摘要
目的通过围手术期护理干预,降低人工关节置换术后手术部位感染率,提高患者对护理的满意度。方法回顾性分析医院2011年5月-2013年4月收治的123例关节置换患者临床资料,将2011年5月-2012年4月接受常规护理的58例患者作为对照组,2012年5月-2013年4月予以围手术期护理干预的65例患者作为护理干预组,观察围手术期护理干预前后切口的甲级愈合率和术后手术部位感染的发生率,分析发放的护理满意度调查问卷。结果护理干预组的65例患者手术切口均为甲级愈合,术后随访无手术部位感染发生,对照组58例的手术切口甲级愈合率89.65%,术后随访手术部位感染发生率为1.72%;对围手术期护理满意率护理干预组患者为96.83%、干预组家属为89.47%,对照组患者为60.00%,对照组家属为53.49%,护理干预组患者及家属对围手术期护理满意度均明显高于对照组,差异有统计学意义(P<0.05)。结论完善的术前准备以及术中进行空气、患者皮肤、保暖和手术器械等方面的护理干预可明显提高人工关节置换术后切口的甲级愈合率。
OBJECTIVE To study the effect of perioperative nursing care intervention on decreasing the rate of surgical site infection for patients with arthroplasty replacement and increasing the satisfactory ratio from patients. METHODS Retrospective analysis of 123 patients with arthroplasty replacement at Chunan First Prefecture People ＇s Hospital was conducted from May 2011 to Apr. 2013. Among them 58 cases of routing care from May 2011 to Apr. 2012 were selected as the control group. Then 65 patients performing perioperative nursing care intervention from May 2012 to Apr. 2013 were selected as nursing intervened group. A-class healing rate and the rate of surgi- cal site infeetion in perioperative period were observed before and after implementation of nursing care intervention. The questionnaires of nursing care satisfaction issued to patients were also analyzed. RESULTS The incision series A-class healing was achieved in all 65 cases of nursing intervened group and surgical site infection was not found after operation. The rate of incision series A-class healing was 89.65% and the rate of surgical site infection was 1.72% in the control group. The satisfaction rates for perioperative nursing care from patients and their relatives in nursing intervened group were 96.83% and 89.47% separately. Compared with that in control group, the satisfaction rates were only 60.00% and 53.49%. The ratio of satisfaction for perioperative nursing care from patients and their relatives in nursing intervened group was higher than that in the control group. The difference was significant （P 〈0. 05）. CONCLUSION Impeccable preoperative preparation with nursing care intervention specialized performing on air, skin, keeping-warm and surgical instruments may significantly increase the rate of incision series A-class healing and decrease the rate of surgical site infection for patients with arthroplasty replacement.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第3期653-655,共3页
Chinese Journal of Nosocomiology
基金
浙江省科技厅基金资助项目(2012C33069)
浙江省自然科学基金资助项目(LY14H060006)
关键词
围手术期
护理干预
人工关节置换术
甲级愈合
手术部位感染
Perioperative
Nursing care intervention
Artificial arthroplasty replacement
A-class healing
Surgical site infection
