多学科协作综合干预预防先天性心脏病婴幼儿手术切口感染的研究

The research on multi-disciplinary cooperation concomitance intervention of incision infection in pediatric undergoing cardiac surgery for infants

目的探讨多学科协作综合干预预防婴幼儿先天性心脏病手术切口感染的护理模式对婴幼儿手术切口感染的影响。方法选取2013年行手术的先天性心脏病婴幼儿309例为对照组,选取2014年行多学科协作综合干预预防管理后的婴幼儿337例为实验组,通过建立多学科团队化管理,实现婴幼儿从入院到出院多学科、多系统、多部门全程管理链系统,并从入院、手术、监护过程中制订改进干预措施。结果实验组婴幼儿手术切口感染等级、平均住院天数、平均住院费用及由感染引起的胸骨哆开率均低于对照组(P<0.01或P<0.05)。结论多学科协作综合干预模式能有效降低先天性心脏病婴幼儿手术切口感染的发生。

Objective To explore the effect of nursing model of prevention of incision infection in pediatric undergoing cardiac surgery with multi - disci- plinary cooperation and concomitance intervention. Methods Totally,309 infants with congenital heart disease undergoing cardiac surgery were selected as the control group in 2013,337 cases were selected as the experimental group after the establishment of multi - disciplinary cooperation concomitance intervention. The whole process emphasized cardiac unit, operating room and intensive care unit nurses intervene in infection control, filled in the transfer order between depart- ments,implemented the whole process management from admission, operation, and discharge with multi -disciplinary, multisystem and the multiple sectors. Results The number of infected infants,the average hospitalization days, cost of hospitalization and infections caused by sternal dehiscence in the experimental group were lower （ P 〈 0.01 or P 〈 0.05 ） than those in the control group. Conclusion The muiti - disciplinary cooperation modei can greatly decrease incision infection in pediatric undergoing cardiac surgery.