术前模拟训练指导降低肠梗阻患者术后感染的临床研究  

Clinical research on preoperative simulation training and instruction for reducing postoperative infections in patients with intestinal obstruction

作　　者：程孝惠[1] 吴永友[1] 殷婧雯 薛小英[1] 高莉敏[1] 

机构地区：[1]苏州大学附属第二医院普外科,江苏苏州215004

出　　处：《中华医院感染学杂志》2015年第4期901-903,共3页Chinese Journal of Nosocomiology

基　　金：江苏省卫生厅基金资助项目(SW-2009B009)

摘　　要：目的探讨术前模拟训练指导对降低肠梗阻患者术后感染的作用,以提高临床治疗水平。方法选取2011年10月-2013年3月收治的80例结直肠梗阻手术患者为研究对象,将其分为对照组和观察组,每组各40例,对照组予以常规护理,观察组术前予以术前模拟训练护理,参考相关标准对两组患者术后感染率,C-反应蛋白、白细胞计数、血沉、切口疼痛时间、住院时间、生活质量评分、下地行走时间和卫生习惯、依从性进行评价,数据采用SPSS16.0软件进行统计分析。结果两组患者护理后,对照组7例患者发生感染,感染率17.5%,观察组发生感染1例,感染率2.5%,差异有统计学意义(P<0.05);两组患者在C-反应蛋白、白细胞计数、血沉、切口疼痛时间、住院时间、生活质量评分、下地行走时间比较,差异均有统计学意义(P<0.05);两组患者卫生习惯、依从性在护理前比较,差异无统计学意义,而护理后与护理前比较,差异有统计学意义(P<0.05)。结论术前模拟训练护理指导能降低结直肠梗阻手术患者术后感染的发生,且有助于医患关系和谐。OBJECTIVE To evaluate preoperative simulation training and guidance on reducing postoperative infection in patients with intestinal obstruction so as to improve the level of clinical treatment.METHODS Totally80 cases of patients with colorectal obstruction admitted and treated during Oct.2011-Mar.2013 were enrolled in this study and were divided into the control group and the observation group with 40 cases in each group.The control group received routine care,while the observation group received nursing by nurses with preoperative simulation training.The postoperative infection rate,as well as C-reactive protein,white blood cell count,erythrocyte sedimentation rate,time of incision pain,length of stay,quality of life scores,ambulation time,health habits and compliance were evaluated after treatment.Data were statistically analyzed by the software SPSS16.0.RESULTS After nursing,7cases（the infection rate 17.5%）in the control group and 1case（2.5%）in the observation group had infection the difference was significant（P〈 0.05）.The differences in C-reactive protein,white blood cell count,erythrocyte sedimentation rate,time of incision pain,length of stay,quality of life scores,and ambulation time were significant between the two groups（P 0.05）.Before nursing,the differences in health habits and compliance between the two group were not significant,while the difference in these indicators after nursing was significant compared to before nursing（P〈0.05）.CONCLUSIONPreoperative simulation training and nursing guidance can reduce the incidence of postoperative infections in patients with colorectal obstruction and contribute to harmonious doctor-patient relationship.

关 键 词：术前模拟训练护理 结直肠梗阻术 术后感染 

分 类 号：R619.3[医药卫生—外科学]