普通外科手术患者医院感染与手术室护理管理的相关性研究

目的探讨普通外科手术患者发生医院感染与手术室护理管理的相关因素，为降低手术室相关医院感染的发生率提供科学依据。方法将2009年8月至2010年8月于我院进行手术发生医院感染的304例患者作为对照组，将2010年9月至2011年10月的151例患者作为干预组，对所有病例进行回顾性分析，对可能影响医院感染的手术室护理因素进行单因素和多因素Logistic回归分析。结果通过单因素分析，共筛选出8个与医院感染有关的手术室护理因素：切口类型、手术时间、接台手术与否、入ICU时间、术前使用抗生素、是否有参观人员、侵入性操作；多因素Logistic回归分析结：果筛选出5个高度相关因素：入ICU时间、切口类型、手术时间、术前使用抗生素、接台手术。对照组的复发率和并发症的发生率显著高于干预组。结论在手术室护理工作中，可采取一系列的手术室护理管理干预，以降低普通外科手术医院感染的发生率。

Research in correlation of the occurrence of nosocomial infection and nursing management in oper- ation room for general surgery patients

Objective To investigate the related factors of the occurrence of nosocomial infection and nursing management in operating room for general surgery patients, and provide a scientific basis to re- duce the incidence of nosocomial infection of the operating room. Methods 304 patients with nosocomial infection from August 2009 to August 2010 in our hospital for surgery were set as the control group. 151 cases from September 2010 to October 2011 were named as the intervention group. All cases were analyzed retrospectively. The nursing factors which might affect nosocomial infection in operation room were analyzed by univariate and multivariate logistic regression analysis. Results By univariate analysis, eight operation room nursing factors related to nosocomial infection were screened out： the type of incision, operation time, the following surgery or not, into ICU time, preoperative use of antibiotics, visitors of operations or not, inva- sive operation. 5 highly correlated factors were screened out by muhi-factor logistic regression analysis： ad- mission to the ICU time, incision type, operation time, preoperative use of antibiotics, then following surgery. The infection rate and prolapse rate of the control group were significantly higher than those of the interven- tion group. Conclusions In nursing work of the operation room, we can take a series of nursing manage- ment interventions to reduce the incidence of nosocomial infection of general surgery.