路径化护理联合一体化护理管理预防骨科术后切口感染的效果分析

Effect Analysis of Path-based Nursing Combined with Integrated Nursing Management on Preventing Postoperative Incision Infection in Orthopedics

目的:探讨与分析路径化护理联合一体化护理管理预防骨科术后切口感染的效果.方法:选取2018年2月-2023年2月在天津市第二人民医院治疗的88例腰椎布病性脊柱炎患者作为研究对象,根据随机数字表法把患者分为路径组与对照组,各44例.对照组给予常规护理,路径组在对照组护理的基础上给予路径化护理联合一体化护理管理.对比2组切口感染发生率、术后恢复、护理满意度与生活质量评分情况.结果:路径组护理期间的切口感染发生率为2.27%,低于对照组的13.64%,组间差异有统计学意义(P<0.05).路径组的术后引流量少于对照组,术后创面愈合时间及术后住院时间均短于对照组,组间差异有统计学意义(P<0.05).路径组护理满意度为100.00%,高于对照组的86.36%,组间差异有统计学意义(P<0.05).护理后,路径组的生理、心理、社会关系及环境维度等生活质量评分均高于对照组,组间差异有统计学意义(P<0.05).结论:路径化护理联合一体化护理管理能有效预防骨科术后切口感染的发生,促进患者康复,还可提高患者的护理满意度与生活质量.

Objective:To explore and analyze the effect of path-based nursing combined with integrated nursing management on the prevention of postoperative incision infection in orthopedics.Methods:88 patients with lumbar bruceopathy spondylitis treated in Tianjin Second People's Hospital from February 2018 to February 2023 were selected as research objects,and the patients were divided into a pathway group and a control group according to random number table method,with 44 cases in each group.The control group was given routine nursing,and the pathway group was given path-based nursing combined with integrated nursing management based on the control group.The incidence rate of incision infection,postoperative recovery,nursing satisfaction and quality of life scores were compared between the two groups.Results:The incidence rate of incision infection in the pathway group was 2.27%,which was lower than 13.64%in the control group,and the difference was statistically significant(P<0.05).The postoperative drainage volume in the pathway group was lower than that in the control group,and the postoperative wound healing time and postoperative hospitalization time were shorter than those in the control group,with statistical significance between the two groups(P<0.05).Nursing satisfaction in pathway group was 100.00%,which was higher than 86.36%in control group,and the difference was statistically significant(P<0.05).After nursing,the quality of life scores of physiological,psychological,social relations and environmental dimension in pathway group were higher than those in control group,and the differences between groups were statistically significant(P<0.05).Conclusion:The combination of routing nursing and integrated nursing management can effectively prevent the occurrence of incision infection after orthopedic surgery,promote the recovery of patients,and improve the nursing satisfaction and quality of life of patients.