摘要
目的:分析腹部外科手术患者发生切口裂开的原因及护理干预措施。方法:选取2017年4月-2019年11月笔者所在医院腹部外科手术切口裂开的50例患者作为研究对象。根据入院时间先后顺序将其分为对照组和观察组,每组25例。对照组采取常规护理干预,观察组采取综合护理干预。比较两组切口愈合质量、切口愈合时间、住院总时间、护理前后疼痛评分及正面情绪评分。结果:50例患者切口裂开原因中,切口感染26例,占52%;肥胖患者切口脂肪液化8例,占16%;贫血、低蛋白血症7例,占14%;糖尿病患者5例,占10%;腹压升高4例,占8%。观察组切口愈合优良率明显优于对照组,差异有统计学意义(P<0.05)。观察组切口愈合时间、住院时间均优于对照组,差异有统计学意义(P<0.05)。观察组疼痛评分明显低于对照组,正面情绪评分高于对照组,差异有统计学意义(P<0.05)。结论:对于接受腹部外科手术治疗患者,导致切口开裂的原因较为复杂,对患者展开综合护理可改善患者预后。
Objective:To analyze the causes of incision dehiscence in patients undergoing abdominal surgery and the nursing intervention measures.Method:A total of 50 patients with abdominal surgery incision dehiscence in our hospital from April 2017 to November 2019 were selected as the research subjects.They were divided into the control group and the observation group according to the order of admission time,25 cases in each group.The control group was given routine nursing intervention,and the observation group was given comprehensive nursing intervention.The incision healing quality,incision healing time,length of hospital stay,pain score and positive emotion score before and after nursing were compared between the two groups.Result:Among the 50 cases of incision dehiscence,there were 26 cases of incision infection,accounting for 52%,8 cases of incision fat liquefaction of obese patients,accounting for 16%,7 cases of anemia and hypoproteinemia,accounting for 14%,5 cases of diabetes,accounting for 10%,4 cases of elevated abdominal pressure,accounting for 8%.The excellent and good rate of incision healing in the observation group was significantly better than that in the control group,the difference was statistically significant (P<0.05).The incision healing time and total length of hospital stay in the observation group were better than those in the control group,and the differences were statistically significant (P<0.05).The pain score of the observation group was significantly lower than that of the control group,and the positive emotion score was higher than that of the control group,the differences were statistically significant (P<0.05).Conclusion:For patients undergoing abdominal surgery,the causes of incision dehiscence are more complicated,and comprehensive nursing can improve the prognosis of patients.
作者
尹彩
李雅莉
梁梅燕
梁可为
YIN Cai;LI Yali;LIANG Meiyan;LIANG Kewei(Xinyi People’s Hospital,Xinyi 525300,China;不详)
出处
《中外医学研究》
2021年第3期90-92,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
腹部外科手术
切口裂开
护理
Abdominal surgery
Incision dehiscence
Nursing
