Effect of detailed nursing management in operating room on controlling nosocomial infection
手术室细节护理管理对控制医院感染的作用研究

摘要

目的 研究分析手术室细节护理管理对控制医院感染的作用。方法 选取我院于2019年7月至2021年3月所收治的共计60例手术患者作为本次研究的样本对象，通过随机数字表的划分方式，将这入选的30例患者随机乱序均分为30例仅常规护理干预的对照组患者以及30例接受手术室细节护理管理的观察组患者。对比分析两组患者的院内感染发生率、住院时间、医疗费用、对于护理管理的满意度以及护理质量评分。结果 观察组患者的院内感染发生率显著更低于对照组患者，两组比较差异的P<0.05，存在统计学意义；且观察组患者的平均住院时间以及平均医疗费用均是明显更低于对照组患者，两组比较差异的P<0.05，存在统计学意义；相较于对照组而言，观察组患者的护理质量明显更优，两组比较差异的P<0.05，存在统计学意义；且相较于对照组患者而言，观察组患者对护理的满意度显著更高，两组比较差异的P<0.05，存在统计学意义。结论 应用手术时的细节护理管理能有效降低院内感染率，不仅提升了护理的质量，更确保了患者的安全，有利于患者早日出院，减缓了患者的医疗负担，提升了患者的满意度，减少了不必要的医患摩擦，临床上值得进行推广应用。

Abstract

Objective: To study and analyze the role of detailed nursing management in operating room in controlling nosocomial infection.
Methods: a total of 60 surgical patients treated in our hospital from July 2019 to March 2021 were selected as the sample objects of this study. Through the division of random number table, the selected 30 patients were randomly divided into 30 patients in the control group with routine nursing intervention and 30 patients in the observation group with detailed nursing management in the operating room. The incidence of nosocomial infection, length of stay, medical expenses, satisfaction with nursing management and nursing quality score of the two groups were compared and analyzed.
Results: the incidence of nosocomial infection in the observation group was significantly lower than that in the control group (P<0.05); The average hospital stay and average medical expenses of the observation group were significantly lower than those of the control group (P < 0.05); Compared with the control group, the nursing quality of the observation group was significantly better. The difference between the two groups was statistically significant (P<0.05); Compared with the control group, the patients in the observation group had significantly higher satisfaction with nursing. The difference between the two groups was statistically significant (P < 0.05).
Conclusion  : the application of detailed nursing management during operation can effectively reduce the nosocomial infection rate, not only improve the quality of nursing, but also ensure the safety of patients, facilitate the early discharge of patients, reduce the medical burden of patients, improve the satisfaction of patients, and reduce unnecessary doctor-patient friction. It is worthy of popularization and application in clinic.