医院感染手术室护理100例效果观察

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　　[摘要] 目的 研究手術患者医院感染与手术室护理管理间的关系，供临床借鉴。方法 方便选取2018年1—6月该院接诊且行常规护理管理的手术患者100例为对照组，方便选取2018年7—12月该院接诊且行手术室护理管理的手术患者100例为实验组。分析两组医院感染的发生情况，利用自制满意度调查表评估两组对护理管理效果的满意程度，总结医院感染和手术室护理管理两者间的相关性，找到手术患者发生医院感染的相关危险因素。结果 实验组的医院感染发生率为8.00%，比对照组的21.00%低，组间比较差异有统计学意义（χ2=6.816，P<0.05）。实验组对护理管理效果的满意度为97.00%，比对照组的84.00%高，组间比较差异有统计学意义（χ2=9.828，P<0.05）。单因素分析发现，手术时间、是否连台以及术前是否应用抗生素均为手术患者发生医院感染的影响因素（P<0.05）。Logistic回归分析发现，抗生素应用、切口类型与手术时间均为手术患者医院感染的独立危险因素，而护理管理则是医院感染的一个保护性因素组（P<0.05）。结论 通过开展手术室护理管理工作，可显著减少手术患者发生医院感染的风险，建议临床推广。
　　[关键词] 护理管理;医院感染;手术患者;相关性
　　[中图分类号] R47          [文献标识码] A          [文章编号] 1674-0742（2019）09（c）-0143-04
　　[Abstract] Objective To study the relationship between hospital infection and operating room nursing management in surgical patients for clinical reference. Methods From January to June 2018， convenient selected 100 patients who underwent routine nursing management in our hospital were selected as the control group. From July to December 2018， convenient selected 100 patients who underwent operation and management of operation room management were included in the experimental group. Analyze the incidence of nosocomial infections in the two groups， use the self-made satisfaction questionnaire to assess the satisfaction of the two groups on the effect of nursing management， summarize the correlation between hospital infection and operating room nursing management， and find the risk of hospital infection in surgical patients. Results The incidence of nosocomial infection in the experimental group was 8.00%， which was lower than that of the control group， 21.00% the difference was statistically significant（χ2=6.816， P<0.05）. The satisfaction of the experimental group on the effect of nursing management was 97.00%， which was higher than that of the control group 84.00%， and the difference between the groups was statistically significant（χ2=9.828， P<0.05）. Univariate analysis found that the operation time， whether or not the combination of antibiotics and preoperative antibiotics were the influencing factors of nosocomial infection in the surgical patients（P<0.05）. Logistic regression analysis found that antibiotic application， incision type and operation time were independent risk factors for nosocomial infection in surgical patients， and nursing management was a protective factor group for nosocomial infection（P<0.05）. Conclusion Through the operation management of the operating room， the risk of nosocomial infection in surgical patients can be significantly reduced， and clinical promotion is recommended.
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