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目的观察院内感染控制在预防病理性近视患者后巩膜加固术术后院内感染中的应用效果。方法选择在温州医科大学附属眼视光医院行后巩膜加固术的病理性近视患者126例,按照住院时间将患者分为对照组(2015年1—6月,65例)和观察组(2015年9月—2016年2月,61例),对照组接受常规护理,观察组在常规护理基础上增加院内感染控制护理干预,统计2组患者术后感染、护理投诉的发生情况,出院前采用纽卡斯尔病人对护理服务满意度量表调查患者对护理工作的满意度;采用SPSS 19.0统计学软件对统计数据进行分析,P<0.05为差异具有统计学意义。结果观察组有1例术后感染患者,1例护理投诉事件;对照组有7例术后感染患者,8例护理投诉事件;观察组患者术后感染及护理投诉例数均明显低于对照组,差异具有统计学意义(χ~2=5.055、3.911,均P<0.05)。观察组患者对护理工作的满意度为(72.8±2.1)分,对照组为(67.2±3.3)分,观察组显著高于对照组,差异具有统计学意义(t’=11.435,P<0.05)。结论在常规护理基础上增加院内感染控制护理干预后,患者院内感染率降低,护理投诉事件减少,护理满意度也得到了提高。
Objective To observe the effect of nosocomial infection control in the prevention of nosocomial infection after scleral reinforcement in patients with pathological myopia. Methods One hundred and sixty-six patients with pathological myopia after posterior sclerectomy were included in the Optometry Hospital of Wenzhou Medical University. Patients were divided into control group (65 cases in January-June 2015) and observation group (2015 September-February 2016, 61 cases). The control group received routine nursing care. The observation group received nosocomial infection control and nursing intervention on the basis of routine nursing. Statistics were made on the incidence of postoperative infection and nursing complaints in both groups. Before discharge, Patient satisfaction survey of nursing satisfaction survey of patients with nursing satisfaction; using SPSS 19.0 statistical software to analyze the statistical data, P <0.05 for the difference was statistically significant. Results In the observation group, there were 1 case of postoperative infection and 1 case of nursing complaint. In the control group, there were 7 cases of postoperative infection and 8 cases of nursing complaints. The cases of postoperative infection and nursing complaints in the observation group were significantly lower than those in the control group , The difference was statistically significant (χ ~ 2 = 5.055,3.911, all P <0.05). The satisfaction degree of nursing group was (72.8 ± 2.1) in the observation group and (67.2 ± 3.3) in the control group, the observation group was significantly higher than the control group (t ’= 11.435, P <0.05) . Conclusion The increase of nosocomial infection control nursing intervention on the basis of routine nursing reduces the nosocomial infection rate, reduces the number of nursing complaints and improves the nursing satisfaction.