Influence of nursing self-examination model intervention on patient infection, nursing quality and effect in operating room

doi:10.3877/cma.j.issn.1673-9450.2019.06.016

Abstract

Abstract:

Objective

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

Methods

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.

Results

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).

Conclusion

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.

Key words: Nursing care, Cross infection, Nursing audit, Patient satisfaction, Self-examination mode

Jie Chen, Mengjiao Dou, Xinyu Wang, Meijia Li, Jie Bai, Ruibo Li. Influence of nursing self-examination model intervention on patient infection, nursing quality and effect in operating room[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2019, 14(06): 471-474.

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References 20

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组别	例数	呼吸系统感染	泌尿系统感染	消化系统感染	血流感染	切口感染	总感染率
研究组	80	4(5.00)	1(1.25)	1(1.25)	1(1.25)	3(3.75)	10(12.50)
对照组	80	10(12.50)	1(1.25)^a	3(3.75)^a	2(2.50)^a	6(7.50)^a	22(27.50)
χ²值	?	2.818	?	?	?	?	5.625
P值	?	0.093	>0.05	0.620	>0.05	0.495	0.018

组别	例数	呼吸系统感染	泌尿系统感染	消化系统感染	血流感染	切口感染	总感染率
研究组	80	4(5.00)	1(1.25)	1(1.25)	1(1.25)	3(3.75)	10(12.50)
对照组	80	10(12.50)	1(1.25)^a	3(3.75)^a	2(2.50)^a	6(7.50)^a	22(27.50)
χ²值	?	2.818	?	?	?	?	5.625
P值	?	0.093	>0.05	0.620	>0.05	0.495	0.018

组别	例数	优	良	中	差	护理满意度
研究组	80	52(65.00)	22(27.50)	6(7.50)	0(0.00)	74(92.50)
对照组	80	32(40.00)	30(37.50)	12(15.00)	6(7.50)	62(77.50)
χ²值	?	?	?	?	?	7.059
P值	?	?	?	?	?	0.008

组别	例数	优	良	中	差	护理满意度
研究组	80	52(65.00)	22(27.50)	6(7.50)	0(0.00)	74(92.50)
对照组	80	32(40.00)	30(37.50)	12(15.00)	6(7.50)	62(77.50)
χ²值	?	?	?	?	?	7.059
P值	?	?	?	?	?	0.008

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