摘要
目的:探究集束化干预策略(CLB)在预防手术切口感染(SWI)中的效果。方法:收治接受手术患者196例,随机将患者分为观察组和对照组各98例,对照组在手术前后仅接受常规护理,而观察组在对照组的基础上接受CLB干预。统计两组切口愈合情况(愈合等级为丙级视为感染)及护理满意度。结果:观察组伤口愈合评级甲、乙、丙级分别为56例、40例和2例,则SWI发生率2.0%,而对照组伤口愈合评级甲、乙、丙级分别为46例、42例和10例,则SWI发生率10.2%;观察组满意度93.9%(92/98),对照组满意度77.6%(76/98);上述比较项差异具有统计学意义(P<0.05)。结论:CLB策略在预防手术患者发生SWI上效果显著,保障了患者安全,且得到了患者的认可。
Objective:To investigate the effect of Central Line Bundle(CLB)in the prevention of surgical wound infection(SWI).Methods:196 patients with surgery were selected.They were randomly divided into the CLB group and the control group with 98cases in each.The patients in the control group received only routine care before and after surgery,and the CLB group patients receiving CLB intervention on the basis of the control group.We wounted the wound healing(healing class C deemed infection)and nursing satisfaction of two groups.Results:In CLB group,the A,B and C grade rating of wound healing were 56 cases,40 cases and2 cases respectively,and the incidence rate of SWI was 2.0%.In the control group,the A,B and C grade rating of wound healing were 46 cases,42 cases and 10 cases respectively,the incidence rate of SWI was 10.2%;the patients satisfaction of CLB group was93.9%(92/98),the patients satisfaction of the control group was 77.6%(76/98);the differences of the above-mentioned were statistically significant(P<0.05).Conclusion:CLB strategy can protect surgical patients safety from SWI,the effect was significant,and it also can access to the patient's approval.
关键词
集束化干预
切口感染
愈合等级
Central Line Bundle
wound infection
healing rating
