外科护理途径对骨科手术室效率和结果的影响:一项历史性对照研究
Tao He1, Xiaojun Zhu2, Guanghao Chi3
1College of Health Management, Shanghai Jian Qiao University, Shanghai, 201306, People's Republic of China.
BMC surgery
|August 26, 2025
概括
标准化手术护理途径显著减少了骨科手术部位感染 (SSI),特别是格拉姆阳性细菌感染. 这些途径也提高了手术室的效率和患者的满意度.
科学领域:
- 骨科手术
- 医疗保健管理
- 感染控制
背景情况:
- 手术护理途径 (CP) 对骨科手术室 (OR) 的效率和患者结果的影响尚不清楚.
- 优化护理策略和提高骨科手术服务质量是关键目标.
研究的目的:
- 评估骨科手术中标准化护理途径 (CP) 的有效性.
- 评估CP对手术部位感染 (SSI) 率,病原体,手术室 (OR) 轮流时间和患者满意度的影响.
主要方法:
- 从2019年7月到2024年6月对3836名骨科手术患者的回顾性分析.
- 两组患者之间的比较: CP (1, 918) 和没有CP的患者 (1, 918).
- 使用统计分析,包括多变量后勤回归,评估SSI率,病原体,OR转换时间和患者满意度.
主要成果:
- 护理途径 (CP) 显著降低了整体SSI率 (1.6%对2.6%),风险降低了43%.
- 在CP组中观察到格拉姆阳性细菌感染的显著减少.
- CP的实施改善了OR的交换时间和患者满意度.
结论:
- 标准化CP有效减少手术后的SSI,特别是Gram阳性细菌感染,增强感染控制.
- 护理途径提高了手术室的运作效率和患者的满意度.
- 整形外科医生支持整形外科手术的手术管理改革.
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