手术室护理对降低胸外科手术术后肺部感染率的影响  

The Impact of Operating Room Nursing on Postoperative Pulmonary Infection on Department of Thoracic Surgery

作　　者：于竞璟[1] 刘惠[1] 邵丽[1] 

机构地区：[1]新疆医科大学第一附属医院手术室,新疆乌鲁木齐830054

出　　处：《继续医学教育》2015年第10期136-137,共2页Continuing Medical Education

摘　　要：目的探讨手术室护理对降低胸外科手术术后肺部感染率的影响。方法收集2012年3月~2014年5月在我院胸外科行手术治疗的204例患者。采用随机数字表法将204例分为对照组和观察组,各102例。对照组采取常规手术护理,观察组行手术室强化护理干预。结果实施护理干预前,观察组与对照组对感染知识防控的掌握情况比较,差异无统计学意义（χ2=0.040,P=0.482）。护理干预后,观察组对感染防控知识掌握较好的患者多于对照组（χ2=8.365,P=0.002）;观察组恶性肿瘤患者、非恶性肿瘤患者手术后肺部感染发生率均低于对照组（χ2=4.880、20.994,均P〈0.05）;观察组患者对护理满意度高于对照组（χ2=17.430,P〈0.05）。结论手术室强化护理干预能有效防控胸外科术后肺部感染的发生率,患者对感染防控知识掌握的更好,对护理工作满意度更高。Objective To investigate the effect of operating room nursing on postoperative pulmonary infection on department of thoracic surgery. Methods 204 patients were admitted to this study in our hospital from March 2012 to May 2014. A random number table method was used to divide 204 cases patients into control group and observation group,each group of 102 cases. The control group took conventional nursing,the observation group were underwent operating room nursing intervention. Results Before the implementation of nursing,the situation of infection prevention and control knowledge of observation group and control group was observed,the difference was not statistically significant（χ^2=0.040,P=0.482）. After nursing intervention,infection prevention level in observation group was significantly higher than the control group（χ^2=8.365,P=0.002）. Cancer patients and non-malignant lung infection after surgery patients in the observation group were significantly lower than the control group（χ^2 =4.880,20.994,all P〈0.05）. The observation group were significantly higher for nursing satisfaction（χ^2=17.430,P〈0.05）. Conclusion The operating room nursing intervention can effectively strengthen the prevention and control of thoracic surgery,the incidence of postoperative pulmonary infection,prevention and control of infection in patients with a better grasp of knowledge on nursing job satisfaction higher.

关 键 词：手术室护理 肺部感染 手术 胸外科 

分 类 号：R472.3[医药卫生—护理学]