回顾性分析手术室护理自查模式干预对患者感染的作用及护理质量和效果的影响。

选取2017年1月至2017年12月火箭军特色医学中心收治的接受手术治疗的患者80例，采用常规护理干预模式，包括指标监测、病情观察及心理护理等，设为对照组。选取2018年2月至2019年1月火箭军特色医学中心收治的接受手术治疗的患者80例，在常规护理干预模式基础上采用手术室护理自查模式干预，即坚持以患者为中心的护理工作理念，预测分析手术室护理的风险问题和等级，护理人员依据术前评估结果协助医师开展手术，设为研究组。比较2组患者感染发生情况、护理人员的综合能力及患者的护理满意度。数据比较采用t检验、χ²检验或Fisher确切概率法检验。

研究组患者感染率为12.50%(10/80)，少于对照组[27.50%(22/80)]，差异有统计学意义(χ²＝5.625，P＝0.018)。研究组患者的基础护理、病情观察、心理护理、并发症预防和护理记录5项综合能力评分分别为(95.5±3.7)、(94.6±1.4)、(96.0±2.3)、(94.1±2.7)、(95.8±2.5)分，均高于对照组[(89.5±4.2)、(90.6±3.7)、(91.2±4.5)、(89.7±3.7)、(91.5±2.8)分]，差异均有统计学意义(t＝10.684、11.368、12.564、10.958、11.524，P＝0.030、0.028、0.025、0.029、0.028)。研究组患者护理满意度为92.50%(74/80)，高于对照组[77.50%(62/80)]，差异有统计学意义(χ²＝7.059，P＝0.008)。

手术室护理中采取护理自查模式，能够有效降低改善医院感染率，改善护理质量，提升患者的护理满意度。

To retrospectively analyze the influence of nursing self-examination model intervention on patient infection, nursing quality and effect in operating room.

Eighty patients of surgical treatment patients admitted to Rocket Force Characteristic Medical Centerof PLA from January 2017 to December 2017 were selected with the routine nursing intervention model, including index monitoring, condition observation and psychological nursing, who were adopted as the control group. Eighty patients admitted to Rocket Force Characteristic Medical Centerof PLA from February 2018 to January 2019 were selected with self-examination mode intervention based on the routine nursing intervention model, adhering to the patient as the center of the nursing concept, predicting the risk of analysis of the operating room nursing problems and grades, nursing staff according to the results of preoperative evaluation, assisting physicians in surgery, who were adopted as the experimental group. The situation of nosocomial infection, the comprehensive ability of nursing staff and the satisfaction of nursing were compared between the two groups. Data were processed with t test, chi-square test or Fisher exact probability test.

The nosocomial infection rate in the experimental group was 12.50%(10/80), which was higher than that of the control group [27.50%(22/80)], and the differences were statistically significant (χ²=5.625, P=0.018). The scores of basic nursing, condition observation, psychological care, complications prevention and nursing records in the experimental group were (95.5±3.7), (94.6±1.4), (96.0±2.3), (94.1±2.7), (95.8±2.5) points, which were higher than those in the control group[(89.5±4.2), (90.6±3.7), (91.2±4.5), (89.7±3.7), (91.5±2.8) points], and the difference was statistically significant(t=10.684, 11.368, 12.564, 10.958, 11.524; P=0.030, 0.028, 0.025, 0.029, 0.028). The nursing satisfaction of patients in the experimental group was 92.50%(74/80), which was higher than that of the control group [77.50%(62/80)], and the difference was statistically significant (χ²=7.059, P=0.008).

Nursing self-examination model in operating room can effectively reduce the nosocomial infection rate, improve the quality of nursing and improve the nursing satisfaction of patients.