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手术室的感染控制途径可有效降低患者的伤口感染率。

The Infection Control Route in the Operating Room Effectively Reduces the Wound Infection of Patients.

作者信息

Tang Xiufang, Ren Zhenqing, Miao Yueqin, Dou Hongmei

机构信息

Department of Operating Room, Taizhou People's Hospital, Taizhou, Jiangsu, China.

Nursing Department, Taizhou People's Hospital, Taizhou, Jiangsu, China.

出版信息

Evid Based Complement Alternat Med. 2022 Jun 6;2022:9270045. doi: 10.1155/2022/9270045. eCollection 2022.

Abstract

Surgical care is one of the significant aspects of global healthcare, with approximately 234 million operations being conducted annually. Surgical treatment has a substantial risk of complications and death. This study was conducted to explore the application effect of the infection control route in the operating room on the wound infection prevention care of patients. The clinical data of 136 patients receiving surgical treatment from October 2018 to October 2019 were retrospectively analyzed. The participants were assigned via random draw at a ratio of 1 : 1 to receive either routine care management (control group) or the infection control route (research group). The surgical wound infections of patients in the two groups were compared. The research group had higher scores in surgical materials management and disinfectant management than the control group ( < 0.01). In the research group, the total number of colonies within 5 minutes before surgery, 25 minutes after the start of surgery, and after surgery were all smaller than those in the control group ( < 0.01). There were no significant differences in the grade B healing rate between the two groups ( > 0.05), and the research group had a significantly higher healing rate in grade A than the control group, but its grade C healing rate and wound infection rate were significantly lower than those in the control group ( < 0.05). In the research group, the length of hospital stay, the time to get out of bed, the antibiotic use duration, and the stitch removal time was significantly shorter than those in the control group ( < 0.0001). The research group received a higher clinical nursing satisfaction than the control group ( < 0.05). The infection control route in the operating room for infection prevention care effectively reduces the wound infection rate of patients and accelerates their postoperative recovery.

摘要

外科护理是全球医疗保健的重要方面之一,每年约有2.34亿台手术。外科治疗有发生并发症和死亡的重大风险。本研究旨在探讨手术室感染控制途径在患者伤口感染预防护理中的应用效果。回顾性分析了2018年10月至2019年10月接受手术治疗的136例患者的临床资料。参与者通过随机抽签以1∶1的比例分为两组,分别接受常规护理管理(对照组)或感染控制途径(研究组)。比较两组患者的手术伤口感染情况。研究组在手术材料管理和消毒剂管理方面的得分高于对照组(<0.01)。研究组在手术前5分钟、手术开始后25分钟和手术后的菌落总数均低于对照组(<0.01)。两组乙级愈合率差异无统计学意义(>0.05),研究组甲级愈合率显著高于对照组,但其丙级愈合率和伤口感染率显著低于对照组(<0.05)。研究组的住院时间、下床时间、抗生素使用时间和拆线时间均显著短于对照组(<0.0001)。研究组的临床护理满意度高于对照组(<0.05)。手术室感染控制途径用于感染预防护理可有效降低患者的伤口感染率并加速其术后康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d69/9192282/407cddc6aeef/ECAM2022-9270045.001.jpg

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