Study on pre-operative prophylactic antibiotic administration in operating room

LI Yue-rong1; XIAO Ming-chao2; ZHAO Qing-hua3; YI Feng-qiong1

doi:10.13406/j.cnki.cyxb.2011.05.010

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Study on pre-operative prophylactic antibiotic administration in operating room

更新时间：2024-01-17

- Study on pre-operative prophylactic antibiotic administration in operating room
- Journal of Chongqing Medical University Vol. 36, Issue 5, Pages: 632-634(2011)
- 作者机构：
  
  1. 重庆医科大学附属第一医院麻醉科
  2. 重庆医科大学附属第一医院泌尿科
  3. 重庆医科大学附属第一医院护理部
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2011.05.010
  CLC： R47
- Published：2011，
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[1]李跃荣,肖明朝,赵庆华,易凤琼.手术室护士术前抗生素应用执行现状调查[J].重庆医科大学学报,2011,36(05):632-634.

LI Yue-rong1, XIAO Ming-chao2, ZHAO Qing-hua3, et al. Study on pre-operative prophylactic antibiotic administration in operating room. [J]. Journal of Chongqing Medical University 36(5):632-634(2011)
[1]李跃荣,肖明朝,赵庆华,易凤琼.手术室护士术前抗生素应用执行现状调查[J].重庆医科大学学报,2011,36(05):632-634. DOI： 10.13406/j.cnki.cyxb.2011.05.010.

LI Yue-rong1, XIAO Ming-chao2, ZHAO Qing-hua3, et al. Study on pre-operative prophylactic antibiotic administration in operating room. [J]. Journal of Chongqing Medical University 36(5):632-634(2011) DOI： 10.13406/j.cnki.cyxb.2011.05.010.

摘要

目的:了解手术室护士切皮前1h内预防性抗生素执行情况及主要影响因素

采取有效干预措施。方法:采用观察法和访谈法了解手术室护士在用药中存在的问题

对所获信息进行评估、分析。结果:随机观察手术室护士预防性应用抗生素118例

其中57例阳性

50例经干预按要求用药

7例医嘱被医生取消;切皮前1 h内用药率达94.07%。访谈护士79名

72%的护士反馈用药知识缺乏;57.62%的护士提及医护沟通影响抗生素的应用;30%的护士反馈工作忙乱、繁杂影响抗生素的使用;27.5%的护士对预防性应用抗生素的认知不足。结论:有必要加强手术室护士对预防性应用抗生素的认知和药物相关知识的学习

制定有效的抗生素应用流程

强调团队协作和有效沟通。

Abstract

Objective:To explore the performance and major influencing factors of pre-operative prophylactic antibiotic administration(1 hour before skin incision making)carried out by OR nurses

so as to take effective intervention.Methods:Interviews and observations were adopted on OR nurse while they administer prophylactic antibiotics

and the feedback was evaluated and analyzed.Results:118 cases were observed randomly.57 were positive;50 of them carried out correctly according to the application guide after intervention;7 were cancelled by the surgeon.The rate of application within 1 hour prior to incision making in this group was 94.07%.79 OR nurses were interviewed.72% of them mentioned knowledge deficits;57.62% mentioned communication between doctors and nurses;and 27.5% didn’t know their roles and importance of prophylactic antibiotic administration well.Conclusion:It is necessary to strengthen nurses’ cognition of prophylactic antibiotic administration

to enhance their knowledge

to formulate effective antibiotic application process and to stress teamwork and effective communication.

关键词

预防性应用抗生素护理手术室

Keywords

prophylactic antibiotic administrationnursingoperation room

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