摘要
目的探讨影响老年全髋关节置换术患者发生手术室感染的危险因素及总结护理干预方法。方法研究对象为本院骨科在2018年8月-2020年8月收治的400例采用全髋关节置换术治疗的老年患者,通过随机数表法将其分为对照组和试验组(各200例),分别开展常规护理和针对性护理干预,比较其护理后的手术室感染发生率,同时将两组中发生手术室感染的患者列为感染组,其余为未感染组,通过对患者一般资料及手术治疗情况等对可能影响其发生手术室感染的危险因素进行分析。结果试验组手术室感染发生率明显低于对照组(P<0.05)。性别、年龄、麻醉方式以及BMI和患者手术室感染发生无显著相关(P>0.05)。手术时间、合并糖尿病、血红蛋白以及手术性质和患者手术室感染发生存在显著相关(P<0.05)。多因素Logistic回归分析结果显示导致患者发生手术室感染的独立危险因素为手术时间、血红蛋白以及手术性质(P<0.05)。结论导致老年全髋关节置换术患者发生手术室感染的独立危险因素为手术时间、血红蛋白以及手术性质,对患者采取针对性护理干预有利于降低其手术室感染风险。
Objective To analyze risk factors and nursing intervention of operating room infection in elderly patients undergoing total hip arthroplasty.Methods The subjects were 400 elderly patients who were treated with total hip arthroplasty in the department of orthopaedics of our hospital from August 2018 to August 2020.They were randomly divided into control group(n=200)and experimental group(n=200).Routine nursing and targeted nursing intervention were carried out respectively,and the incidence of operating room infection was compared.At the same time,the patients with operating room infection in the two groups were classified as infection group,and the others were uninfected group.Through the analysis of the general data and surgical treatment of the patients,the risk factors that may affect the occurrence of operating room infection were analyzed.Results The incidence of operating room infection in the experimental group was significantly lower than that in the control group(P<0.05).Sex,age,mode of anesthesia and BMI were not significantly correlated with operating room infection,but operation time,diabetes,hemoglobin and the nature of operation were significantly correlated with operating room infection.The results of multivariate Logistic regression analysis showed that the independent risk factors of operating room infection were operation time,hemoglobin and the nature of operation(P<0.05).Conclusion The independent risk factors leading to operating room infection in elderly patients undergoing total hip arthroplasty are operation time,hemoglobin and the nature of operation.Targeted nursing intervention for patients is helpful to reduce the risk of operating room infection.
作者
刘碧灵
周丽映
LIU Biling;ZHOU Liying(Operation Room,Huidong People’s Hospital,Huizhou,Guangdong,516300;Medical Examination Center,Huidong People’s Hospital,Huizhou,Guangdong,516300)
出处
《智慧健康》
2022年第32期214-217,共4页
Smart Healthcare
关键词
老年
全髋关节置换术
手术室感染
危险因素
护理干预
Elderly
Total hip arthroplasty
Operating room infection
Risk factors
Nursing intervention
