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患者获取深部手术部位感染的体验:一项访谈研究。

Patients' experiences of acquiring a deep surgical site infection: an interview study.

机构信息

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.

出版信息

Am J Infect Control. 2010 Nov;38(9):711-7. doi: 10.1016/j.ajic.2010.03.017.

DOI:10.1016/j.ajic.2010.03.017
PMID:21034980
Abstract

BACKGROUND

The negative impact of surgical site infection (SSI) in terms of morbidity, mortality, additional costs, and length of stay (LOS) in the hospital is well described in the literature, as are risk factors and preventive measures. Given the lack of knowledge regarding patients' experiences of SSI, the aim of the present study was to describe patients' experiences of acquiring a deep SSI.

METHODS

Content analysis was used to analyze data obtained from 14 open interviews with participants diagnosed with a deep SSI.

RESULTS

Patients acquiring a deep SSI suffer significantly from pain, isolation, and insecurity. The SSI changes physical, emotional, social, and economic aspects of life in extremely negative ways, and these changes are often persistent.

CONCLUSION

Health care professionals should focus on strategies to enable early diagnosis and treatment of SSIs. The unacceptable suffering related to the infection, medical treatment, and an insufficient patient-professional relationship should be addressed when planning individual care, because every effort is needed to support this group of patients and minimize their distress. All possible measures should be taken to avoid bacterial contamination of the surgical wound during and after surgery to prevent the development of SSI.

摘要

背景

手术部位感染 (SSI) 在发病率、死亡率、额外成本和住院时间 (LOS) 方面的负面影响在文献中已有详细描述,包括风险因素和预防措施。鉴于患者对 SSI 体验的了解不足,本研究旨在描述患者获得深部 SSI 的体验。

方法

采用内容分析法对 14 名被诊断为深部 SSI 的参与者的开放式访谈数据进行分析。

结果

患有深部 SSI 的患者会遭受严重的疼痛、隔离和不安全感。SSI 以极其负面的方式改变了身体、情感、社会和经济方面的生活,这些变化往往是持久的。

结论

医护人员应关注策略,以实现 SSI 的早期诊断和治疗。在规划个体护理时,应解决与感染、医疗和患者与专业人员关系不足相关的不可接受的痛苦,因为需要尽一切努力支持这组患者并减轻他们的痛苦。应采取一切可能的措施,防止手术中和手术后手术部位的细菌污染,以预防 SSI 的发生。

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