手术室护理干预对全膝关节置换患者术后感染的预防效果研究(1)
[摘要] 目的 研究手术室护理干预对全膝关节置换患者术后感染的预防效果。方法 简单随机选取该院全膝关节置换患者100例(2017年10月—2019年11月)，随机分为常规护理的对照组与手术室护理的观察组，观察患者术后切口感染发生率、住院时间、护理满意度、切口愈合情况、心理状态及膝关节活动度。结果 观察组切口感染发生率2.00%，低于对照组(χ2=4.891，P<0.05);觀察组住院时间(10.73±1.36)d，少于对照组(t=7.348，P<0.05);观察组护理满意度评分(96.25±3.37)分，高于对照组(t=29.078，P<0.05);观察组甲级愈合率98.00%，高于对照组(t=5.983，P<0.05);护理后，观察组SAS评分(47.13±2.08)分，SDS评分(45.19±1.98)分，低于对照组(t=7.369、7.527，P<0.05);护理后，观察组膝关节活动度(77.8±10.6)，大于对照组(t=3.000，P<0.05)。结论 给予全膝关节置换患者手术室护理，能降低患者术后切口感染发生率，促进切口愈合，改善不良心理状态，提高护理满意，减少住院时间，促进膝关节功能恢复，效果较好，值得借鉴。
[关键词] 手术室护理;全膝关节置换;感染;效果
[Abstract] Objective To study the effect of nursing intervention in operating room on the prevention of postoperative infection in patients undergoing total knee arthroplasty. Methods Simple random select 100 patients with total knee arthroplasty in the hospital (October 2017 to November 2019) were randomly divided into the control group for routine care and the observation group for operating room care. The incidence of postoperative incision infection and hospitalization time， nursing satisfaction， incision healing， mental state， and knee joint mobility were observed. Results The incidence of incision infection in the observation group was 2.00%， which was lower than the control group(χ2=4.891， P<0.05); the length of hospital stay in the observation group (10.73±1.36) d， less than the control group(t=7.348， P<0.05); the observation group Nursing satisfaction score (96.25±3.37)points， higher than the control group(t=29.078， P<0.05); observation group A healing rate was 98.00%， higher than the control group(t=5.983， P<0.05); after nursing， observation group SAS score (47.13±2.08) points and SDS score (45.19±1.98) points were lower than those in the control group(t=7.369， 7.527， P<0.05); After nursing， the knee joint activity of the observation group (77.8 ± 10.6 )， larger than the control group(t=3.000， P<0.05). Conclusion The operation room nursing of patients undergoing total knee arthroplasty can reduce the incidence of postoperative incision infections， promote healing of incisions， improve poor psychological status， improve nursing satisfaction， reduce hospitalization time， and promote knee function recovery. The effect is good and worthwhile reference.
[Key words] Operating room nursing; Total knee arthroplasty; Infection; Effect
在膝关节疾病治疗中，最为常用的一种外科治疗方法就是全膝关节置换术，这种治疗方式为膝关节疾病终极治疗方法，临床效果确切，得到了人们广泛认可[1]。但是全膝关节置换术后，患者感染风险较高，并且不同程度的感染会带给患者不同的影响。如果感染程度较轻，会对患者膝关节功能恢复造成影响，感染严重时，患者就需进行二次手术，进而加大患者身心负担[2]。在临床上，全膝关节置换术护理工作并没有引起人们足够的重视，认为只要严格执行手术操作并保证手术室安全无菌就能避免术后感染的发生，实际上，手术治疗还存在很多被人们忽视的环节，一旦这些环节出现问题，就可能导致患者术后感染。该研究2017年10月—2019年11月简单随机选取该院全膝关节置换患者100例，研究手术室护理干预对患者术后感染的预防效果。现报道如下。, http://www.100md.com(陈晓琴)
[关键词] 手术室护理;全膝关节置换;感染;效果
[Abstract] Objective To study the effect of nursing intervention in operating room on the prevention of postoperative infection in patients undergoing total knee arthroplasty. Methods Simple random select 100 patients with total knee arthroplasty in the hospital (October 2017 to November 2019) were randomly divided into the control group for routine care and the observation group for operating room care. The incidence of postoperative incision infection and hospitalization time， nursing satisfaction， incision healing， mental state， and knee joint mobility were observed. Results The incidence of incision infection in the observation group was 2.00%， which was lower than the control group(χ2=4.891， P<0.05); the length of hospital stay in the observation group (10.73±1.36) d， less than the control group(t=7.348， P<0.05); the observation group Nursing satisfaction score (96.25±3.37)points， higher than the control group(t=29.078， P<0.05); observation group A healing rate was 98.00%， higher than the control group(t=5.983， P<0.05); after nursing， observation group SAS score (47.13±2.08) points and SDS score (45.19±1.98) points were lower than those in the control group(t=7.369， 7.527， P<0.05); After nursing， the knee joint activity of the observation group (77.8 ± 10.6 )， larger than the control group(t=3.000， P<0.05). Conclusion The operation room nursing of patients undergoing total knee arthroplasty can reduce the incidence of postoperative incision infections， promote healing of incisions， improve poor psychological status， improve nursing satisfaction， reduce hospitalization time， and promote knee function recovery. The effect is good and worthwhile reference.
[Key words] Operating room nursing; Total knee arthroplasty; Infection; Effect
在膝关节疾病治疗中，最为常用的一种外科治疗方法就是全膝关节置换术，这种治疗方式为膝关节疾病终极治疗方法，临床效果确切，得到了人们广泛认可[1]。但是全膝关节置换术后，患者感染风险较高，并且不同程度的感染会带给患者不同的影响。如果感染程度较轻，会对患者膝关节功能恢复造成影响，感染严重时，患者就需进行二次手术，进而加大患者身心负担[2]。在临床上，全膝关节置换术护理工作并没有引起人们足够的重视，认为只要严格执行手术操作并保证手术室安全无菌就能避免术后感染的发生，实际上，手术治疗还存在很多被人们忽视的环节，一旦这些环节出现问题，就可能导致患者术后感染。该研究2017年10月—2019年11月简单随机选取该院全膝关节置换患者100例，研究手术室护理干预对患者术后感染的预防效果。现报道如下。, http://www.100md.com(陈晓琴)