论文部分内容阅读
目的 探讨改进手术室综合护理干预策略预防消化道手术切口感染的效果.方法 随机选取2016年行消化道手术的患者170例作为观察组, 行手术室综合护理干预, 选取2015年行消化道手术患者170例作为对照组, 行常规手术室护理干预. 记录两组手术时间、住院时间、住院费用及各项护理措施落实合格率, 比较两组切口愈合情况及手术切口感染率.结果 观察组手术时间、住院时间短于对照组, 住院费用少于对照组, 差异有统计学意义(P <0.05);观察组术区备皮、术中保温落实合格率分别为98.82%、 98.24%高于对照组的94.12%、92.94%, 差异具有统计学意义(P <0.05);观察组切口甲级愈合率为 91.18%高于对照组的82.94%, 切口感染率为0.59%低于对照组的4.70%, 差异有统计学意义(P <0.05).结论 改进手术室综合护理干预策略可进一步落实各项护理措施, 减少消化道手术切口感染率, 缩短患者住院时间.“,”AIM To explore the effect of modified comprehensive nursing intervention strategy in operating room in preventing incision infection after digestive tract operation. METHODS One hundred and seventy patients undergoing digestive tract operation in 2016 were selected as an observation group, and they were given comprehensive nursing intervention in operating room. Another 170 patients undergoing digestive tract operation in 2015 were selected as a control group, and they were given routine nursing intervention in operating room. The operative time, length of hospital stay, hospitalization expenses, and the qualification rate of implementing all nursing measures in the two groups were recorded. The situation of incision healing and incision infection rate were also compared between the two groups. RESULTS The operative time, length of hospital stay, and hospitalization expenses of the observation group were significantly shorter or less than those of the control group (P< 0.05). The qualification rates of skin preparation in operative region and intraoperative heat preservation in the observation group (98.82% and 98.24%) were significantly higher than those in the control group (94.12% and 92.94%; P< 0.05). The grade I healing rate of incision in the observation group was significantly higher than that in the control group (91.18% vs 82.94%, P< 0.05), and the incision infection rate was significantly lower than that in control group (0.59% vs 4.7%, P< 0.05). CONCLUSION The modified comprehensive nursing intervention strategy in operating room can help implement various nursing measures, reduce the incision infection rate after operation, and shorten the length of hospital stay in patients undergoing digestive tract operation.