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行动研究法在手术室感染管理中的应用

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目的 分析手术室感染管理中行动研究法的应用效果.方法 收集2020 年1~12 月手术的6 466 例患者作对照组,感染管理中采取传统管理措施;收集 2021 年 1~12 月手术的 6 466 例患者作观察组,采取行动研究法,对比 2 组医护人员感染防控的知信行水平、感染管理效果、消毒合格情况及感染发生情况.结果 加强感染管理后,观察组医护人员感染防控的知信行水平分数为(106.08±9.31)分,高于对照组的(92.96±10.55)分(P<0.05);观察组的医疗废物处理、物品药品管理、器械管理、环境消毒清洁、职业防护及安全管理评分均高于对照组(P<0.05);观察组无菌物品、医护人员手卫生、物品表面、手术室空气、使用中消毒剂的采样合格率均高于对照组(P<0.05);观察组手术切口感染率是 1.23‰,低于对照组的 2.62‰(P<0.05).结论 手术室感染管理中行动研究法的应用效果显著,可提升医护人员感染防控的知信行水平、感染管理效果及消毒合格水平,并且降低感染的发生率.
Application effect of action research method in the management of infection in operating room
Objective To analyze the application effect of the action research method on the management of infection in the operating room.Methods A total of 6466 patients who underwent surgery from January 2020 to December 2020 were collected in the control group,and intervened by traditional management measures in infection management.The other 6466 patients who underwent surgery from January 2021 to December 2021 were collected in the observation group,and the action research method was implemented.The knowledge,belief,and practice levels of infection prevention and control,infection management effects,disinfection qualifications,and infection occurrences among medical staff in the two groups were compared.Results After strengthening infection management,the score of knowledge,belief,and behavior of medical staff in the observation group was significantly higher than that of the control group([106.08±9.31]points vs[92.96±10.55]points,P<0.05).In the observation group,the scores of medical waste treatment,article and drug management,equipment management,environmental disinfection and cleaning,occupational protection and safety management were significantly higher than those of the control group(P<0.05).In the observation group,the sampling qualification rates of sterile items,hand hygiene of medical staff,item surface,operating room air and disinfectant used were significantly higher than those of the control group(P<0.05).In the observation group,the infection rate of surgical incision was significantly lower than that of the control group(1.23‰ vs 2.62‰,P<0.05).Conclusion The application of the action research method to the management of infection in the operating room has a significant effect,which can improve the knowledge,belief,and practice of infection prevention and control among medical staff,the effect of infection management,and the qualified level of disinfection,as well as reduce the incidence of infection.

operating roommanagement of infectionaction research methodknowledge,belief,and behaviorinfection

钟新彤、殷悦、丁霞、彭晓朦、孙玉峰

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226500 江苏省如皋市人民医院手术室

226500 江苏省如皋市人民医院麻醉科

手术室 感染管理 行动研究法 知信行 感染

南通市科技计划项目

MSZ19005

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
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