PDCA循环管理措施对手术室Ⅰ类清洁切口手术患者的感染控制效果分析

doi:10.3969/j.issn.1006-5253.2018.01.011

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Abstract Objective To investigate the infection control of PDCA cycle management measures in patients with type I clean incision surgery. Methods Totally 253 patients were selected from August 2015 to April 2017 in our hospital as the research objects, and according to the random number table method, they were randomly divided into the observation group of 127 patients and the control group of 126 patients. The control group was intervened with conventional infection control measures, and the observation group adopted PDCA circulation management measures. The infection and the use of antibiotics of the two groups were observed and recorded, the qualified rates of disinfection of the surfaces of objects, air, thermostat and medical staff were recorded and compared. Results The qualified rate of non-sterile surface disinfection in the observation group was about 91.34%, the qualified rate of hand disinfection in the observation group was about 98.43%, the qualified rates of indoor air and incubator in the observation group was significantly higher than those of the control group, and the difference between the two groups was statistically significant (P<0.05). The total infection rate of the observation group was about 3.15%, and the total infection rate in the control group was about 9.52%. There was significant difference between the two groups (P<0.05). The use rate of antimicrobial agents in the patients with different surgical types was significantly lower than that in the control group (P<0.05). Conclusion PDCA cycle management measures are ideal for infection control in patients with type I clean incision surgery. There is a high rate of disinfection in the operating room, air and medical staff and the usage rate of antibiotics decreases. The infection reduces and the quality of infection control is high.

Key words： PDCA cycle management operating room class I clean incision infection control

Received: 31 August 2017

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	Chen Huiying

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Chen Huiying. Analysis of infection control in patients with class I cleansing surgery of operating room by PDCA circulation management[J]. journal1, 2018, 25(1): 36-39.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2018.01.011 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2018/V25/I1/36

[1] 高明晓,李英,周丽华,等.某三级甲等综合医院心内科医院感染目标性监测结果分析[J].中国医院统计,2016,23(3):173-175.
[2] 邱静梅.某三级甲等综合医院的医院感染流行病学分布[J].中国医院统计,2016,23(5):325-327.
[3] 张永,卢智,郭丹,等.PDCA循环管理方法应用于我院三级综合医院复审过程中药事管理的体会[J].中国药房,2016,27(10):1305-1307.
[4] 陈佳佳,梅松莉,蒋红英,等.PDCA循环管理法在康复专科护士教学质量管理中的应用[J].中国康复理论与实践,2016,22(10):1232-1235.
[5] 马泽君,王传英,张芬,等.应用PDCA循环管理提高肝胆外科住院患者满意度的研究[J].重庆医学,2016,45(25):3594-3595.
[6] 王力红,赵霞,张京利,等.追踪方法学与PDCA循环管理在医院感染管理质量控制中的应用[J].中华医院感染学杂志,2014,24(6):1539-1541.
[7] 李恒爱,刘大钺,卢建军,等.某医院非计划再次手术患者发生医院感染的临床特点分析[J].中国医院统计,2016,23(2):159-160.
[8] 陈利红,来金君,王晶晶,等.手术患者医院感染与手术室护理管理的相关性分析[J].中华医院感染学杂志,2015,25(3):662-663.
[9] 石松华,刘秋云.我国医务人员手卫生与医院感染现状及其研究进展[J].中华现代护理杂志,2013,19(11):1358-1359.
[10]潘虹,柯云楠,韩硕,等.基于WHO手卫生评估框架的医院手卫生现状分析[J].中国医院管理,2016,36(5):61-63.
[11]万玉英,韩小建.PDCA循环加强ICU医务人员手卫生管理对控制MRSA医院感染的影响[J].重庆医学,2015,44(34):4777-4779.
[12]祁兆萍.PDCA循环法在医务人员手卫生管理中的应用效果[J].中国消毒学杂志,2015,32(4):384-385.
[13]秦艳娥,钟慧,陈彪,等.PDCA循环管理干预骨科Ⅰ类切口手术围术期抗菌药物预防应用的效果评价[J].中国药房,2017,28(5):690-693.
[14]王琳,杜萍.我国护理人员手卫生依从性的研究进展[J].解放军护理杂志,2013,30(17):41-43,50.
[15]殷珺妹,龙莉,杨亚敏,等.PDCA循环在持续改进多重耐药菌管理中的应用[J].现代预防医学,2015,42(12):2195-2196.