围术期护理干预对骨关节置换术后患者感染及并发症控制的影响研究  

Effect of Perioperative Nursing Intervention on Infection and Complications Control of Patients after Bone and Joint Replacement

作　　者：李道焕 LI Dao-huan(Yanggu County People's Hospital,Liaocheng 252300,China)

机构地区：[1]山东省聊城市阳谷县人民医院,山东聊城252300

出　　处：《中国医药指南》2020年第11期23-24,27,共3页Guide of China Medicine

摘　　要：目的探讨围术期护理干预对骨关节置换术后患者感染及并发症发生率的影响。方法选取我院(2017年5月至2019年5月)收治的84例骨折患者,均接受骨关节置换术治疗,根据不同护理分为两组,两组患者均接受各项生命体征检测、保持病房清洁、遵医嘱用药、健康宣教等常规护理护理,对照组(n=42)接受常规护理,观察组(n=42)接受围术期护理,包括术前访视、术前用药护理、物品准备、层流手术室的准备,术中专业技能提升、优质护理、无菌管理,术后安全转运、康复训练、术后随访等措施。对比两组患者感染发生率(切口感染、肺部感染、尿路感染)和并发症发生率(脱位、便秘)以及护理满意度。结果观察组患者感染发生率4.76%(2/42),对照组患者感染发生率21.43%(9/42),两组患者感染发生率对比差异明显(χ^2=12.2093,P<0.05)。观察组患者的并发症发生率9.52%(4/42),对照组为23.81%(10/42),两组患者并发症发生率对比差异明显(χ^2=7.3519,P<0.05)。观察组患者的护理总满意度95.24%(40/42),对照组患者的护理总满意度95.24%(40/42),两组患者护理满意度对比差异明显(χ^2=20.4106,P<0.05)。结论围术期护理干预对骨关节置换术后患者感染控制具有积极的影响,并且显著降低并发症发生率,提高护理满意度,临床应用效果满意。Objective To explore the effect of perioperative nursing intervention on the incidence of infection and complications in patients after bone and joint replacement.Methods 84 fracture patients in our hospital(from May 2017 to May 2019)were divided into two groups according to different nursing.The patients in the two groups received routine nursing care,such as vital signs test,keeping the ward clean,following the doctor's instructions,health education,etc.The control group(n=42)received routine nursing and the observation group(n=42)received perioperative nursing,Including preoperative visit,preoperative medication care,article preparation,laminar fl ow operating room preparation,intraoperative professional skills improvement,quality care,aseptic management,safe transportation after surgery,rehabilitation training,postoperative follow-up and other measures.The incidence of infection(incision infection,lung infection,urinary tract infection)and complications(dislocation,defecation)were compared between the two groups Secret)and nursing satisfaction.Results The incidence of infection was 4.76%(2/42)in the observation group and 21.43%(9/42)in the control group.There was a signifi cant difference between the two groups(χ^2=12.2093,P<0.05).The incidence of complications was 9.52%(4/42)in the observation group and 23.81%(10/42)in the control group.The total nursing satisfaction of the observation group was 95.24%(40/42)and the control group was 95.24%(40/42).There was a signifi cant difference between the two groups(χ^2=20.4106,P<0.05).Conclusion Perioperative nursing intervention has a positive impact on infection control of patients after bone and joint replacement,and signifi cantly reduces the incidence of complications,improves nursing satisfaction,clinical application effect is satisfactory.

关 键 词：围术期 护理干预 骨关节置换术 院内感染 并发症 

分 类 号：R473.6[医药卫生—护理学]