摘要
目的观察手术后护理在预防消化道手术术后切口感染中的作用效果,为提高护理效果降低术后切口感染提供指导。方法选取医院2009年2月-2012年2月收治的消化道择期手术患者520例作为研究资料,将其随机均分为两组,对照组采用常规护理,观察组在对照组基础上采用综合护理,观察两组患者切口甲级愈合率、切口感染率及愈合时间。结果两组患者手术切口情况及满意度比较,观察组260例,切口甲级愈合223例,切口感染15例,感染率5.8%,愈合时间(7.3±2.5)d,患者满意度95.0%;对照组切口甲级愈合182例,切口感染39例,感染率15.0%,愈合时间(9.6±3.6)d,患者满意度80.0%,两组比较,观察组手术切口愈合率及患者满意度均优于对照组,切口感染率低于对照组,差异有统计学意义(P<0.05)。结论在临床护理过程中,提高患者全身状况、做好肠道准备、合理应用抗菌药物、同时严密护理切口,对减轻患者的不良心理、提高愈合效果、降低术后感染发生有重要作用。
OBJECTIVE To observe the clinical effect of operating room management combined with nursing care m prevention of surgical incision infections after the gastrointestinal operation so as to improve the effect of nursing for postoperative incision infections. METHODS A total of 520 cases of patients, who underwent selective gastrointestinal surgery from Feb. 2010 to Feb. 2012, were selected as the study objects and randomly divided into two groups,the control group was treated with the routine nursing, and the observation group was treated with comprehensive care on the basis of the treatment of the control group. The healing rate, infection rate and healing time of the two groups were observed. RESULTS As compared with the surgical incision infections and the satisfaction between the two groups , in the observation group there were 260 cases investigated , among which there were 223 cases with incision A healed and 15 （5.8%） cases with incision infections, the healing time was （7.3± 2.5）d, and 95.0% of the patients were satisfied with the treatment; in the control group there were 182 cases with the incision A healed and 39 （15.0%） cases with the incision infections, the healing time was （9.6± 3.6）d, and 80.0% of the patients were satisfied with the treatment; both the healing rate of the surgical incision and the satisfaction of the observation group were superior to the control group, the incidence rate of the incision infections was lower in the observation group than in the control group, the difference was statistically significant （P〈0.05）. CONCLUSION It＇s important to improve the patients＇general conditions, reasonably use antibiotics, and strictly prepare the nursing of incision so as to relieve the adverse mind and improve the healing effect.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第6期1330-1331,共2页
Chinese Journal of Nosocomiology
关键词
手术
护理
消化道手术
Operation
Nursing
Gastrointestinal operation
