Abstrait
Clinical evaluation of nursing management of laminar flow operating room in controlling hospital infection
Yanqing Feng, Xijie Geng, Fang Zhou, Yuxian Fu
Objective: To study the nursing management measures about controlling hospital-acquired infection in laminar flow operating rooms.
Method: 261 cases of nursing materials in operating rooms with quality strengthening management and nursing management in LFOR of the hospital from May 2015 to May 2016 are taken as the observation group, and 261 cases of nursing materials before May 2015 with routine management are taken as the control group. The intra-operation colony count in the air, the colony count in hands of medical staffs, and the nosocomial infection incidence are analysed and compared, and the nursing satisfaction is investigated at the same time.
Result: After the quality strengthening management and nursing management, the intra-operation colony count in the air of LFOR is (104.5 ± 20.3) cfu/m3 and the colony count in hands is (1.2 ± 0.2) cfu/m3. The infection rate of patients in the observation group is 0.70%, which is significantly lower than that of the control group. The difference is with statistical significance (p<0.05). After quality strengthening management and nursing management, the nursing satisfaction rate for LFOR by patients and the general satisfaction rate are 83.6% and 94.5% respectively, which are clearly superior to the control group which is 63.2% and 75.3%. The difference is with statistical significance (p<0.05).
Conclusion: The nursing management mode mentioned by the study includes strengthening the personnel and material in and out management, setting special ways for people and goods, controlling the number of visitors and learners, reducing the frequency of opening and closing the operation door, avoid too much walk indoor, dispose pollutants timely, and conduct colony observation regularly. The hospital-acquired infection incidence can be controlled effectively with such nursing management mode.