摘要
目的 :探讨手术室循证护理对胃肠道手术患者切口愈合及切口感染的影响。方法 :收集2016年4月至2018年1月收治的胃肠道疾病行手术患者60例,随机均分为观察组和对照组各30例。对照组行常规手术室护理,观察组行手术室循证护理。观察两组切口愈合、术后指标、并发症发生情况。结果:观察组切口甲级愈合24例(80.00%),乙级愈合5例(16.67%),丙级愈合1例(3.33%),对照组分别为11例(36.67%)、12例(40.00%)和7例(23.33%),组间差异有统计学意义(P <0.001)。观察组术后肛门排气时间、术后住院时间、切口愈合时间均低于对照组(P <0.05)。观察组术后咽喉疼痛、恶心呕吐、肺部感染、尿路感染、切口感染发生率低于对照组(P <0.05)。结论 :手术室循证护理对胃肠道手术患者效果较好,患者切口愈合佳,术后指标恢复较快,术后咽喉疼痛、恶心呕吐、肺部感染、尿路感染、切口感染发生率低,应用价值较高。
Objective： To investigate the effect of evidence-based nursing in the operation room on incision healing andincision infection in patients undergoing gastrointestinal surgery. Methods： Sixty cases of gastrointestinal diseases admitted tothe hospital from April 2016 to January 2018 were collected and randomly divided into an observation group and a control groupwith 30 cases in each group. The control group received routine operation room nursing, while the observation group receivedevidence-based nursing. Incision healing, postoperative indicators and complications were observed in the two groups. Results： Inthe observation group, there were 24 cases of grade A healing（80.00%）, 5 cases of grade B healing（16.67%） and 1 case of grade Chealing（3.33%）. In the control group there were 11 cases of grade A healing（36.67%）, 12 cases of grade B healing（40.00%） and 7cases of grade C healing（23.33%） and the difference between the groups was statistically significant（P〈0.001）. The anus exhausttime, postoperative hospital stay and incision healing time were lower in the observation group than in the control group（P〈0.05）.The incidence of postoperative sore throat, nausea and vomiting, pulmonary infection, urinary tract infection and incisioninfection in the observation group was lower than that in the control group（P〈0.05）. Conclusion： Evidence-based nursing in theoperating room is effective for patients with gastrointestinal surgery, the incision healing is good, the postoperative index recoveryis faster, the postoperative throat pain, nausea and vomiting, lung infection, urinary tract infection and incision infection rate arelow, and the application value is high.
作者
黎芳梅
温雪梅
LI Fangmei;WEN Xuemei(Operation Room of Xingang Central Hospital of Xinyu,Jiangxi 338000,China)
出处
《上海医药》
CAS
2018年第22期30-32,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
胃肠道疾病
手术
循证护理
切口愈合
切口感染
gastrointestinal disease
surgery
evidence-based nursing
incision healing
incision infection
