优化手术室护理流程对预防妇产科开腹手术切口感染的临床作用

目的分析优化手术室护理流程对预防妇产科开腹手术切口感染的作用及体会。方法回顾性分析122例接受妇产科开腹手术患者的临床资料，将其随机分为观察组与对照组，每组各61例，其中对照组采用常规护理措施，观察组则对手术定护理流程进行优化，比较2组患者的切口愈合情况、护理满意度及伤口感染情况等。结果观察组61例患者切口达到甲级愈合者54例，达到乙级愈合者6例，余者1例为丙级愈合；对照组61例患者切口达到甲级愈合者37例，达到乙级愈合者17例，余者例为丙级愈合，观察组切口甲级愈合的比例显著高于对照组，而乙级愈合、丙级愈合的比例则显著低于对照组，差异具统计学意义(P<0.05)。观察组患者对护理服务感到非常满意者36例，基本满意者22例，余者3例不满意，观察组护理满意度为95.08%；对照组患者对护理服务感到非常满意者34例，基本满意者17例，余者10例不满意，对照组护理满意度为83.61%，观察组护理满意度显著高于对照组，差异具统计学意义(P<0.05)。观察组发生3例切口感染，比例为4.92%，对照组发生11例切口感染，比例为18.03%，观察组切口感染率显著低于对照组，差异具统计学意义(x2=10.84，P<0.05)。结论手术室优化护理对手术各个环节加强针对性的综合护理干预措施，做到清除细菌源、切断细菌进入切口的途径，达到了降低切口感染率的效果。

Objective:To analysis to optimize the operating room nursing process to prevent the role of obstetrics and gynecology laparotomy incision infection.Methods:Retrospectively analyzed the clinical data of122cases of obstetrics and gynecology laparotomy surgery patients,randomly divided into observation group and control group,each group of the61cases,among them the control group using conventional nursing measures,observation group nursing process was optimized for surgery,compared two groups of patients with incision healing situation and nursing satisfaction and wound infection,etc.Results:The observation group of61patients of class a healing of incision,54cases of serie b healing6cases,the rest in1case for class c healing;Control group61patients of class a healing of incision of37cases,17cases of serie b healing,healing the rest cases for class c,observation group of class a healing of incision was much higher than that of control group,and grade b healing,healing the proportion of c were significantly lower than the control group,difference has statistical significance(P<0.05).Observation group of patients to nursing service was pleased with36cases,22cases basic satisfaction,the rest3patients are not satisfied,observation group nursing satisfaction was95.08%;Control group patients to nursing service was pleased with34cases,basic satisfaction of17cases,10cases of the rest are not satisfied,the control of nursing satisfaction was83.61%,the observation group nursing satisfaction is significantly higher than the control group,the difference has statistical significance(P<0.05).Observation group3cases incision infection,compared with4.92%,control group occurred in11cases incision infection,compared with18.03%,the observation group incision infection rate was significantly lower than the control group,the difference has statistical significance(x2=10.84,P<0.05).Conclusions:The optimization of operating room nursing operation each link to strengthen the pertinence of comprehensive nursing intervention measures,do remove bacteria source,to cut off the bacteria enter the way of incision,achieved the effect of reducing incision infection rate.