手术室优质护理在预防全膝关节置换术后切口感染中的应用效果

Application of high quality nursing in operation room for preventing incision infection after total knee arthroplasty

目的探讨手术室优质护理在预防全膝关节置换术(TKA)术后切口感染中的应用效果。方法 60例行TKA治疗的患者随机分为观察组和对照组,各30例,对照组实施常规手术室护理,观察组在对照组基础上实施手术室优质护理,观察2组患者切口感染发生率和切口愈合效果,记录2组住院时间,评价患者对护理工作的满意度。结果观察组未发生手术切口感染,且切口愈合均为甲级愈合,观察组切口感染发生率显著低于对照组(P<0.05),甲级愈合率显著高于对照组(P<0.05);观察组住院天数显著低于对照组(P<0.05),观察组护理满意度96.67%,显著高于对照组的80.00%(P<0.05)。结论优质护理干预措施可显著降低TKA术后感染发生率,有效改善切口愈合效果,提高护理满意度。

Objective To investigate the efficacy of high quality nursing in operation room or preventing incision infection after total knee arthroplasty （TKA） . Methods A Total of 60 patients undergoing TKA were randomly divided into the observation group （= 30 ） and the control group （ n = 30）. The control group was given conventional nursing care while the observation group was given the high quality nursing intervention. The incidence of incision infection, healing effect, length of stay and nursing satisfaction were compared between two groups. Results There was no incision infection occurred in the observation group, and all wounds were healed at the first grade. The observation group had a lower incidence rate of incision infection, higher healing rate at first grade and shorter ength of stay compared with the control group （P 〈0. 05） . The nursing satisfaction rate was 96. 6 7 % n the observation group and was 80. 00 in the control group, with a significant difference （P 〈0. 05）. Conclusion High quality nursing in operation room can effectively reduce the incision infection after TKA, and to improve the healing effect and nursing satisfaction.