手术室精细化护理对胫腓骨开放骨折伴皮肤缺损术后感染的预防效果  

Preventive effect of refined nursing in the operating room on postoperative infection of open tibiofibular fractures with skin defects

作　　者：金清[1] 赏后来[2] JIN Qing;SHANG Houlai(Surgical Anesthesiology Department,The Affiliated Huai an No.1 People's Hospital of Nanjing Medical University,Huai'an,Jiangsu 223300,China;不详)

机构地区：[1]南京医科大学附属淮安第一医院手术麻醉科,江苏淮安223300 [2]南京医科大学附属淮安第一医院骨科,江苏淮安223300

出　　处：《中国临床研究》2023年第12期1920-1924,共5页Chinese Journal of Clinical Research

摘　　要：目的评估在手术室采用精细化护理干预对预防胫腓骨开放骨折伴皮肤缺损患者术后感染的效果。方法回顾性分析2018年1月至2020年12月淮安市第一人民医院骨科收治的86例单侧胫腓骨开放性骨折伴皮肤缺损患者的临床资料,随机分为观察组44例和对照组42例,对照组给予常规护理措施,观察组给予手术室精细化护理干预。记录并对比两组患者术后感染的发生率、手术切口和骨折的愈合时间、术后住院时间及护理满意度。结果观察组切口愈合情况优于对照组(Z=2.833,P=0.005)。与对照组相比,观察组术后切口愈合时间[(14±5)d vs(18±8)d,t=2.794,P=0.006]、骨折愈合时间[(60±13)d vs(68±11)d,t=3.074,P=0.003]和术后住院时间[(21±7)d vs(32±7)d,t=7.0274,P<0.001]均较短。观察组患者护理满意度为97.73%,明显高于对照组的78.57%,差异有统计学意义(χ2=5.922,P=0.015)。两组患者术后均无压疮发生。结论对胫腓骨开放骨折伴皮肤缺损患者实施手术室精细化护理干预,可明显减少患者术后感染并发症,促进患者术后恢复,提高患者的护理满意度。Objective To investigate the effect of refined nursing in operation room on postoperative infection of open tibiofibular fractures with skin defects.Methods From January 2018 to December 2020,a total of 86 patients with open tibiofibular fractures combined with skin defects who received treatment at Department of Orthopedics,Huai an First People's Hospital were analyzed retrospectively.The patients were divided into observation group(n=44)and control group(n=42)randomly.The control group received routine nursing measures,while the observation group received refined nursing interventions in the operating room.The incidence of postoperative infections,healing time of surgical incisions and fractures,postoperative hospital stay time,and nursing satisfaction between the two groups of patients were recorded and compared.Results The observation group showed better wound healing than the control group(Z=2.833,P=0.005).Compared with the control group,the observation group had shorter postoperative incision healing time[(14±5)d vs(18±8)d,t=2.794,P=0.006],fracture healing time[(60±13)d vs(68±11)d,t=3.074,P=0.003],and postoperative hospitalization time[(21±7)d vs(32±7)d,t=7.0274,P<0.001].The nursing satisfaction of patients in the observation group was significantly higher than that of the control group(97.73%vs 78.57%,χ2=5.922,P=0.015).No pressure ulcers occurred in both groups of patients after surgery.Conclusion Implementing refined nursing interventions in the operating room for patients with open tibiofibular fractures and skin defects can significantly reduce postoperative infection complications,promote postoperative recovery,and improve patient nursing satisfaction.

关 键 词：精细化护理 手术室 开放性骨折 胫腓骨 皮肤缺损 术后感染 护理满意度 

分 类 号：R473.6[医药卫生—护理学]