摘要
目的分析急诊手术患者发生手术部位感染(SSI)的相关危险因素,总结护理措施。方法收集2019年1月-12月行急诊手术且术后发生SSI的患者的临床资料,对感染病例的相关数据进行统计和分析,针对感染原因制定手术室优化流程和改进措施。结果2019年1月-12月开展急诊手术1639例次,发生SSI 16例次,SSI发生率0.98%。单因素分析结果显示,患者性别、净化间安排、术中持续时间、手术方式、NNIS分级是急诊手术患者发生SSI的危险因素(P<0.05)。16例分泌物送检标本中有15(93.75%)例检出细菌,培养和分离出的病原菌以大肠埃希菌最为多见。结论通过识别引发急诊手术患者SSI的危险因素,针对相关危险因素制定流程和实施有效的护理干预措施,对降低急诊手术SSI的发生风险具有积极意义。
Objective To investigate the risk factors of surgical site infection(SSI)in patients undergoing emergency surgery,and summarize related nursing measures.Methods The clinical data of the patients with the SSI after the emergency surgery were retrospectively analyzed.According to the potential influencing factors of SSI,process optimization and improvement measures in the operating room were carried out,Results From Jan.2019 to Dec.2019,a total of 1639 patients underwent emergency surgery,in which 16(0.98%)patients had developed SSI.The results of univariate analysis showed that the gender,arrangement of operation room,duration of operation,type of operation and NNIS classification were the risk factors of SSI(P<0.05).Sixteen cases of wound secretion specimens were selected for bacterial cultivation,in which 15 cases showed positive results in germiculture,and Escherichia coli was the most common pathogenic bacteria.Conclusion By identifying the risk factors of SSI,and formulating a series of process optimization measures and effective nursing interventions for the relevant risk factors,the goal of reducing the occurrence of SSI in patients undergoing emergency surgery could be achieved.
作者
周萍
史兰萍
ZHOU Ping;SHI Lanping(Department of Hospital Infection Management,Gaochun People's Hospital,Nanjing,Jiangsu,211300)
出处
《中西医结合护理（中英文）》
2020年第5期97-100,共4页
Journal of Clinical Nursing in Practice
关键词
急诊手术
手术部位感染
危险因素
护理干预
emergency surgery
surgical site infection
risk factors
nursing intervention
