论文部分内容阅读
目的:探讨在手术室护理中实施改良备皮方法与传统备皮方法对手术部位感染及患者术后恢复的影响。方法:选取诸暨中医医院2015年7月-2016年7月接受外科手术治疗的200例患者为研究对象,经随机数字表法分为A、B两组,每组100例,A组患者术前由手术室护士行改良备皮方法,即备皮时不剃除毛发,仅实施皮肤清洁与消毒,B组患者术前由手术室护士行传统备皮方法,即备皮时将术野内毛发剃除,再实施皮肤清洁与消毒。观察护士备皮时间及患者手术部位感染情况、术后恢复情况、护理满意度。结果:A组患者手术部位感染率为3.00%,低于B组6.00%,但组间差异无统计学意义(P>0.05);A组护士备皮时间同B组比较,显著较短,差异有统计学意义(P<0.05);A组患者术后抗菌药物使用时间、术后切口拆线时间、术后住院时间均较B组短,但组间差异无统计学意义(P>0.05);A组患者护理满意率为98.00%,同B组91.00%比较,差异有统计学意义(P<0.05)。结论:相比于传统备皮方法,改良备皮方法可降低手术部位感染发生风险,缩短患者术后恢复时间,减少护士工作量,提高患者满意度。
Objective: To explore the effect of modified skin preparation method and traditional skin preparation method on surgical site infection and postoperative recovery in operating room nursing. Methods: Two hundred and twenty patients undergoing surgery from July 2015 to July 2016 in Zhuji Chinese Medicine Hospital were selected as study subjects. The patients were divided into two groups A and B by random number table, with 100 cases in each group. Patients in group A By the operating room nurses to improve the skin preparation method, that is, when the skin is not shaved hair, only the implementation of skin cleansing and disinfection, B group of patients preoperative nurse by the operating room traditional skin preparation method, In addition, the implementation of skin cleansing and disinfection. Observe the preparation time of the nurses and the infection of the surgical site, postoperative recovery, nursing satisfaction. Results: The infection rate of surgical site in group A was 3.00%, which was lower than that in group B (6.00%), but there was no significant difference between groups (P> 0.05). The time of skin preparation in group A was significantly shorter than that in group B (P <0.05). The time of antimicrobial use, the time of incision and suture removal, and the length of postoperative hospital stay in group A were shorter than those in group B, but there was no significant difference between groups (P> 0.05) The satisfaction rate of patients in group A was 98.00%, which was significantly different from 91.00% in group B (P <0.05). Conclusion: Compared with the traditional skin preparation method, the improved skin preparation method can reduce the risk of surgical site infection, shorten the postoperative recovery time, reduce nurses workload and improve patient satisfaction.