摘要
目的:对手术患者发生切口感染的因素和护理对策进行分析,为减少手术室切口感染提供借鉴。方法:选取我院80例手术患者的临床资料为研究对象,其中2015年1月~6月期间,给予其中40例患者常规预防感染护理,设为常规组,2015年6月~12月,给予另40例患者综合护理干预,设为干预组,对患者发生切口感染的相关因素进行分析,并比较护理后两组患者感染发生率。结果:通过单因素分析可知,对切口感染产生影响的因素包括人员流动情况、引流管放置情况、手术室环境污染、年龄、病史、消毒措施、基础疾病、医务人员素质等。其中高危因素:手术室环境污染、消毒措施不严格、患者存在基础性疾病、医务人员缺乏专业素质。干预组感染率明显低于常规组,X^2=5.556,P<0.05。结论:导致患者发生手术切口感染的主要因素包括手术室环境污染、消毒措施不严格、患者存在基础性疾病、医务人员缺乏专业素质等。针对手术患者给予综合护理干预可有效降低感染发生率,改善患者住院期间的生活质量。
Objective：to analyze the factors and nursing strategies of incision infection in surgical patients,so as to provide referG ence for reducing the operation room incision infection.Methods：in our hospital 80 cases of patients with clinical data as the research object,in 2015 from January to June period,giving the 40 cases of patients with conventional prevention infection nursing,design as the conventional group,201 5 years 6 months to 12 months,giving another 40 cases of comprehensive nursing intervention in patients with,as the intervention group,for patients had incision infection related factors were analyzed,and compare the nursing after the two groups of patients with infection incidence.Results：through the single factor analysis shows that on incision infection influence factors include the flow of personnel,drainage tube placement,operation room environment pollution,age,medical history,disinfection measures,underlying diseases,medical personnel quality.High risk factors：operation room environmental pollution,disinfection measures are not strict,patients with basic diseases,medical personnel lack of professional quality.The infection rate of intervention group was significantly lower than the conventional group,X =5.556,P 〈 0.05.Conclusion：the main factors that lead to the infecG tion of operative incision in patients,including operation room,environmental pollution,disinfection measures are not strict,patients have basic diseases,medical personnel lack of professional quality,etc..For surgery patients to give comprehensive nursing intervenG tion can effectively reduce the incidence of infection,improve the quality of life of patients during hospitalization.
