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目的:分析手术切口感染的相关因素,并制定出门诊换药的护理对策。方法:以1554例手术患者为研究对象,观察切口感染发生情况,分析影响手术切口感染的因素,并提出门诊换药的护理对策。结果:<20岁患者切口感染发生率(0.60%)明显低于>60岁患者5.50%(P<0.05);合并高血压切口感染34.78%、糖尿病切口感染32.61%明显高于其它疾病患者(P<0.05)。结论:影响手术切口感染的因素较多,年龄超过60岁、合并高血压和糖尿病是手术切口感染的高危因素。门诊换药时应严格执行无菌操作,必要时使用抗生素预防感染,积极进行病因治疗,以降低感染发生率。
Objective: To analyze the related factors of surgical incision infection and to develop nursing countermeasures for outpatient dressing change. Methods: A total of 1554 surgical patients were selected as the study objects. The incidence of incisional infection was observed, the factors influencing surgical incision infection were analyzed, and the nursing countermeasures for outpatient dressing change were proposed. Results: The incidence of incision infection in patients <20 years old was significantly lower than that in patients> 60 years old (0.60%) (P <0.05). The incidence of incisional infection in patients with hypertension was 34.78%, and the incidence of incisional infection in diabetes was 32.61% <0.05). CONCLUSIONS: There are many factors affecting the surgical incision infection. Patients over 60 years old with high blood pressure and diabetes are the risk factors for surgical incision infection. Outpatient dressing should be strictly enforced sterile operation, if necessary, the use of antibiotics to prevent infection, aggressive treatment of etiology to reduce the incidence of infection.