普外科切口感染的影响因素及护理对策研究

Research of influence factors and nursing countermeasures of wound infection in department of general surgery

目的:探究导致普外科切口感染的影响因素,并根据结果针对性的制定护理对策。方法:收治切口感染患者50例,作为观察组,同期收治无切口感染患者50例为对照组。对两组临床资料以回顾性方法进行分析,通过单因素分析和Logistic回归分析了解普外科切口感染的影响因素。结果:单因素分析结果如下:年龄60岁、手术时间、存在糖尿病、行切口引流、多人病房、备皮到手术时间、行侵入操作、切口类型为Ⅱ型的患者感染率明显升高(P<0.05);多因素分析结果如下:手术时间、肥胖、多人病房、备皮到手术时间、手术类型(P<0.05)。结论:导致普外科患者切口感染的因素多种多样,对患者的护理措施需要有针对性,最大程度降低切口感染事件发生概率。

Objective:To explore the factors of wound infection in department of general surgery,and to develop strategies for nursing care according to results.Methods:50 patients with incision infection were selected as the observation group,50 patients without incision infection were selected as the control group.The clinical data of the two groups were retrospectively analyzed.Through single factor analysis and Logistic regression analysis,we investigated the influence factors of incision infection in department of general surgery.Results:Single factor analysis results were as follows:the infection rate of patients was increased significantly(P<0.05) with the following factors,such as 60 years of age,operation time,incision drainage,diabetes,multiple unit,the time from skin preparation to operation,invasive operation and type II incision.Multiple factors analysis results were as follows:operation time,obesity,multiple unit,skin preparation to operation time,operation types(P<0.05).Conclusion:Factors of incision infection of patients in department of general surgery is varied.We need to take care of targeted measures for patients,so as to minimize the occurrence probability of incision infection.