量化评估策略下的手术室护理结合葡萄糖氯己定皮肤消毒液备皮对直肠癌患者术后感染的影响  

Effect of Operating Room Nursing Combined with Glucose Chlorhexidine Skin Disinfectant on Postoperative Infection in Patients with Rectal Cancer Under Quantitative Evaluation Strategy

作　　者：李志萍 王柯 胡佳静[2] 程慧敏[1] Li Zhiping;Wang Ke;Hu Jiajing(Operating Room,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州大学第一附属医院手术部,河南郑州450000 [2]许昌职业技术学院,河南许昌461000

出　　处：《黑龙江医学》2024年第13期1623-1625,1629,共4页Heilongjiang Medical Journal

摘　　要：目的:为了探究量化评估策略下的手术室护理结合葡萄糖氯己定皮肤消毒液备皮对直肠癌患者术后感染的影响。方法:选取2020年9月—2022年9月郑州大学第一附属医院进行手术治疗的86例直肠癌患者作为研究对象,采用随机数表法分为对照组和试验组,每组各43例。对照组患者给予常规护理干预结合葡萄糖氯己定皮肤消毒液备皮,试验组患者实施基于量化评估策略下的手术室护理干预结合葡萄糖氯己定皮肤消毒液备皮。结果:试验组患者的住院时间、术中出血时间、术后首次排气时间以及术后首次排便时间均显著短于对照组,差异有统计学意义(t=7.371、5.318、8.257、9.262,P<0.05);试验组患者的肾上腺素指标、去甲肾上腺素指标以及血清皮质醇指标均显著低于对照组,差异有统计学意义(t=6.145、6.772、10.537,P<0.05);试验组并发症发生率显著低于对照组,差异有统计学意义(χ^(2)=3.890,P<0.05);试验组患者护理满意度显著高于对照组,差异有统计学意义(χ^(2)=8.870,P<0.05)。结论:直肠癌患者在手术的过程中使用量化评估策略下的手术室护理结合葡萄糖氯己定皮肤消毒液备皮,可以有效优化患者的手术指标,减轻患者术后应激程度,降低并发症发生率,提高患者对护理的满意程度。Objective:To explore the effect of operating room nursing combined with glucose chlorhexidine skin disinfectant skin preparation on postoperative infection in patients with rectal cancer under quantitative evaluation strategy.Methods:A total of 86 patients with rectal cancer who underwent surgical treatment in the First Affiliated Hospital of Zhengzhou University from September 2020 to September 2022 were selected as the research objects,and they were divided into control group and experimental group,with 43 cases in each group.The control group was given routine nursing intervention combined with dextrochlorhexidine skin disinfectant for skin preparation,and the experimental group was given operating room nursing intervention combined with dextrochlorhexidine skin disinfectant based on quantitative evaluation strategy for skin preparation.Results:The hospitalization time,intraoperative bleeding time,postoperative first exhaust time and postoperative first defecation time of the experimental group were significantly shorter than those of the control group(t=7.371,5.318,8.257,9.262;P<0.05).The epinephrine index,norepinephrine index and serum cortisol index of the experimental group were significantly lower than those of the control group(t=6.145,6.772,10.537;P<0.05).The incidence of complications in the experimental group was significantly lower than the control group(χ^(2)=3.890,P<0.05).The total satisfaction with nursing in the experimental group was significantly higher than the control group(χ^(2)=8.870,P<0.05).Conclusion:The use of operating room nursing under the quantitative evaluation strategy combined with glucose chlorhexidine skin disinfectant for skin preparation in patients with rectal cancer during surgery can effectively optimize the surgical indicators of patients,reduce the degree of postoperative stress,reduce the incidence of complications,and effectively improve patients’satisfaction with nursing.

关 键 词：量化评估策略 手术室护理 直肠癌 葡萄糖氯己定 备皮 感染 

分 类 号：R47[医药卫生—护理学]