手术室护理干预应用于胃肠手术患者切口感染可减少并发症并改善胃肠功能。
Application of Operating Room Nursing Intervention to Incision Infection of Patients Undergoing Gastrointestinal Surgery Can Reduce Complications and Improve Gastrointestinal Function.
作者信息
Wang Ping, Chen Hong, Ji Qi
机构信息
Operating Room, The First People's Hospital of Lianyungang, Lianyungang, China.
出版信息
Front Surg. 2022 Feb 15;9:842309. doi: 10.3389/fsurg.2022.842309. eCollection 2022.
OBJECTIVE
To observe the influence of nursing intervention in operation rooms on incision infection of patients undergoing gastrointestinal surgery and the improvement of gastrointestinal function.
METHODS
A total of 340 patients who underwent gastrointestinal surgery in our hospital from June 2020 to August 2021 were included. According to the random number table, they were divided into the conventional nursing group ( = 170) and the operating room nursing group ( = 170). The conventional nursing group was treated with routine nursing intervention, while the operating room nursing group was treated with operating room nursing intervention. The incision infection, healing, gastrointestinal function recovery, and complications in the two groups were compared, and the patient care satisfaction was recorded.
RESULTS
The incidence of incision swelling, pain, and incision secretion in the operating room nursing group was significantly lower than that in the conventional nursing group ( < 0.05). The patients in the operating room nursing group had higher grade A healing than in the conventional nursing group, and lower grade B and grade C healing than in the conventional nursing group ( < 0.05). The time of anal exhaust, first defecation, and the time of gastric tube removal in the operating room nursing group were lower than those in the conventional nursing group ( < 0.05). The incidence of postoperative complications, such as incision infection, incision dehiscence, early inflammatory bowel adhesion, and abdominal abscess, in the operating room nursing group was lower than that in the conventional nursing group ( < 0.05). The total satisfaction degree in the operating room nursing group was significantly higher than that in the conventional nursing group ( < 0.05).
CONCLUSION
Nursing intervention in operation room can reduce complications and improve gastrointestinal function when applied to patients undergoing gastrointestinal surgery due to incision infection.
目的
观察手术室护理干预对胃肠外科手术患者切口感染及胃肠功能改善的影响。
方法
纳入2020年6月至2021年8月在我院行胃肠外科手术的340例患者。根据随机数字表法，将其分为常规护理组（ = 170）和手术室护理组（ = 170）。常规护理组采用常规护理干预，手术室护理组采用手术室护理干预。比较两组患者的切口感染、愈合情况、胃肠功能恢复情况及并发症发生情况，并记录患者护理满意度。
结果
手术室护理组切口肿胀、疼痛及切口分泌物发生率显著低于常规护理组（ < 0.05）。手术室护理组甲级愈合患者高于常规护理组，乙级和丙级愈合患者低于常规护理组（ < 0.05）。手术室护理组肛门排气时间、首次排便时间及拔除胃管时间均低于常规护理组（ < 0.05）。手术室护理组术后切口感染、切口裂开、早期炎性肠粘连及腹腔脓肿等并发症发生率低于常规护理组（ < 0.05）。手术室护理组总满意度显著高于常规护理组（ < 0.05）。
结论
手术室护理干预应用于胃肠外科手术患者时，可减少并发症发生并改善胃肠功能，降低因切口感染带来的影响。
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