直肠癌手术切口感染相关因素调查与护理干预措施

目的:调查直肠癌手术切口感染相关因素,研究护理干预措施及效果。方法:选取我院在2016年7月至2017年7月之间收治的40例直肠癌手术切口感染患者作为研究对象,采用随机数字法将这40例患者分为两组,一组为实验组,另一组为对照组,每组直肠癌患者为20例。对实验组患者采取综合护理干预,对对照组患者采取常规护理措施,对比两组患者的护理效果,统计和分析这40例患者手术切口感染的相关因素。结果:40例患者中有2例患者为术前感染因素,9例患者为肥胖因素,3例患者为营养不良因素,6例患者为手术之间超过3.5小时,11例患者为糖尿病史因素,9例患者为其他因素,各组因素数据对比具有统计学意义(P<0.05);实验组的护理有效率为95%,对照组的护理有效率为70%,两组患者的护理有效率对比差异明显,具有统计学意义(P<0.05)。结论:影响直肠癌手术切口感染的主要因素有糖尿病、手术持续时间、肥胖、营养不良等,通过采取综合护理干预后能够明显降低术后切口感染率,提升护理效果,值得临床大力推广。

Objective:To investigate the related factors of surgical incision infection in rectal cancer,and to study the nursing intervention and effect.Methods:in our hospital between July 2016 and July 2017 were treated 40 cases of rectal cancer surgery incision infection patients as the research object,using the method of random number,the 40 patients were divided into two groups,one group as the experimental group,another group as control group,each group of 20 cases of patients with rectal cancer.The patients in the experimental group were given comprehensive nursing intervention.The patients in the control group were given routine nursing measures.The nursing effects of the two groups were compared.The related factors of surgical incision infection in 40 patients were statistically analyzed.Results:40 patients in 2 patients with infection before surgery,9 patients with obesity,3 patients with malnutrition,6 patients for surgery between more than 3.5 hours,11 patients with a history of diabetes,9 patients with other factors,each factor data comparison was statistically significant(P<0.05);nursing experimental group was 95%,nursing efficiency of control group was 70%,two groups of patients with nursing efficiency difference was statistically significant(P<0.05).Conclusion:the main factors affecting surgical incision infection of rectal cancer include diabetes,operation duration,obesity and malnutrition.Through comprehensive nursing intervention,we can significantly reduce postoperative infection rate and improve the nursing effect,which is worthy of clinical promotion.