循证护理在预防剖宫产切口感染中的应用

Evidence-based nursing applied in preventing incision infection of cesarean section

目的预防剖宫产切口感染,保障剖宫产妇母婴安全。方法运用循证护理确定问题,通过计算机网络检索剖宫产切口感染相关因素的资料,调查检测循证,对数据进行统计学处理;并将获得的证据和护理专业技能、临床经验及患者的愿望相结合制定并实施循证护理方案。结果通过循证调查手术前、后以及手术室、病室的环境、空气、无菌物品等手术相关的材料共做生物检测113份,合格率100.0%;手术医师操作熟练,易感因素和用药与平时没有差异;调查组人员监测18人次手术医师术前外科手消毒的揉搓时间、力度和范围均不合格;分组循证干预对比结果:干预组无切口感染,差异有统计学意义(χ2=6.27,P<0.05)。结论循证干预验证,规范外科手消毒是预防剖宫产切口感染的关键,循证护理准确有效。

OBJECTIVE To prevent the incision infection of the caesarean section in order to guarantee the safety of women and infants.METHODS Using the evidence-based nursing to set up the question,the evidence-based data on infection of the caesarean incision was searched and processed statistically by investigating and searching the evidence-based data.Based on the evidence we gained and the professional nursing skill and clinical experiences and the patient′s expectation,we made up and carried out the evidence-based nursing program.RESULTS By investigating the operation-related factors,such as the environment and the air and the asepsis in operation room and ward before and after operation,biological checkings（113 cases） were made,the qualified rate was 100.0%;there was no statistical difference in surgical proficiency and susceptible factors of infections and medicine.18 cases on the time,power and reach of hands washing on surgical hands sterilization observed by investigator before operation were disqualified.To group and compare the results by evidence-based interference： no infection of incision in intervention group,there was statistical significance in infection rate（χ2=6.27,P〈0.05）.CONCLUSION Evidence-based interference has been proved that to regulate the surgical hands sterilization is the key to prevent the caesarean incision from infection,and evidence-based nursing is accurate and effective.