循证管理对医院手术室感染控制和护理工作质量的影响(1)
[摘要] 目的 探討循证管理对医院手术室感染控制和护理工作质量的影响情况。 方法 分析2012年5月～2016年5月遂宁市中医院进行的4020台手术的临床资料，根据时间段不同进行分组，2012年5月～2014年5月进行的2000台手术作为常规管理组，2014年6月～2016年5月进行的2020台手术作为循证管理组。观察两组手术室采样结果合格率、护理工作质量评分、风险事件发生率情况，观察两组手术患者满意度情况。 结果 循证管理组手术室空气、物体表面、医护人员手、紫外线灯、无菌物品采样结果合格率均高于常规管理组，差异有统计学意义(P < 0.05)；循证管理组手术室环境管理、护理人员培训、护理安全、消毒隔离、护理监控、人文关怀及护理文件管理评分均高于常规管理组，差异有统计学意义(P < 0.05)；循证管理组手术排序错误、手术器械不齐全、组织病理学标本污染、手术室消毒质量不合格发生率均低于常规管理组，差异有统计学意义(P < 0.05)；循证管理组手术患者满意度高于常规管理组，差异有统计学意义(P < 0.05)。 结论 循证管理在医院手术室感染控制中应用，可以提高手术室采样结果合格水平和护理工作质量，降低风险事件发生率，提高患者满意度。
[关键词] 循证管理；医院；手术室；感染控制；影响
[中图分类号] R197.32 [文献标识码] A [文章编号] 1673-7210(2017)06(a)-0146-04
Influence of infection control in hospital operation room and nursing work quality by evidence-based management
LUO Xianhui
Department of Infection Control， Traditional Chinese Medicine Hospital of Suining City， Sichuan Province， Suining 629000， China
[Abstract] Objective To approach the influence of infection control in the hospital operation room and nursing work quality by evidence-based management. Methods From May 2012 to May 2016， in Traditional Chinese Medicine Hospital of Suining City， the clinical data of 4020 operations were analyzed， they were divided into two groups by different time quantum， the 2000 operations from May 2012 to May 2014 were selected as management group， the 2020 operations from June 2014 to May 2016 were selected as evidence-based management group. The sampling results qualified rate， nursing work quality score， risk event rate of two groups were detected， the satisfaction of two groups patients were detected. Results The sampling results qualified rate of operation room air， body surface， medical and nursing staffs hands， ultraviolet radiator， aseptic materials of evidence-based management group were higher than those of routine management group， the differences were statistically significant (P < 0.05)； the operation environmental management， nursing staff training， nursing safety， disinfection and isolation， nursing quality control， humanistic care and nursing documents management score of evidence-based management group were higher than those of routine management group， the differences were statistically significant (P < 0.05)； the operation sequencing errors， surgical instruments no complete， histopathological specimens pollution， disinfection quality rate no qualified in operation room of evidence-based management group were lower than those of routine management group， the differences were statistically significant (P < 0.05)； the satisfaction rate of operation patients in evidence-based management group was higher than that of routine management group， the difference was statistically significant (P < 0.05). Conclusion The application of infection control in the hospital operation room by evidence-based management can improve sampling results qualified level and nursing work quality， decrease risk event rate， increase satisfaction of patients., 百拇医药(罗贤慧)
[关键词] 循证管理；医院；手术室；感染控制；影响
[中图分类号] R197.32 [文献标识码] A [文章编号] 1673-7210(2017)06(a)-0146-04
Influence of infection control in hospital operation room and nursing work quality by evidence-based management
LUO Xianhui
Department of Infection Control， Traditional Chinese Medicine Hospital of Suining City， Sichuan Province， Suining 629000， China
[Abstract] Objective To approach the influence of infection control in the hospital operation room and nursing work quality by evidence-based management. Methods From May 2012 to May 2016， in Traditional Chinese Medicine Hospital of Suining City， the clinical data of 4020 operations were analyzed， they were divided into two groups by different time quantum， the 2000 operations from May 2012 to May 2014 were selected as management group， the 2020 operations from June 2014 to May 2016 were selected as evidence-based management group. The sampling results qualified rate， nursing work quality score， risk event rate of two groups were detected， the satisfaction of two groups patients were detected. Results The sampling results qualified rate of operation room air， body surface， medical and nursing staffs hands， ultraviolet radiator， aseptic materials of evidence-based management group were higher than those of routine management group， the differences were statistically significant (P < 0.05)； the operation environmental management， nursing staff training， nursing safety， disinfection and isolation， nursing quality control， humanistic care and nursing documents management score of evidence-based management group were higher than those of routine management group， the differences were statistically significant (P < 0.05)； the operation sequencing errors， surgical instruments no complete， histopathological specimens pollution， disinfection quality rate no qualified in operation room of evidence-based management group were lower than those of routine management group， the differences were statistically significant (P < 0.05)； the satisfaction rate of operation patients in evidence-based management group was higher than that of routine management group， the difference was statistically significant (P < 0.05). Conclusion The application of infection control in the hospital operation room by evidence-based management can improve sampling results qualified level and nursing work quality， decrease risk event rate， increase satisfaction of patients., 百拇医药(罗贤慧)