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手术护理综合措施:对剖宫产术后伤口感染的影响

Surgical care bundle: effect on post-caesarean wound infection.

作者信息

Nouh Faten Mabrouk, Abualruz Hasan, Mohamed Roqaya F, Yousef Amira Abd-Elnaser, Al Hrinat Jebril, Hendi Aseel Ghaleb, Ashour Eman Saif Soliman, Alzoubi Majdi, Al Rahbeni Tahani, Al-Mugheed Khalid, Abdelaliem Sally Mohammed Farghaly

机构信息

Faculty of Nursing, Menoufia University, Menoufia, Egypt.

Faculty of Nursing, Al- Zaytoonah University of Jordan (ZUJ), Amman, Jordan.

出版信息

BMC Womens Health. 2025 May 26;25(1):256. doi: 10.1186/s12905-025-03771-7.

DOI:10.1186/s12905-025-03771-7
PMID:40420133
Abstract

BACKGROUND

Surgical site infections, resulting from surgical procedures, can significantly impact healthcare systems and individual patients, necessitating the implementation of a surgical care bundle to reduce their incidence.

AIM

To investigate the effect of surgical care bundle on post-cesarean wound infection.

DESIGN

The research design was quasi-experimental.

SETTINGS

The study was conducted at the obstetrics and gynecology departments of University Hospital and Shebin El-Kom Teaching Hospitals, Menoufia Governorate, Egypt.

SAMPLE

A sample of one hundred women was chosen as convenient for the study.

INSTRUMENTS

A structured interview questionnaire and surgical checklist were utilized.

RESULTS

The results showed that 100% of the intervention group had healthy wound status after 48 h compared to 80.0% of the control group.

CONCLUSION

The surgical care bundle application pre-, during, and post-cesarean section significantly reduces the risk of cesarean section wound infection. The incorporation of these surgical care bundles into comprehensive surgical quality programs for women undergoing cesarean section.

摘要

背景

手术操作导致的手术部位感染会对医疗系统和个体患者产生重大影响,因此有必要实施手术护理综合措施以降低其发生率。

目的

探讨手术护理综合措施对剖宫产术后伤口感染的影响。

设计

研究设计为准实验性。

地点

研究在埃及梅努菲亚省大学医院和舍宾艾尔库姆教学医院的妇产科进行。

样本

选取一百名女性作为方便样本用于研究。

工具

使用结构化访谈问卷和手术检查表。

结果

结果显示,干预组100%的患者在48小时后伤口状况良好,而对照组这一比例为80.0%。

结论

剖宫产术前、术中和术后应用手术护理综合措施可显著降低剖宫产伤口感染风险。应将这些手术护理综合措施纳入接受剖宫产手术女性的综合手术质量计划中。

相似文献

1
Surgical care bundle: effect on post-caesarean wound infection.手术护理综合措施:对剖宫产术后伤口感染的影响
BMC Womens Health. 2025 May 26;25(1):256. doi: 10.1186/s12905-025-03771-7.
2
Impact of a surgical site infection bundle on cesarean delivery infection rates.手术部位感染防控包对剖宫产感染率的影响。
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Infect Dis Health. 2020 Aug;25(3):158-167. doi: 10.1016/j.idh.2020.01.006. Epub 2020 Mar 9.
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本文引用的文献

1
The Impact of an Evidence-Based Bundle on Cesarean Section-Related Surgical Site Infections: A Randomized Clinical Trial.基于证据的综合干预措施对剖宫产相关手术部位感染的影响:一项随机临床试验。
Matern Fetal Med. 2024 Apr 4;6(2):70-77. doi: 10.1097/FM9.0000000000000220. eCollection 2024 Apr.
2
Surgical site infections post cesarean section and associated risk factors: a retrospective case-control study at a tertiary hospital in Kenya.剖宫产术后手术部位感染及相关危险因素:肯尼亚一家三级医院的回顾性病例对照研究
Infect Prev Pract. 2023 Dec 13;6(1):100333. doi: 10.1016/j.infpip.2023.100333. eCollection 2024 Mar.
3
Reducing Surgical Site Infections Post-Caesarean Section.
降低剖宫产术后手术部位感染率
Int J Womens Health. 2023 Nov 21;15:1811-1819. doi: 10.2147/IJWH.S431868. eCollection 2023.
4
Global Incidence of Surgical Site Infection Among Patients: Systematic Review and Meta-Analysis.全球患者手术部位感染发生率:系统评价和荟萃分析。
Inquiry. 2023 Jan-Dec;60:469580231162549. doi: 10.1177/00469580231162549.
5
Bacterial sensitivity to chlorhexidine and povidone-iodine antiseptics over time: a systematic review and meta-analysis of human-derived data.细菌对洗必泰和聚维酮碘消毒剂敏感性随时间的变化:基于人体数据的系统评价和荟萃分析。
Sci Rep. 2023 Jan 7;13(1):347. doi: 10.1038/s41598-022-26658-1.
6
Reduction of adverse outcomes from cesarean section by surgical-site infection prevention care bundles in maternity.通过产科手术部位感染预防护理包降低剖宫产的不良结局。
Int J Gynaecol Obstet. 2023 Jun;161(3):963-968. doi: 10.1002/ijgo.14605. Epub 2022 Dec 16.
7
Envisioning clinical trials as complex interventions.将临床试验视为复杂干预措施。
Cancer. 2022 Sep 1;128(17):3145-3151. doi: 10.1002/cncr.34357. Epub 2022 Jun 29.
8
Perioperative care bundles for the prevention of surgical-site infections: meta-analysis.围手术期预防手术部位感染的护理包:荟萃分析。
Br J Surg. 2022 Sep 9;109(10):933-942. doi: 10.1093/bjs/znac196.
9
Changing scenario of C-section delivery in India: Understanding the maternal health concern and its associated predictors.印度剖宫产分娩情况的变化:了解孕产妇健康问题及其相关预测因素。
J Family Med Prim Care. 2021 Nov;10(11):4182-4188. doi: 10.4103/jfmpc.jfmpc_585_21. Epub 2021 Nov 29.
10
Surgical Site Infections.手术部位感染。
Infect Dis Clin North Am. 2021 Dec;35(4):901-929. doi: 10.1016/j.idc.2021.07.006.