手术室护理干预在预防胃肠道手术患者切口感染的临床效果分析

Clinical effect of nursing intervention of operating rooms on prevention of incision infections in patients undergoing gastrointestinal surgery

目的综合分析手术室护理干预在预防胃肠道手术患者切口感染的临床效果,为治疗胃肠道手术切口感染患者提供科学参考依据。方法选择2013年1月-2014年1月医院102例胃肠道手术患者临床资料,按照不同的护理干预模式随机分为观察组与对照组,每组各51例;观察组应用手术室综合护理干预模式,对照组应用常规干预模式;调查分析两组患者切口愈合率、感染率及护理效果,采用SPSS 17.0软件进行数据统计分析。结果观察组患者发生感染1例感染率为1.96%,对照组患者发生感染6例感染率为11.76%,两组比较差异有统计学意义(P<0.05);患者切口甲级愈合观察组占74.51%、对照组占37.25%,两组比较差异有统计学意义(P<0.05);观察组患者住院费用及住院时间分别为(1.01±0.25)万元及(9.56±2.69)d,对照组分别为(1.51±0.19)万元及(15.21±3.66)d,两组数据比较差异均有统计学意义(P<0.05)。结论在手术室护理干预中采取综合护理的模式比采取常规的护理模式治疗效果更理想,能够有效降低患者切口感染率。

OBJECTIVE To comprehensively analyze the clinical effect of nursing intervention of operating rooms on prevention of incision infections in patients undergoing gastrointestinal surgery so as to provide scientific basis for treatment of the patients with the incision infections.METHODS The clinical data were collected from 102 patients who underwent the gastrointestinal surgery from Jan 2013 to Jan 2014,then the enrolled patients were randomly divided into the observation group and the control group according to the mode of nursing intervention,with 51 cases in each.The observation group was treated with the comprehensive nursing intervention mode of operating rooms,while the control group was given the conventional intervention mode.The incision healing rates,infection rates,and nursing effects were observed and compared between the two groups of patients,and the statistical analysis of data was performed with the use of SPSS 17.0software.RESULTS The infections occurred in 1case in the observation group,with the infection rate of 1.96%;the infections occurred in 6cases in the control group,with the infection rate of 11.76%,and there was significant difference between the two groups（P〈0.05）.The patients with grade A incision healing accounted for 74.51% in the observation group,37.25% in the control group,and there was significant difference between the two groups（P〈0.05）.The hospitalization cost of the observation group was（10.1±2.5）thousand yuan,the control group（15.1±1.9）thousand yuan;the length of hospital stay of the observation group was（9.56±2.69）days,the control group（15.21±3.66）days;there was significant difference in the two sets of data（P〈0.05）.CONCLUSION Among the nursing interventions of the operating rooms,the curative effect of the comprehensive nursing intervention mode is more satisfied than that of the conventional nursing mode,and it can effectively reduce the incidence of incision infections.