细化护理干预对普外科手术后切口感染的预防效果评估  

Evaluation of the Effect of Detailed Nursing Intervention on the Prevention of Incision Infection after General Surgery

作　　者：孙桂俊 SUN Gui-jun(Zhuanghe Central Hospital,Dalian 116400,China)

机构地区：[1]庄河市中心医院,辽宁大连116400

出　　处：《中国医药指南》2020年第21期227-228,共2页Guide of China Medicine

摘　　要：目的评析细化护理干预用于普外科护理中对预防手术后切口感染的效果。方法择取2018年1月至2019年3月我院普外科接收并实施手术治疗的116例患者为对象,依据临床护理方式的差异将这些患者分别列入细化组、基础组,各组58例,基础组对患者实行常规的普外科护理干预,细化组在常规护理方法的前提下采用细化护理干预,在护理干预过程中,记录两组患者手术后切口感染出现率及住院天数,并调查其护理满意率情况。结果细化组患者中仅有3例出现切口感染,其总出现率为5.17%(3/58);基础组患者中有12例出现切口感染,其总出现率为20.69%(12/58);细化组术后切口感染出现率低于基础组,两组对照差异具统计学意义(P <0.05)。细化组患者住院天数平均为(9.8±3.26)d,基础组患者住院天数平均为(14.2±3.79)d,细化组住院天数短于基础组,两组对照差异具统计学意义(P <0.05)。结论将细化护理干预用于普外科手术患者中的效果确切,能减少术后切口感染概率,进而保证手术疗效,加快患者康复速度,使护理满意率显著提高,建议进行推广应用。Objective To evaluate and analyze the effect of refined nursing intervention on the prevention of postoperative incision infection in general surgery nursing. Methods Will pick in January 2018-March 2019 department of general surgery, receive and implementation of surgical treatment of 116 patients, according to the difference of clinical nursing way will these patients respectively in refining group, basic group, 58 cases, constituting the basis set to implement regular general surgery nursing intervention, the patient refining group on the premise of conventional nursing methods adopt refine nursing intervention, in the process of nursing intervention, the record of two groups of patients after surgery incision infection rate and hospitalization days, and to investigate the nursing satisfaction. Results Only 3 patients in the thinning group developed incision infection, with a total incidence of 5.17%(3/58). Incisional infection occurred in 12 patients in the basic group, with a total incidence of 20.69%(12/58). The incidence of postoperative incision infection in the thinning group was lower than that in the basic group, and the difference between the two groups was statistically significant(P<0.05). The average length of hospital stay in the refined group was(9.8±3.26) days, and the average length of hospital stay in the basic group was(14.2±3.79) days. The length of hospital stay in the refined group was shorter than that in the basic group, and the difference between the two groups was statistically significant(P<0.05). Conclusion The application of refined nursing intervention in general surgery patients has a definite effect, which can reduce the probability of postoperative incision infection, ensure the surgical effect, speed up the recovery of patients, and significantly improve the nursing satisfaction rate.

关 键 词：普外科 细化护理干预 切口感染 预防 实践效果 

分 类 号：R473.6[医药卫生—护理学]