摘要
目的探讨综合护理干预在接受骨科无菌手术患者中的应用效果,为护理策略的制定提供参考。方法回顾性分析2015-02至2017-02在深圳市罗湖区人民医院手术室接受手术治疗的176例骨折患者的临床资料。其中,2015-02至2016-01的88例患者接受常规护理干预为对照组,2016-02至2017-02的88例接受综合护理干预为观察组。所选对象手术均在层流手术室操作,比较两组术后体力状况与生活能力评分,以及伤口愈合情况。结果 (1)观察组术后愈合情况优于对照组,但差异无统计学意义(Z=-0.454,P=0.650);进一步比较,观察组愈合率显著高于对照组(χ~2=14.441,P<0.001)。(2)观察组术后体力状况评分(t=17.195,P<0.001)、生活能力评分(t=16.902,P<0.001)均明显优于对照组,差异均具有统计学意义。结论采用综合护理干预不仅可有效预防骨科无菌手术切口感染,还可促进患者术后恢复,提高其生活质量,值得临床推广。
Objective The objective of this study was to explore the effect of comprehensive nursing intervention on patients following orthopedic aseptic surgery, and to provide an evidence based reference for the establishment of a nursing strategy. Methods A total of 176 patients admitted to Shenzhen city＇s Luohu District People＇s Hospital with fractures between February 2015 and February 2017, that received surgery were retrospectively analyzed. A total of 88 patients who received routine nursing intervention between February 2015 and January 2016 were selected as the control group, and 88 patients who received comprehensive nursing between February 2016 and February 2017 were chosen as the observation group. The surgeries were operated in a laminar flow operating room, and the physical condition, daily life activity score and the rate of wound healing post surgery were compared. Results（1） The postoperative healing of the observation group was better than that of the control group, but the difference was not statistically significant（Z=-0.454, P=0.650）; further comparison showed that the healing rate of the observation group was significantly higher than that of the observation group（χ^2=14.441, P〈0.001）.（2） The postoperative physical performance score（t=17.195,P〈0.001） and daily life activity score（t=16.902. P〈0.001） were significantly better than that of the control group, and the differences were statistically significant. Conclusions Comprehensive nursing intervention following orthopedic aseptic surgery can not only effectively reduce the incidence of surgical incision infection, but also can promote postoperative recovery and improve the quality of life, which is worthy of clinical promotion.
作者
高艳
骆飞映
叶根群
刘旺华
吴根妮
GAO Yan;LUO Feiying;YE Genqun;LIU Wanghua;and WU Genni(Operating Room,Luohu District People＇s Hospital of Shenzhen,Shenzhen 518052,China)
出处
《中华灾害救援医学》
2017年第12期702-704,共3页
Chinese Journal of Disaster Medicine
关键词
综合护理干预
骨科
无菌手术
切口感染
层流手术室
comprehensive nursing care
department of orthopedics
aseptic operation
incision infection
laminar flow operating room
