摘要
目的探讨手术室＂零缺陷＂护理干预模式对术后肺部感染率的影响。方法选取2013年6月~2014年6月在石家庄市第一医院接受手术治疗的患者252例为研究对象,将其分为观察组和对照组,各126例,对照组给予常规手术室护理,观察组给予手术室＂零缺陷＂护理干预模式。比较两组肺部感染率,采用调查问卷的方式对患者肺部感染防控知识掌握情况、护理满意度进行调查,采用焦虑自评量表及抑郁自评量表评估患者的心理舒适度,比较两组患者术后不良反应的发生情况。结果观察组患者肺部感染率为7.94%,低于对照组（25.40%）,差异有统计学意义（P〈0.05）。干预后两组患者对肺部感染防控知识掌握的良好率均较干预前提高,且观察组良好率高于对照组,差异有统计学意义（P〈0.05）。观察组患者对护理满意度为96.82%,高于对照组（85.71%）,差异有统计学意义（P〈0.05）。观察组患者焦虑、抑郁评分均明显低于对照组,差异有统计学意义（P〈0.05）。观察组患者术后未发生不良反应,对照组患者不良反应发生率为20.63%,两组不良反应发生率差异有统计学意义（P〈0.05）。结论手术室＂零缺陷＂护理干预模式可降低患者的肺部感染率,提高患者对肺部感染防控知识的掌握程度及对护理的满意度,降低患者的焦虑、抑郁情绪,值得临床推广应用。
Objective To investigate the effect of the operating room ＂zero defect＂ nursing intervention model for postoperative pulmonary infection rate.Methods 252 cases of patients underwent surgery in the First Hospital of Shijiazhuang City from June 2013 to June 2014 were selected for the study,and they were divided into observation group and control group,126 cases in each group,conventional operating room nursing was taken to the control group,operating room ＂zero defect＂ nursing intervention model was taken to the observation group.Lung infection rate of two groups was compared,the questionnaire approach was used to patients to survey the situation of pulmonary infection prevention and control knowledge grasp level and nursing satisfaction,self-rating anxiety scale and self-rating depression scale were carried out to assess the patient＇s psychological comfort,the occurrence of post-operative adverse reactions were compared.Results The lung infection rate of observation group was 7.94%,which was lower than that of the control group（25.40%）,the difference was statistically significant（P〈0.05）.After intervention,the good rate of pulmonary infection prevention and control knowledge in the two groups was improved compared with pre-intervention（P〈0.05）,and the good rate of observation group was higher than that of the control group,the difference was statistically significant（P〈0.05）.The nursing satisfaction rate of observation group was 96.82%,which was higher than that of the control group（85.71%）,the difference was statistically significant（P〈0.05）.The anxiety and depression scores of observation group were lower than those of the control group,the differences were statistically significant（all P〈0.05）.There were no adverse reactions occurred in the observation group,but the incidence of adverse reactions of the control group was 20.63%,the difference of adverse reaction rate between the two groups was statistically significant（P〈0.05）.Conclusion Operating room ＂zero defect＂ nursing intervention model can reduce the lung infection rate,improve the mastery of lung infection prevention and control knowledge,improve patient＇s care and satisfaction,reduce the anxiety and depression,it is worth of application in clinic.
出处
《中国医药导报》
CAS
2015年第10期166-169,共4页
China Medical Herald
关键词
手术室护理
“零缺陷”护理干预模式
肺部感染
Operating room nurse
＂Zero defect＂ nursing intervention model
Lung infection
