摘要
目的探讨6S管理对外科手术患者感染控制及并发症的影响。方法选取我院(2017年1月至2019年1月)收治的例116例外科手术患者,根据不同护理分为两组,对照组(n=58)接受常规外科手术护理,观察组(n=58)接受6S管理干预,两组患者根据不同疾病进行腰麻或全麻,并给予预防性抗炎处理,然后进行手术,对照组再接受常规外科手术护理,观察组则接受6S管理干预。对比两组患者手术部位感染率、并发症发生率、护理质量、医疗纠纷发生率和护理满意度以及两组医护人员操作流程评分合格率。结果观察组手术部位感染率和并发症发生率分别为0%(0/58)、1.72%(1/58),对照组分别为6.90%(4/58)、8.62%(5/58),两组患者手术部位感染率和并发症发生率对比差异明显(χ~2=7.1466、4.8555,P<0.05)。观察组共65名医护人员,物品放置规范、物品取放流程分别为64(98.46%)、63(96.92%),对照组共68名医护人员物品放置规范、物品取放流程分别为56(82.35%)、57(83.82%),两组医护人员物品放置规范和物品取放流程合理率对比差异明显(χ~2=14.9597、9.6649,P<0.05)。观察组患者重点环节管理、急救药物管理、护理监控、消毒隔离、护理安全、环境管理评分分别为(90.25±4.03)、(90.54±4.12)、(91.30±1.54)、(94.22±2.01)、(95.21±2.17)、(96.47±2.14),对照组分别为(82.54±1.56)、(81.72±2.51)、(80.35±3.59)、(80.67±3.91)、(80.57±3.58)、(81.53±3.57),对比差异明显(t=13.5876、13.9233、21.3479、23.4724、26.6331、27.3360,P<0.05)。观察组患者医疗纠纷发生率和护理满意度分别为0%(0/58)、94.83%(55/58),对照组分别为5.17%(3/58)、74.14%(43/58),对比差异明显(χ~2=5.3072、16.3290,P<0.05)。结论手术室运用6S管理,可从护理人员素养、设备、物品、环境等方面完善管理机制,从根本上转变医护人员的工作和思想观念,有效调动的工作积极性,提高整体护理质量,降低手术部位感染率和医疗纠
Objective To investigate the effect of 6S management on infection control and complications in surgical patients.Method A total of 116 surgical patients admitted to our hospital(from January 2017 to January 2019)were divided into two groups according to different nursing treatments.The control group(n=58)received routine surgical care,and the observation group(n=58)6S management intervention,the two groups of patients according to different diseases for spinal anesthesia or general anesthesia,and given preventive anti-inflammatory treatment,and then surgery,the control group received routine surgical care,the observation group received 6S management intervention.The infection rate,the incidence of complications,the quality of care,the incidence of medical disputes and the satisfaction of nursing were compared between the two groups,and the success rate of the operation procedures of the two groups of medical staff.Result The infection rate and complication rate of the operation group in the observation group were 0%(0/58)and 1.72%(1/58),respectively,and the control group was 6.90%(4/58)and 8.62%(5/58),respectively.There were significant differences in the infection rate and complication rate between the patients(χ~2=7.1466,4.8555,P<0.05).A total of 65 medical staff in the observation group,the item placement specification and the item picking and dropping process were 64(98.46%)and 63(96.92%)respectively.In the control group,a total of 68 medical personnel were placed in the specification and the item picking and discharging process was 56(82.35%),57(83.82%),the difference between the two groups of medical personnel placement specifications and the reasonable rate of item pick-and-place process(χ~2=14.9597,9.6649,P<0.05).In the observation group,the key link management,emergency drug management,nursing monitoring,disinfection and isolation,nursing safety,and environmental management scores were(90.25±4.03),(90.54±4.12),(91.30±1.54),(94.22±2.01),(95.21±2.17),and(96.47±2.14),respectively.The groups were(82.
作者
寇玉霞
KOU Yu-xia(Yanggu County People's Hospital,Liaocheng 252300,China)
出处
《中国医药指南》
2020年第15期16-18,共3页
Guide of China Medicine
关键词
6S管理
外科
手术
感染控制
并发症
6S management
Surgery
Infection control
Complications
