CAJ | 학술논문

目的：探讨精细化护理在预防手术室普外科手术切口感染的临床意义。方法选取2OO9年1月-2O13年1月在本院手术室进行手术的普外科患者468例，将患者随机分为常规护理组（234例）和精细化护理组（234例）。比较两组患者实施不同护理后切口感染发生率和住院时间。结果常规护理组切口感染总发生率4.27%（1O/234），高于精细化护理组的1.28%（3/234），差异有统计学意义（ P <O. O5）；常规护理组平均住院时间为（29.3±4.1）d，高于精细化护理组的（22.9±2.2）d，差异有统计学意义（P<O. O5）。结论采用精细化护理预防手术室普外科手术切口感染效果显著，不仅能有效降低切口感染发生率，还能缩短患者的住院时间。
목적：탐토정세화호리재예방수술실보외과수술절구감염적림상의의。방법선취2OO9년1월-2O13년1월재본원수술실진행수술적보외과환자468례，장환자수궤분위상규호리조（234례）화정세화호리조（234례）。비교량조환자실시불동호리후절구감염발생솔화주원시간。결과상규호리조절구감염총발생솔4.27%（1O/234），고우정세화호리조적1.28%（3/234），차이유통계학의의（ P <O. O5）；상규호리조평균주원시간위（29.3±4.1）d，고우정세화호리조적（22.9±2.2）d，차이유통계학의의（P<O. O5）。결론채용정세화호리예방수술실보외과수술절구감염효과현저，불부능유효강저절구감염발생솔，환능축단환자적주원시간。
Objective To explore the clinical effective of meticulous care on prevention of wound infection in general surgery operating room. Methods 468 cases during operation in the operation room of our hospital from January 2OO9 to January 2O13,were randomly divided into routine care group(234 cases)and meticulous care group(234 cases). The wound infec-tion rate and hospitalization time after different nursing of two groups were compared. Results The routine care group wound in-fection rate was 4. 27%(1O/234),higher than 1. 28%(3/234)of meticulous care group,the difference was statistically sig-nificant(P<O. O5);Routine care group the average hospitalization time was(29. 3 ±4. 1)d,higher than(22. 9 ±2. 2)d of meticulous care group,the difference was statistically significant(P<O. O5). Conclusion The effective of meticulous care on prevention of wound infection in general surgery operating room is remarkable,not only can effectively reduce the incidence of wound infection,but also can shorten the time of hospitalization patients.