论文部分内容阅读
目的:探讨外科换药室集中管理的措施。方法:选择2014年1~6月期间在丽水市莲都区人民医院外科换药室进行换药治疗的180例患者作为对照组,另选择2014年7~12月期间在外科换药室进行换药治疗的180例患者作为干预组。对照组按传统方法进行换药治疗管理,干预组在一系列外科换药室集中管理的措施干预下进行换药治疗,比较两组患者的换药前医护人员手菌落数不合格率、换药前后空气中平均菌落数不合格率、伤口感染发生率。结果:干预组和对照组的患者的换药前医护人员手菌落数不合格率、换药前后空气中平均菌落数不合格率、伤口感染发生率均有显著性差异(P<0.01),干预组明显低于对照组。结论:实行一系列外科换药室集中管理的措施进行干预后,换药过程中发生的医院感染情况显著减少,换药室医院感染管理和控制水平显著提高,提示本研究采用的外科换药室集中管理的措施是切实可行的。
Objective: To discuss the measures of centralized management of surgical dressing change room. Methods: One hundred and eighty patients who underwent dressing change in the Surgery Dressing Room of People’s Hospital of Lishui City from January to June 2014 were selected as the control group. Patients in the dressing change room during July to December 2014 Drug treatment of 180 patients as intervention group. The control group according to the traditional method of dressing treatment and management, intervention group in a series of surgical dressing room centralized management interventions to carry out dressing change treatment, the two groups of patients before the dressing of medical staff hand colony failure rate, dressing The average number of colonies in the air before and after the failure rate, the incidence of wound infection. Results: In the intervention group and the control group, there was a significant difference (P <0.01) in the number of non-conforming bacteria, the average number of colonies in the air and the incidence of wound infection before and after dressing change (P <0.01) Group was significantly lower than the control group. CONCLUSIONS: After a series of interventions for centralized management of surgical dressing change room were implemented, hospital infection during dressing change was significantly reduced and hospital infection management and control level of dressing change room significantly increased, suggesting that the surgical dressing change room Centralized management measures are feasible.