陈学梅

[摘要] 目的 探討加强护理安全管理在外科换药室中的临床应用，防范院内感染的发生。 方法 方便选取2016年1月—2018年2月期间在该院外科换药室换药的82例患者，对其临床资料进行回顾性分析，将其随机分为研究组和对照组，各为41例，对照组进行常规管理，研究组在其基础上加强对外科换药室护理安全管理，观察并比较两组换药合格率、创伤愈合的情况、感染发生的情况及满意率等。 结果 研究组换药合格率为100.00%显著优于对照组85.37%，比较差异有统计学意义（χ2=4.226，P<0.05）;研究组创口均痊愈，无感染病例发生，感染发生率为0.00%，显著低于对照组14.63%，比较差异有统计学意义（χ2=4.981，P<0.05）;研究组满意率97.56%显著优于对照组82.93%，比较差异有统计学意义（χ2=4.109，P<0.05）; 研究组空气检测合格率100.00%、手卫生检测合格率100.00%、无菌包检测合格率100.00%、消毒液检测合格率100.00%、显著优于对照组，比较差异有统计学意义（χ2=4.012、4.012、4.577、4.012，P<0.05）。 结论 对外科换药室加强护理安全管理，效果显著，可显著提高换药合格率，降低感染的发生，促进患者伤口愈合，改善护患关系，值得临床推广。

[关键词] 护理安全管理;外科;换药室;临床应用;防范;院内感染

[中图分类号] R473          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0157-03

Strengthening the Application of Nursing Safety Management in Surgical Dressing Room in Preventing Nosocomial Infection

CHEN Xue-mei

Department of Infection Management， TCM Hospital of Xinghua， Xinghua， Jiangsu Province， 225700 China

[Abstract] Objective To explore the clinical application of nursing safety management in surgical dressing room and prevent the occurrence of nosocomial infection. Methods 82 patients were convenient selected from January 2016 to February 2018 in the surgical dressing room of the hospital. The clinical data were retrospectively analyzed and randomly divided into study group and control group， 41 cases each. The control group conducted routine management. The research group strengthened the nursing safety management of the surgical dressing room on the basis of the observation group， and observed and compared the dressing pass rate， wound healing status， infection occurrence， and satisfaction rate between the two groups. Results The passing rate of 100.00% in the study group was significantly better than that in the control group （85.37%）. The difference was statistically significant （χ2=4.226， P<0.05）. The wounds in the study group were all cured， no infection occurred， and the infection rate was 0.00%， significantly lower than the control group of 14.63%， the difference was statistically significant （χ2=4.981， P<0.05）; the satisfaction rate of the study group was 97.56% significantly better than the control group 82.93%， the difference was statistically significant（χ2= 4.109， P<0.05）; The study group's air test pass rate 100.00%， hand hygiene test pass rate 100.00%， sterile bag test pass rate 100.00%， disinfectant test pass rate 100.00%， significantly better than the control group， the difference was statistically significant （χ2= 4.012， 4.012， 4.577， 4.012， P<0.05）. Conclusion It is effective to strengthen nursing safety management in surgical dressing room， which can significantly improve the pass rate of dressing changes， reduce the occurrence of infection， promote wound healing and improve the relationship between nurses and patients， and is worthy of clinical promotion.

[Key words] Nursing safety management; Surgery; Dressing room; Clinical application; Prevention; Nosocomial infection

外科换药室在临床上属于预防控制患者发生感染的主要场所，日常护理安全管理质量的好坏，对感染控制力度及决定患者预后起着直接作用，而护理安全管理质量也是反映临床护理水平的指标之一，因此，如何加强护理安全质量管理，以促使患者获得更为优质的护理服务，是目前研究重点[1]。加强外科换药室护理安全管理，是降低院内感染发生率的关键，不仅提高护理质量，从而也保障了患者健康安全[2]。该文为进一步探讨加强护理安全管理在外科换药室中的临床应用，防范院内感染的发生，特将2016年1月—2018年2月期间在该院外科换药室换药的82例患者作为研究对象，对其临床资料进行回顾性分析，现将报道如下。

1  资料与方法

1.1  一般资料

方便选取在该院外科换药室换药的82例患者，该研究患者均签署知情同意书，获得医院伦理委员会批准。……