灯、使用中的消毒液五个方面的医院感染监测合格率明显高于实行循证管理前,两者比较差异均有统计学意义(P<0.05)。结论 开展循证管理对降低手术患者术后感染有积极作用,同时能有效改善手术室环境,提高患者满意度,值得临床上推广应用。

     

    Abstract: OBJECTIVE To explore the effect of evidence-based management on control of infections in operating rooms so as to reduce the infection rate in operating rooms. METHODS The related data of prevalence of infections and environmental monitoring of the operating rooms were collected from Jan 2014 to Dec 2014, the clinical data were collected from Jan 2015 to Dec 2015 after the evidence-based management was conducted, and the comparative analysis of the two groups of data was performed with the use of SPSS17.0 software. RESULTS The infection rate was 9.39% in the operating rooms before the evidence-based management was conducted (2014) and was 3.60% after the evidence-based management was conducted (2015), and there was significant difference between the two (P<0.05).The qualified rates of nosocomial infection monitoring of five aspects, object surfaces, healthcare workers' hands, air, ultraviolet lamps, and disinfectants in use, were significantly higher after the evidence-based management was implemented than before the evidence-based management was implemented, and there was significant difference between the two (P<0.05). CONCLUSION The evidence-based management has positive effect on reduction of incidence of postoperative infections in the surgery patients, effectively improve the environment of the operating rooms, and raise the patients' satisfaction; it is worthy to be promoted in the hospital.

     

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