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目的了解Ⅰ类切口手术部位感染发生率及其影响因素,为制定护理对策提供科学依据。方法采用前瞻性目标监测的方法对2015年1月至2016年11月3485例Ⅰ类切口手术患者进行调查,调查内容包括患者年龄、性别、科室、手术季度、手术时长、植入物、是否急诊、是否预防用药、术中出血、感染情况等。采用SPSS 17.0软件进行分析。结果结果共有46例发生手术部位感染,感染率为1.32%,单因素分析显示:科室、性别、年龄、手术季度、植入物、手术时长为感染发生的危险因素(P<0.05)。多元Logistics回归分析显示,性别、年龄和手术时长是Ⅰ类切口手术部位感染的独立危险因素(P<0.05),影响强度由大到小依次为性别、年龄和手术时长。结论应采取积极的护理措施来降低Ⅰ类切口手术部位感染的发生,包括手术室和病房环境管理,重视术前皮肤准备工作,正确处理植入物相关器械,关注男性和老年患者,缩短手术时长等。
Objective To understand the incidence and influencing factors of surgical incision in type Ⅰ incision and to provide a scientific basis for formulating nursing countermeasures. Methods The prospective target monitoring method was used to investigate 3485 type Ⅰ incision patients from January 2015 to November 2016. The survey included age, gender, department, operation season, operation time, implant, whether emergency , Whether to prevent medication, intraoperative bleeding, infection and so on. Using SPSS 17.0 software for analysis. RESULTS: A total of 46 patients had surgical site infection with infection rate of 1.32%. Univariate analysis showed that the risk factors for infection were department, gender, age, operation season, implant and operation duration (P <0.05). Multivariate logistic regression analysis showed that sex, age and duration of operation were independent risk factors for type Ⅰ incision site infection (P <0.05). The influencing intensities in descending order were sex, age and duration of operation. Conclusions Positive nursing measures should be taken to reduce the incidence of surgical incision in Class I incision, which includes environmental management of operation room and ward, emphasis on preoperative skin preparation, correct treatment of implant related equipment, attention to male and elderly patients, shortening the operation time Wait.