摘要
目的探讨胃肠肿瘤手术住院患者营养风险及术后感染相关性。方法采取横断面调查方式且参考多阶段整群随机抽样法,选取2018年12月至2019年12月间上海市第十人民医院腹部疑难诊治中心收治的86例胃肠肿瘤手术住院患者。并调查胃肠肿瘤手术住院患者营养风险及术后感染状况,分析胃肠肿瘤手术住院患者营养风险因素及与术后感染性相关性。结果胃肠肿瘤手术住院患者营养风险者术后感染率高于无营养风险者、术后未感染率低于无营养风险者,差异均有统计学意义(均P<0.05)。术后感染因素中合并慢性病、美国麻醉协会(ASA)分级、手术方式、手术时间、住院时间、护理人员手卫生、营养风险、营养支持构成比分别比较,差异均有统计学意义(均P<0.05)。线性相关性分析显示术后感染与营养风险、营养支持相关性最为显著,与合并慢性病、美国麻醉协会(ASA)分级、手术时间、住院时间、护理人员手卫生具有一定相关性,与手术方式无相关性;多元性回归方程显示模型中相关系数(R=0.577,R_(2)=0.350),回归模型(F=3.93,P=0.01),提示胃肠肿瘤手术住院患者术后感染与营养风险和营养支持具有线性回归关系。结论胃肠肿瘤手术住院患者仍存在营养风险,加强患者营养风险筛查且有针对性的给予相应的营养支持有助于提升患者营养储备,避免营养风险恶化,益于降低术后感染发生率和感染严重程度,加速术后康复。
Objective To investigate the relationship between nutritional risk and postoperative infection in inpatients undergoing surgery for gastrointestinal tumors. Methods A cross-sectional survey method was adopted and the multi-stage cluster random sampling method was used to finally determine the sample size of 86 inpatients with gastrointestinal tumor surgery at Shanghai Tenth People’s Hospital Affiliated to Tongji University from December 2018 to December 2019. The nutritional risk and postoperative infection status were investigated in inpatients undergoing surgery for gastrointestinal tumors. The association between nutritional risk factors and postoperative infection was analyzed. Results The postoperative infection rate was higher in those with nutritional risk than those without nutritional risk( P<0.05). There were significant differences in postoperative infectious factors including chronic disease,American Anesthesiology Association( ASA) classification,operation method,duration of operation,length of hospital stay,nurses hand hygiene,nutritional risk and nutritional support composition ratio between the two groups( all P <0. 05). Linear correlation analysis showed that postoperative infection is associated with chronic diseases,ASA classification,duration of operation,length of hospital stay,and nurses hand hygiene instead of operation methods. The multiple regression equation showed that the correlation coefficient in the model( R =0. 577,R_(2)= 0. 350) and regression model( F = 3. 932,P = 0. 000) suggested that there is a linear regression relationship between postoperative infection and nutritional risk and nutritional support in inpatients undergoing surgery for gastrointestinal tumors. Conclusion Nutritional risk still exists in inpatients undergoing surgery for gastrointestinal cancer. Strengthened screening of nutritional risk and corresponding nutritional support can help to enhance the nutritional reserve and avoid the deterioration of nutritional risk,which is beneficial to reduce the incidence and severity of postoperative infection and speed up postoperative recovery.
作者
言赟
孙静
YAN Yun;SUN Jing(Difficult and Comlex Abdominal Surgery Center,Shanghai Tenth People’s Hospital Affiliated to Tongji University,Shanghai 200072,China)
出处
《中国肿瘤临床与康复》
2021年第6期764-768,共5页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
胃肠肿瘤
术后感染
营养风险
营养支持
相关性
Gastrointestinal neoplasms
Postoperative infection
Nutritional risk
Nutritional support
Association
作者简介
言赟,女,护师,主要从事腹部胃肠道等疑难外科疾病护理专业;通信作者:孙静,Email:18917683446@163.com。
