摘要
目的探讨加强手术室人员操作技能及理论观念的管理,对于改善手术室术后患者切口愈合状况,降低感染率的效果确保手术安全。方法选取2014年1月-2016年1月于我院行Ⅰ类切口手术患者120例,按照接受治疗的情况分为研究组和对照组,每组60例。对给研究组患者进行手术的手术室医护人员进行加强操作技能及理论观念的管理;对照组手术医护人员则按常规要求操作。比较两组患者术后切口感染情况、手术室消毒情况及两组医护人员理论考核、无菌意识、技能考核评分的差异。结果术后,研究组切口炎症反应、感染、愈合延迟等发生率分别为3.3%、1.7%、5.0%,均比对照组低（P〈0.05）;研究组手术室地面、空气、无影灯消毒合格率均高于对照组（P〈0.05）;研究组手术室医护人员理论考核、无菌意识、技能考核等评分分别为（95.43±11.84）分、（96.50±10.41）分、（93.34±11.23）分,均比对照组高（P〈0.05）。结论对手术室医护人员进行观念教育和技能培训,执行手术室感染控制与管理制度,能有效改善手术室消毒效果、提高医护人员无菌意识、降低手术室医院感染的发生,值得临床推广使用。
Objective To explore and discuss the effect that strengthening operating room personals＇ operating skills and theoretical concepts management was to improve postoperative healing status in operation room and reduce the infection rate,and to ensure operation safety. Methods 120 patients with type Ⅰ incision surgery from January 2014 to January 2016 in our hospital were divided into research group and control group according to the received treatment condition,60 cases in each group.The research group＇s medical staff in operation room received the management of strengthening operating skills and theoretical concepts,while the control group＇s medical staff in operation room received the management of routine operation.The postoperative incision infection,operating room disinfection, medical staff＇s theoretical examination,aseptic consciousness, and skills assessment score of the two groups were compared. Results After operation,in the research group, incision inflammatory reaction rate, infection rate and healing delayed rate were 3.3%,1.7% and 5.0% respectively, which were all lower than that of the control group（P〈0.05）,disinfection qualified rates of floor,air,shadowless lamp in operating room were all higher than that of the control group（P〈0.05）,theoretical examination, aseptic consciousness and skills assessment score of medical staff were（95.43±11.84） scores,（96.50±10.41） scores and（93.34±11.23） scores respectively,which were all higher than that of the control group（P〈0.05）. Conclusion Concept education and skill training were strengthened for medical staffs and infection control and management system were implemented in operation room,which could improve operating room disinfection, enhance medical staff＇s aseptic consciousness and reduce nosocomial infections in operation rooms.It was worthy to be popularized in widely clinical application.
出处
《中国医药科学》
2016年第11期193-196,共4页
China Medicine And Pharmacy
关键词
操作技能
理论观念
医院感染
无菌意识
Operation skills
Theoretical concepts
Nosocomial infections
Aseptic consciousness
