摘要
目的 探讨早期护理干预在预防骨科术后切口感染中的作用.方法 回顾性分析2011年12月～2013年12月浙江省黄岩区中医院骨科病房骨折患者82例,将早期护理干预前42例作为对照组,早期护理干预后40例作为干预组,对照组给予骨科常规护理,干预组针对骨科术后切口实施早期护理干预,比较两组术后切口感染、切口愈合情况、住院时间和满意度.结果 对照组术后切口感染4例,未发生切口感染38例,干预组术后切口感染0例,未发生切口感染40例,两组比较差异有统计学意义（x2=4.02,P＜0.05）;两组切口愈合情况比较,对照组甲级愈合22例,乙级愈合15例,丙级愈合5例,干预组甲级愈合30例,乙级愈合9例,丙级愈合1例,两组比较差异有统计学意义（x2=5.00,P＜0.05）;对照组住院时间为（11.48±2.58）d,干预组住院时间为（8.57±2.16）d,两组比较差异有统计学意义（t=5.55,P＜0.05）;对照组患者满意35例,不满意7例,干预组患者满意39例,不满意1例,两组比较差异有差异有统计学意义（x2=4.67,P＜0.05）.结论 早期护理干预能有效降低骨科术后切口感染发生率,改善切口愈合,缩短住院时间,提高患者满意度.
Objective To study the effect of early nursing interventions in the prevention of incision infection occurred in the Department of Orthopedics after operation. Methods 82 cases of fractures were from the ward of Department of Orthopedics in Traditional Chinese Medicine of Huangyan District in Taizhou City from December 2011 to December2013, 42 patients before early nursing were selected as control group and 40 patients after early nursing were selected as intervention group. The control group adopted routine postoperative nursing in Department of Orthopedics and the intervention group adopted early nursing interventions besides routine postoperative nursing. Results In control group, 4patients happened incision infection, 38 patients happened without incision infection, and in intervention group, no patients happened incision infection, 40 patients happened without incision infection, there was significantly difference between the two groups（χ2=4.02, P 〈0.05）. In control group, grade A healed in 22 cases, grade B healed in 15 cases,grade C healed in 5 cases, while in intervention group, grade A healed in 30 cases, grade B healed in 9 cases, grade C healed in 1 case, there was significantly difference between the two groups（χ2=5.00, P 〈0.05）. The hospitalized time in control group was（11.48±2.58） d, while the hospitalized time in intervention group was（8.57±2.16） d, there was significantly difference between the two groups（t=5.55, P 〈0.05）. In control group, 35 cases were regarded as satisfied and7 cases as unsatisfied, while in intervention group, 39 cases were regarded as satisfied and 1 case as unsatisfied, there was significantly difference between the two groups（χ2=4.67, P 〈0.05）. Conclusion Early nursing interventions can decrease the rate of incision infection and improve the healing of incision in the department of orthopedics after operation,it can also decrease the in-hospital duration and enhance the satisfaction of patient.
出处
《中国医药导报》
CAS
2015年第4期140-142,147,共4页
China Medical Herald
基金
浙江省医药卫生科技计划项目(编号2009A224)
关键词
早期护理干预
切口感染
骨科
切口愈合
Early nursing interventions Incision infection Department of Orthopedics Incision healing
