系统健康教育联合手术室围术期护理干预对腹部外科手术患者预防切口感染情况的研究  

Study on Systematic Health Education Combined with Perioperative Nursing Intervention in Operating Room to Prevent Incision Infection in Patients Undergoing Abdominal Surgery

作　　者：廖慧玲 陈金华 姚娇[1] LIAO Huiling;CHEN Jinhua;YAO Jiao(Operating Room,Zhongshan Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361004 China)

机构地区：[1]厦门大学附属中山医院手术室,福建厦门361004

出　　处：《中外医疗》2023年第36期156-159,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨腹部外科手术患者实施系统健康教育联合手术室围术期护理干预对其切口感染的预防效果和意义。方法 随机选择2021年3月—2023年5月厦门大学附属中山医院进行腹部手术的80例患者为研究对象。以随机平均的原则将患者分为对照组(40例)和研究组(40例)。对照组采用手术室围术期护理,研究组在此基础上联合系统健康教育。对比两组切口感染发生情况、不良情绪评分、临床指标、护理依从性和护理满意度。结果 研究组术后切口感染发生率为2.50%,低于对照组的20.00%,差异有统计学意义(χ^(2)=4.507,P=0.034)。研究组护理后焦虑、抑郁不良情绪评分均低于对照组,差异有统计学意义(P均<0.05)。研究组各项临床指标均优于对照组,差异有统计学意义(P<0.05)。研究组护理依从性和护理满意度高于对照组,差异有统计学意义(P均<0.05)。结论 系统健康教育联合手术室围术期护理能够预防腹部外科手术术后切口感染,可减轻其不良情绪以缓解心理应激反应,有利于提高护理依从性、促进康复,患者满意度较高。Objective To explore the preventive effect and significance of implementing systematic health education combined with perioperative nursing intervention in the operating room on incision infection in patients undergoing abdominal surgery.Methods A total of 80 patients who underwent abdominal surgery in Zhongshan Hospital Affiliated to Xiamen University from March 2021 to May 2023 were randomly selected as the study subjects.According to the principle of random average,the patients were divided into control group(40 cases) and study group(40 cases).The control group was treated with perioperative nursing in the operating room,and the study group was combined with systematic health education on this basis.The incidence of incision infection,adverse emotion score,clinical indicators,nursing compliance and nursing satisfaction were compared between the two groups.Results The incidence of postoperative incision infection in the study group was 2.50%,which was lower than 20.00% in the control group,and the difference was statistically significant(χ^(2)=4.507,P=0.034).After nursing,the scores of anxiety and depression in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The clinical indexes of the study group were better than those of the control group,and the difference was statistically significant(P<0.05).The nursing compliance and nursing satisfaction of the study group were higher than those of the control group,and the differences were statistically significant(both P<0.05).Conclusion The combination of systematic health education and perioperative nursing in the operating room can prevent postoperative incision infections in abdominal surgery,alleviate their negative emotions,alleviate psychological stress reactions,improve nursing compliance,promote rehabilitation,and have high patient satisfaction,which is worth learning from.

关 键 词：系统健康教育 手术室护理干预 腹部外科手术 切口感染 预防效果 

分 类 号：R473.6[医药卫生—护理学]