戴銀偉
[摘要] 目的 探討手術患者發生切口感染的手術室相關因素分析及護理對策。 方法 選取2016年1~6月我院手術室收治的患者156例,平均分為兩組,對照組予常規護理,研究組在分析切口感染相關因素的基礎上應用針對性護理,對比兩組患者出現切口感染的情況。 結果 研究組切口感染發生率明顯低于對照組(P<0.05),手術時間≥3 h以及有參觀人員等因素是手術切口感染單因素的重要風險因素(P<0.05)。 結論 通過分析切口感染相關因素,加強手術室護理干預,有利于避免這一問題的出現,改善手術患者的預后質量。
[關鍵詞] 切口感染;手術室;相關因素;護理
[中圖分類號] R473.6 [文獻標識碼] B [文章編號] 1673-9701(2017)15-0144-03
[Abstract] Objective To discuss the relative factors of operating room with infection of incisional wound among surgical patients and its nursing strategy. Methods 156 patients who underwent surgeries from January to June 2016 in our hospital's operating room were selected and equally divided into two groups. Patients in the control group were given routine nursing, while those in the study group were given targeted nursing based on relative factors of infection of incisional wound. The condition of wound infection was compared between two groups. Results The incidence rate of wound infection in the study group was significantly lower than in the control group(P<0.05). Time duration of operation≥3 h, attendance of visitors and so on were critical risk factors of wound infection. Conclusion Based on relative factors analysis of infection of incisional wound, nursing strategy of operating room should be strengthened to avoid wound infection and improve the prognosis.
[Key words] Infection of incisional wound; Operating room; Relative factor; Nursing
切口感染在手術室的出現率較高,是一種比較常見的并發癥,一旦出現切口感染會影響愈合速度,顯著延長患者住院治療時間,同時給患者的術后康復帶來不良影響。如果切口感染的問題嚴重,會導致患者病情惡化,影響患者的生命健康[1]。除此之外,手術切口感染還有可能誘發其他并發癥,這就需要護理人員認真對待,分析手術室相關因素并制定針對性的護理措施。我院手術室加強切口感染的針對性護理,取得理想護理效果,現報道如下。
1 資料與方法
1.1一般資料
選取2016年1~6月我院手術室收治的患者156例,男90例,女66例,年齡19~58歲,平均(39.1±4.3)歲。骨科患者44例,普外科患者36例,婦產科患者30例,胸外科患者46例。患者平均分為兩組,對照組78例,男45例,女33例,年齡19~58歲,平均(39.1±4.3)歲;骨科患者22例,普外科患者18例,婦產科患者15例,胸外科患者23例。研究組男45例,女33例,年齡19~58歲,平均(39.1±4.3)歲;骨科患者22例,普外科患者18例,婦產科患者15例,胸外科患者23例。納入標準:患者傷后24 h內就診,<60歲。排除標準:排除合并有肝腎功能障礙疾病的患者。……