肝脏外科手术强化护理干预对术后切口感染及相关临床指标的影响  

Impact of Enhanced Nursing Interventions on Postoperative Incision Infections and Related Clinical Indicators in Liver Surgery

作　　者：肖红梅 周亚南 王儒姣 刘丽 杨远 陆丽华 XIAO Hongmei;ZHOU Yanan;WANG Rujiao;LIU Li;YANG Yuan;LU Lihua(Operating Room of Anesthesiology,the Third Affiliated Hospital of Naval Military Medical University,Shanghai 200438,Chian;The Third Department of Liver Surgery,the Third Affiliated Hospital of Naval Military Medical University,Shanghai 200438 Chian;The Fourth Department of Liver Surgery,the Third Affiliated Hospital of Naval Military Medical University,Shanghai 200438,Chian)

机构地区：[1]海军军医大学第三附属医院麻醉科手术室,上海200438 [2]海军军医大学第三附属医院肝外三科,上海200438 [3]海军军医大学第三附属医院肝外四科,上海200438

出　　处：《中华灾害救援医学》2024年第8期978-980,共3页Chinese Journal of Disaster Medicine

基　　金：海军军医大学第三附属医院2021年度护理科研基金资助项目(21HL015)。

摘　　要：目的探讨手术室常规护理和强化护理措施对肝脏外科手术发生术后切口感染的影响。方法回顾性选取2023年3月至2023年10月本院收治的肝占位病变接受外科手术治疗的患者,根据随机数字表法分为常规护理组(对照组)和强化护理组(干预组),观察两组患者术后切口感染率、手术时间、术后2d白细胞计数,平均住院天数及满意度。结果干预组切口感染发生率为10.00%,低于对照组的18.97%(P=0.045);干预组手术所需时间及住院总时长均短于对照组(P<0.001),干预组术后2d白细胞计数低于对照组(P<0.001)。干预组患者满意度为96.00%(48/50),显著高于对照组的72.41%(42/58),P<0.05。结论手术室强化护理干预可以降低肝脏外科手术切口感染率,缩短手术和住院所需时长,提高护理满意度。Objective To investigate the impact of routine and enhanced nursing care measures on postoperative incision infections in liver surgery.Methods A retrospective study was conducted involving patients admitted from March 2023 to October 2023 for surgical treatment of liver lesions.Patients were randomly assigned to either the routine nursing care group(control group)or the enhanced nursing care group(intervention group)using a random number table.The study observed postoperative incision infection rates,surgery duration,white blood cell count on postoperative day 2,average length of hospital stay,and patient satisfaction.Results The incidence of incision infections in the intervention group was 10.00%,which was lower than the 18.97%observed in the control group(P=0.045).The intervention group had shorter surgery duration and total length of hospital stay compared to the control group(P<0.001),and the white blood cell count on postoperative day 2 was lower in the intervention group(P<0.001).Patient and family satisfaction with nursing care in the intervention group was 96.00%(48/50),significantly higher than the 72.41%(42/58)in the control group(P<0.05).Conclusion Enhanced nursing interventions in the operating room can reduce the incidence of incision infections in liver surgery,shorten surgery and hospital stay times,and improve patient satisfaction.

关 键 词：护理 癌 肝细胞 伤口感染 

分 类 号：R248.2[医药卫生—中医临床基础]