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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 |
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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.
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[1] 邹彦,陆雪飞,朱秀峰.PDCA循环对手术室感染控制管理效果分析[J].中华医院感染学杂志,2015,25(9):2145-2147.
[2] Nicolay CR,Purkayastha S,Greenhalgh A,et al. Systematic review of the application of quality improvement methodologies from the manufacturing industry to surgical healthcare [J]. Br J Surg,2012,99(3):324-335.
[3] Yilmaz C,Girgin NK,Ozdemir N,et al. The effect of nursing implemented sedation on the duration of mechanical ventilation in the ICU [J]. Ulus Travma Acil Cerrahi Derg,2010, 16(6):521-526.
[4] Dadhich A,Arya S,Kapil A. Exploring the pathogens present at the patient care equipments & supplies to sensitise the health care workers for preventing health care-associated infections among in-patients [J]. Nurs J India,2014,105(6):283-286.
[5] Williams EM,Lee MD,Preston GW,et al. Development of the soldier health promotion to examine and reduce health disparities (shperhd) project coordinating center:challenges and opportunities within a university/community partnership [J]. Military Med,2011,176(7):757-762.
[6] 何秀莲,冯惠琼,沈利华,等.精细化流程干预在手术室感染控制中的应用[J].中国医药导报,2016,13(35):154-157.
[7] Yan H,Zhang HW,Wu QL,et al. Increased leakage of brain antigens after traumatic brain injury and effect of immune tolerance induced by cells on traumatic brain injury [J]. Chin Med J(Engl),2012,125(9):1618-1626.
[8] 张亚莉,于芳,周浩,等.百级层流手术室动态条件下空气细菌数量的调查[J].中华医院感染学杂志,2012,22(11):2352-2353.
[9] 中华人民共和国卫生部.WS/T 367-2012消毒技术规范[S].2002-11-15.
[10] 中华人民共和国卫生部.WS/T36-2012医疗机构消毒技术规范[S].2012-04-05.
[11] 徐林军,沈丹红,徐晶芳,等.循证管理在医院手术室感染控制中的影响分析[J].中华医院感染学杂志,2016, 26(18):4288-4290.
[12] 王晓础,张丽青,林哲.精细化流程干预在手术室感染控制中的效果分析[J].中华医院感染学杂志,2014,24(4):1015-1017.
[13] 石松华,刘秋云.我国医务人员手卫生与医院感染现状及其研究进展[J].中华现代护理杂志,2013,19(11):1358-1359.
[14] 戴晓琴,李疆,章玉英.胃癌术后切口感染危险因素分析及护理对策的研究[J].中国微生态学杂志,2014,26(12):1434-1436.
[15] 李欣欣,田德龙,李延海.手术室医院感染的危险因素及控制措施[J].中华医院感染学杂志,2013,23(13):3207-3209.
[16] 陈利姑,王欣,张贵丽.手术室医院感染控制与管理[J].中国实用护理杂志,2013,4(29):199-200.
[17] 肖玲莉.手术室责任小组对手术患者进行整体护理的效果评价[J].中国实用护理杂志,2012,28(30):41-42.
[18] 许玲玲.精细化管理在基层医院手术室管理中的应用[J].中医药管理杂志,2014,22(2):291-292.
[19] 刘庆兰,唐竟学.洁净手术室感染控制与管理研究进展[J].护士进修杂志,2024,29(9):787-789.
[20] 季雪莲,马慧丽,冀会萍.手术室感染的因素调查[J].中华医院感染学杂志,2014,24(13):3276-3277.
[21] 杨庆菊,马建中,李燕子,等.三甲医院手术室感染管理质量控制措施[J].中华医院感染学杂志,2015,25(18):4291-4293.
[22] 胡素芬,谢玉珍,何妙珍,等.院感质控小组对降低手术室感染影响分析[J].临床护理杂志,2016,15(3):59-61. |
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