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目的探讨骨科手术患者发生切口感染的手术室相关因素及护理干预效果。方法回顾性分析2015年3月~2016年3月在我院骨科手术治疗292例患者的临床资料,并做为观察组,同时选取2014年2月~2015年2月在我院骨科手术治疗的218例患者为对照组,对两组患者进行手术室相关因素评估,并对观察组进行护理干预;对照组仅采用常规护理,比较两组患者手术切口感染发生率。结果非层流手术室、手术时间长、参观人员多、急诊手术和接台手术室是骨科手术患者发生切口感染的独立危险因素。两组护理后,观察组手术切口感染发生率(3.4%)显著低于对照组(10.6%)(P<0.05)。结论对导致手术切口感染的手术室相关危险因素进行分析,并采用针对性护理干预,可大大降低骨科手术的手术切口感染率。
Objective To investigate the operating room-related factors and nursing intervention in patients with incision infection in orthopedic surgery. Methods The clinical data of 292 patients undergoing orthopedic surgery in our hospital from March 2015 to March 2016 were retrospectively analyzed. The clinical data of the patients undergoing orthopedic surgery in our hospital from February 2014 to February 2015 were retrospectively analyzed. 218 patients as the control group, the two groups of patients operating room-related factors assessment, and the observation group nursing intervention; control group only with routine care, the incidence of surgical incision infection in both groups were compared. Results Non-laminar flow operation room, long operation time, many visitors, emergency operation and access to the operating room were independent risk factors for incision infection in patients with orthopedic surgery. After the two groups were treated, the incidence of surgical incision infection in the observation group (3.4%) was significantly lower than that in the control group (10.6%) (P <0.05). Conclusion The risk factors associated with surgical incision infection in the operating room were analyzed and targeted nursing interventions were used to significantly reduce the surgical incision infection rate in orthopedic surgery.