加强外科换药室护理安全管理在防范院内感染中的应用
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摘要
目的探讨加强护理安全管理在外科换药室中的临床应用,防范院内感染的发生。方法方便选取2016年1月—2018年2月期间在该院外科换药室换药的82例患者,对其临床资料进行回顾性分析,将其随机分为研究组和对照组,各为41例,对照组进行常规管理,研究组在其基础上加强对外科换药室护理安全管理,观察并比较两组换药合格率、创伤愈合的情况、感染发生的情况及满意率等。结果研究组换药合格率为100.00%显著优于对照组85.37%,比较差异有统计学意义(χ~2=4.226,P<0.05);研究组创口均痊愈,无感染病例发生,感染发生率为0.00%,显著低于对照组14.63%,比较差异有统计学意义(χ~2=4.981,P<0.05);研究组满意率97.56%显著优于对照组82.93%,比较差异有统计学意义(χ~2=4.109,P<0.05);研究组空气检测合格率100.00%、手卫生检测合格率100.00%、无菌包检测合格率100.00%、消毒液检测合格率100.00%、显著优于对照组,比较差异有统计学意义(χ~2=4.012、4.012、4.577、4.012,P<0.05)。结论对外科换药室加强护理安全管理,效果显著,可显著提高换药合格率,降低感染的发生,促进患者伤口愈合,改善护患关系,值得临床推广。
Objective To explore the clinical application of nursing safety management in surgical dressing room and prevent the occurrence of nosocomial infection. Methods 82 patients were convenient selected from January 2016 to February2018 in the surgical dressing room of the hospital. The clinical data were retrospectively analyzed and randomly divided into study group and control group, 41 cases each. The control group conducted routine management. The research group strengthened the nursing safety management of the surgical dressing room on the basis of the observation group, and observed and compared the dressing pass rate, wound healing status, infection occurrence, and satisfaction rate between the two groups. Results The passing rate of 100.00% in the study group was significantly better than that in the control group(85.37%). The difference was statistically significant(χ~2=4.226, P<0.05). The wounds in the study group were all cured, no infection occurred, and the infection rate was 0.00%, significantly lower than the control group of 14.63%, the difference was statistically significant(χ~2=4.981, P<0.05); the satisfaction rate of the study group was 97.56% significantly better than the control group 82.93%, the difference was statistically significant(χ~2= 4.109, P<0.05); The study group's air test pass rate100.00%, hand hygiene test pass rate 100.00%, sterile bag test pass rate 100.00%, disinfectant test pass rate 100.00%, significantly better than the control group, the difference was statistically significant(χ~2= 4.012, 4.012, 4.577, 4.012, P<0.05).Conclusion It is effective to strengthen nursing safety management in surgical dressing room, which can significantly improve the pass rate of dressing changes, reduce the occurrence of infection, promote wound healing and improve the relationship between nurses and patients, and is worthy of clinical promotion.
Objective To explore the clinical application of nursing safety management in surgical dressing room and prevent the occurrence of nosocomial infection. Methods 82 patients were convenient selected from January 2016 to February2018 in the surgical dressing room of the hospital. The clinical data were retrospectively analyzed and randomly divided into study group and control group, 41 cases each. The control group conducted routine management. The research group strengthened the nursing safety management of the surgical dressing room on the basis of the observation group, and observed and compared the dressing pass rate, wound healing status, infection occurrence, and satisfaction rate between the two groups. Results The passing rate of 100.00% in the study group was significantly better than that in the control group(85.37%). The difference was statistically significant(χ~2=4.226, P<0.05). The wounds in the study group were all cured, no infection occurred, and the infection rate was 0.00%, significantly lower than the control group of 14.63%, the difference was statistically significant(χ~2=4.981, P<0.05); the satisfaction rate of the study group was 97.56% significantly better than the control group 82.93%, the difference was statistically significant(χ~2= 4.109, P<0.05); The study group's air test pass rate100.00%, hand hygiene test pass rate 100.00%, sterile bag test pass rate 100.00%, disinfectant test pass rate 100.00%, significantly better than the control group, the difference was statistically significant(χ~2= 4.012, 4.012, 4.577, 4.012, P<0.05).Conclusion It is effective to strengthen nursing safety management in surgical dressing room, which can significantly improve the pass rate of dressing changes, reduce the occurrence of infection, promote wound healing and improve the relationship between nurses and patients, and is worthy of clinical promotion.
引文
[1]杨金彬.加强外科换药室护理安全管理在防范院内感染中的应用[J].中医药管理杂志,2018,26(6):141-143.
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[5]王晓丹,应胜绿.护理安全管理在降低外科换药室院内感染中的应用[J].新中医,2016,48(4):247-249.
[6]何柽.加强骨伤科病房换药室医院感染管理实践与体会[J].中医药管理杂志,2016,24(2):111-112.
[7]王玫艳,王晓燕,孙继英,等.PDCA循环在门诊换药室院内感染管理中的应用[J].护理实践与研究,2014,11(12):120-121.
[8]罗彩霞,袁爱杰,杨晓萍,等.加强中心换药室工作人员手卫生管理控制院内感染[J].内蒙古中医药,2011,30(13):132-133.
[2]钟霄雅.PDCA在换药室管理中的应用[J].实用临床护理学电子杂志,2017,2(49):195.
[3]吴珍花.门诊换药室患者院内感染危险因素及干预办法探究[J].临床医药文献电子杂志,2017,4(95):18731.
[4]方小琴,蒋秀兰.护理安全管理对降低外科换药室院内感染的作用[J].中医药管理杂志,2017,25(9):141-142.
[5]王晓丹,应胜绿.护理安全管理在降低外科换药室院内感染中的应用[J].新中医,2016,48(4):247-249.
[6]何柽.加强骨伤科病房换药室医院感染管理实践与体会[J].中医药管理杂志,2016,24(2):111-112.
[7]王玫艳,王晓燕,孙继英,等.PDCA循环在门诊换药室院内感染管理中的应用[J].护理实践与研究,2014,11(12):120-121.
[8]罗彩霞,袁爱杰,杨晓萍,等.加强中心换药室工作人员手卫生管理控制院内感染[J].内蒙古中医药,2011,30(13):132-133.