手术室护理干预在预防胃肠道手术患者切口感染的临床效果观察  

Clinical Effect of Nursing Intervention in Operating Room on Prevention of Incision Infection in Patients Undergoing Gastrointestinal Operation

作　　者：李旭 LI Xu(Shenyang Red Cross Hospital,Shenyang 110001,China)

机构地区：[1]沈阳市红十字会医院,辽宁沈阳110001

出　　处：《中国医药指南》2020年第17期289-291,共3页Guide of China Medicine

摘　　要：目的探讨手术室护理干预在预防胃肠道手术患者切口感染的临床效果。方法纳入本组研究中的84例胃肠道手术患者均来自我院,病例资料入选时间自2018年3月至2019年3月,将所有手术患者按照盲综合序贯法随机分成对照组42例和研究组42例,分别采取常规护理干预与预见性护理干预,记录两组患者的相关治疗指标,并评估切口愈合情况和切口感染情况。结果研究组患者的手术时间、术后排气时间、术后排便时间和住院时间均明显低于对照组,且患者的住院费用明显少于对照组,有统计学意义(t=2.696、16.461、14.725、5.070、7.241;P<0.05)。研究组患者的切口愈合情况明显优于对照组,组间数据相比较无显著的差异(P<0.05)。研究组患者的切口感染发生率为2.50%,与对照组的切口感染发生率22.50%,数据相比较差异无显著性(χ^2=7.264,P<0.05)。结论在手术室护理中将预见性干预用于在胃肠道手术患者的护理中有助于提高手术效果,促进术后排气和术后排便,缩短手术时间和住院时间,降低切口感染发生率,提高切口愈合率,值得在临床上进行深入研究和推广。Objective To explore the clinical effect of operating room nursing intervention in preventing incision infection in patients undergoing gastrointestinal surgery.Methods Included in this study,84 patients with gastrointestinal surgery were from our hospital,clinical data included in the time since March 2018-March 2019,will all surgery patients according to blind comprehensive sequential method randomly divided into control group,42 cases and 42 cases of study group,routine nursing intervention and predictive nursing intervention were taken respectively,records related to treatment in patients with two groups of indicators,and evaluate healing of incision and incision infection.Results Group patients the results of the operation time,postoperative exhaust time,postoperative defecation time and hospital stay were significantly lower than the control group,and the hospitalization expenses of patients with significantly less than the control group,compared data inspection was statistically significant(t=2.696,16.461,14.725,5.070,7.241;P<0.05).The wound healing of patients in the study group was significantly better than that in the control group,and there was no significant difference between the two groups(P<0.05).The incidences of incisional infection were 2.50%in the study group and 22.50%in the control group,with no significant difference(χ^2=7.264,P<0.05).Conclusion Predictive intervention in operating room nursing is helpful to improve the surgical effect,promote postoperative exhaust and postoperative defecation,shorten the operation time and hospital stay,reduce the incidence of incision infection,improve the wound healing rate,which is worthy of in-depth study and promotion in clinical practice.

关 键 词：手术室护理干预 胃肠道手术 切口感染 临床效果 

分 类 号：R473.6[医药卫生—护理学]