护理干预在妇产科围手术期感染预防中的应用

Application of nursing intervention in prevention of perioperative infections in obstetrics and gynaecology department

目的探讨护理干预在妇产科围手术期感染预防中的应用,以减少围手术期感染的发生率。方法对妇产科就诊并接受手术的126例患者随机分为干预组和对照组,每组各63例;对照组采用常规妇产科护理与感染预防措施,干预组同时给予心理护理、综合护理、用药指导等方面的系统护理干预措施,比较两组术后恢复情况、住院费用及围手术期感染率。结果干预组围手术期感染率为3.2%,显著低于对照组12.7%(P<0.05);与对照组比较,干预组术后体温明显降低,体温恢复正常时间、住院时间明显缩短,住院费用明显减少(P<0.05)。结论对妇产科患者围手术期进行个性化系统护理干预,可减少围手术期感染的发生率、缩短住院时间、减轻患者的经济负担。

OBJECTIVE To explore the application of nursing intervention in prevention of perioperative infections in obstetrics and gynaeeology department, so as to reduce the incidence of perioperative infections. METHODS Totally 126 patiens who were admitted in obstetrics and gynaecology department and received surgery were randomly divided into two groups. The control group （n=63） was given routine care and infection prevention measures, and the intervention group （n=63） was given systematic nursing intervention including psychology care, comprehen- sive care, medication guide. The postoperative recovery, hospitalization expenses and perioperative infection rate were observed and analyzed. RESULTS The perioperative infection rate of the intervention group was 3.2 %, significantly lower than 12.7% of the control group （P〈0.05）. Compared with the control group, the perioperative body temperature was reduced, the time of body temperature turned to normal, and hospital stay was shortened, and hospitalization expenses were decreased significantly（P〈0.05）. CONCLUSION Nursing intervention for perioperative infections in obstetrics and gynaecology department can reduce the incidence of perioperative infections, shorten hospitalization duration and reduce the economic burden of the patients.