The influence of the vertical and horizontal two-way hierarchical responsibility system management on the infection risk and nursing quality in the obstetrics and gynecology operating room
纵横双向层级责任制管理对妇产科手术室感染风险及护理质量的影响

摘要

目的 探究妇产科手术室应用纵横双向层级责任制管理对手术室感染风险的控制效果及对护理质量的影响。方法 随机抽选60例妇产科手术患者为对象，手术时间为2024年1月-2025年12月。根据时间先后顺序分为两组，2024年1-12月手术的30例为常规组，实施常规手术室管理模式，2025年1月-12月手术的30例为研究组，实施纵横双向层级责任制管理模式。比较管理效果。结果 研究组患者手术室感染发生率低于常规组（3.33%和20.00%），差异显著（P＜0.05）。研究组手术室护理质量评分高于常规组，差异显著（P＜0.05）。结论 妇产科手术室应用纵横双向层级责任制管理模式，不仅可以降低手术室感染风险，还能提高手术室护理质量，具有较高推广价值。

Abstract

Objective To explore the control effect of the horizontal and vertical two-way hierarchical responsibility system management applied in the obstetrics and gynecology operating room on the infection risk of the operating room and its impact on the quality of nursing.
Methods Sixty patients undergoing gynecological and obstetric surgeries were randomly selected as the subjects, and the operation time was from January 2024 to December 2025. According to the chronological order, they were divided into two groups. The 30 cases that underwent surgery from January to December 2024 were classified as the conventional group and were managed under the conventional operating room model. The 30 cases that underwent surgery from January to December 2025 were classified as the study group and were managed under the horizontal and vertical two-way hierarchical responsibility system model. Compare the management effects.
Results The incidence of operating room infections in the study group was lower than that in the conventional group (3.33% vs. 20.00%), and the difference was significant (P < 0.05). The score of operating room nursing quality in the research group was higher than that in the conventional group, and the difference was significant (P < 0.05).
Conclusion   The application of the horizontal and vertical two-way hierarchical responsibility system management model in the obstetrics and gynecology operating room can not only reduce the risk of infection in the operating room, but also improve the quality of nursing in the operating room, and has high promotion value.