手术室护理在合并糖尿病患者术后切口感染预防中的应用分析

Application Analysis of Operating Room Nursing in the Prevention of Postoperative Wound Infection in Patients with Diabetes

目的研究加强手术室护理干预对糖尿病患者术后感染及其它并发症的影响。方法选取2018年6月-2019年6月期间在该院接受手术治疗的98例糖尿病患者作为研究对象,随机分为对照组(49例)和观察组(49例),对照组患者接受常规护理,在此基础上对观察组予以手术室护理干预;对比两组患者切口感染及其它并发症情况、血糖控制效果,以及护理满意度评价。结果观察组共发生切口感染1例、共计并发症2例,对照组共发生切口感染7例、共计并发症14例;比较显示,观察组术后切口感染率(2.04%)及并发症总发生率(4.08%)均明显低于对照组,差异有统计学意义(χ^(2)=4.900、10.756,P<0.05);干预前,两组患者血糖值接近,差异无统计学意义(P>0.05);干预后,护理后对照组空腹血糖为(7.35±1.01)mmol/L,观察组空腹血糖为(6.02±0.78)mmol/L,差异有统计学意义(t=7.296,P<0.001),护理后对照组餐后2 h血糖为(8.36±1.07)mmol/L,观察组餐后2 h血糖为(7.45±0.89)mmol/L,差异有统计学意义(t=4.577,P<0.001);观察组共有3例不满意,对照组共有15例不满意,观察组总满意率(93.88%)明显高于对照组(69.39%),差异有统计学意义(χ^(2)=9.800,P=0.002)。结论在常规护理基础上加强手术室护理,有助于减少手术风险,降低术后并发症发生率,稳定血糖值,缩短治疗时间,从而整体提高治疗效果。

Objective To study the effect of strengthening nursing intervention in the operating room on postoperative infection and other complications in diabetic patients.Methods 98 diabetic patients who underwent surgical treatment in the hospital from June 2018 to June 2019 were selected as the research objects,and they were randomly divided into a control group(49 cases)and an observation group(49 cases).The control group received routine treatment nursing,on this basis,the observation group was given nursing intervention in the operating room;the incision infection and other complications,the effect of blood glucose control,and the evaluation of nursing satisfaction between the two groups were compared.ResultsIn the observation group,there were 1 case of incision infection and 2 cases of complications.The control group had 7 cases of incision infection and 14 cases of complications.The comparison showed that the observation group had postoperative incision infection rate(2.04%)and the total incidence of complications(4.08%)were significantly lower than the control group,and the difference was statistically significant(χ^(2)=4.900,10.756,P<0.05);before the intervention,the blood glucose levels of the two groups were similar,and the difference was not statistically significant(P>0.05);intervention after nursing,the fasting blood glucose of the control group after nursing was(7.35±1.01)mmol/L,and the fasting blood sugar of the observation group was(6.02±0.78)mmol/L,the difference was statistically significant(t=7.296,P<0.001),the control after nursing The blood glucose at 2 h after meal in the group was(8.36±1.07)mmol/L,and the blood glucose at 2 h after meal in the observation group was(7.45±0.89)mmol/L,the difference was statistically significant(t=4.577,P<0.001);3 patients in the observation group were dissatisfied,and 15 patients in the control group were dissatisfied.The total satisfaction rate of the observation group(93.88%)was significantly higher.In the control group(69.39%),the difference was statistically significant(χ^(2)=9.800,P=0.002).Conclusion Strengthening the nursing in the operating room on the basis of conventional nursing can help reduce the risk of surgery,reduce the incidence of postoperative complications,stabilize blood glucose levels,shorten the treatment time,and thus improving the overall treatment effect.