集束化干预策略对降低手术切口感染率效果研究.docVIP

集束化干预策略对降低手术切口感染率效果研究 　　doi：10.3969/j.issn.1007-614x.2014.10.25 　　摘 要 目的：探究集束化干预策略（CLB）在预防手术切口感染（SWI）中的效果。方法：收治接受手术患者196例，随机将患者分为观察组和对照组各98例，对照组在手术前后仅接受常规护理，而观察组在对照组的基础上接受CLB干预。统计两组切口愈合情况（愈合等级为丙级视为感染）及护理满意度。结果：观察组伤口愈合评级甲、乙、丙级分别为56例、40例和2例，则SWI发生率2.0%，而对照组伤口愈合评级甲、乙、丙级分别为46例、42例和10例，则SWI发生率10.2%；观察组满意度93.9%（92/98），对照组满意度77.6%（76/98）；上述比较项差异具有统计学意义（P0.05）。结论：CLB策略在预防手术患者发生SWI上效果显著，保障了患者安全，且得到了患者的认可。 　　关键词 集束化干预 切口感染 愈合等级 　　Research on the effect of cluster intervention strategies to reduce surgical wound infection rate 　　Wan Qiongzhi 　　The Hospitals of Khufu town，Xingshan County，Hubei 443700 　　Abstract Objective：To investigate the effect of Central Line Bundle（CLB）in the prevention of surgical wound infection（SWI）.Methods：196 patients with surgery were selected.They were randomly divided into the CLB group and the control group with 98 cases in each.The patients in the control group received only routine care before and after surgery，and the CLB group patients receiving CLB intervention on the basis of the control group.We wounted the wound healing（healing class C deemed infection）and nursing satisfaction of two groups.Results：In CLB group，the A，B and C grade rating of wound healing were 56 cases，40 cases and 2 cases respectively，and the incidence rate of SWI was 2.0%.In the control group，the A，B and C grade rating of wound healing were 46 cases，42 cases and 10 cases respectively，the incidence rate of SWI was 10.2%；the patients satisfaction of CLB group was 93.9%（92/98），the patients satisfaction of the control group was 77.6%（76/98）；the differences of the above-mentioned were statistically significant（P0.05）.Conclusion：CLB strategy can protect surgical patients safety from SWI，the effect was significant，and it also can access to the patients approval. 　　Key words Central Line Bundle；wound infection；healing rating 　　医院感染是指患者在治疗或住院期间由于医院的环境而产生的获得性感染。主要包括真菌和细菌感染，并且会因为个体抵抗力的降低而愈加严重。在我国每年有1700多万人次院内感染，同时造成近10万人死亡。院内感染可以引起严重的肺炎、尿路或身体其他组织的感染。感染源可以在医院的表面环境中存活很久，然后通过伤