CAJ | 학술논문

目的：为了探讨外科手术后伤口感染的影响因素分析及护理对策。方法回顾性分析2013年6月—2015年4月期间在该院行外科手术后发生医院感染的患者110例资料,根据护理方法不同随机分为观察组55例和对照组55例,分别通过严格的手术室护理管理方法与常规护理方法进行管理后根据文章疗效标准进行数据统计,最后通过统计学方法进行比较。结果观察组术后并发症发生率9.1%(5/55),术后复发率5.5%(3/55),明显低于对照组术后并发症发病率(20%)和术后复发率(14.5%),差异有统计学意义(P<0.05),Nemar优势性检验结果显示了,可能导致患者出现手术后伤口感染的高危影响因素包括以下留个：手术时程(χ2=14.8),接台手术(χ2=12.1)、手术切口(χ2=17.5),预防性抗生素(χ2=11.9)、ICU (χ2=17.1),人员流动(χ2=8.2),多因素回归分析结果表明,手术室护理管理中手术切口(OR=6.68,P<0.05),预防性抗生素(OR=2.98,P<0.05),ICU(OR=13.19,P<0.05),手术时程(OR=3.80,P<0.05)是手术患者医院感染的高危影响因素。结论严格的手术室护理管理方法可显著性降低外科手术后伤口感染发生率,Logistics研究结果显示了对影响医院感染的高危因素进行针对性防护有利于降低外科手术后医院感染率。
목적：위료탐토외과수술후상구감염적영향인소분석급호리대책。방법회고성분석2013년6월—2015년4월기간재해원행외과수술후발생의원감염적환자110례자료,근거호리방법불동수궤분위관찰조55례화대조조55례,분별통과엄격적수술실호리관리방법여상규호리방법진행관리후근거문장료효표준진행수거통계,최후통과통계학방법진행비교。결과관찰조술후병발증발생솔9.1%(5/55),술후복발솔5.5%(3/55),명현저우대조조술후병발증발병솔(20%)화술후복발솔(14.5%),차이유통계학의의(P<0.05),Nemar우세성검험결과현시료,가능도치환자출현수술후상구감염적고위영향인소포괄이하류개：수술시정(χ2=14.8),접태수술(χ2=12.1)、수술절구(χ2=17.5),예방성항생소(χ2=11.9)、ICU (χ2=17.1),인원류동(χ2=8.2),다인소회귀분석결과표명,수술실호리관리중수술절구(OR=6.68,P<0.05),예방성항생소(OR=2.98,P<0.05),ICU(OR=13.19,P<0.05),수술시정(OR=3.80,P<0.05)시수술환자의원감염적고위영향인소。결론엄격적수술실호리관리방법가현저성강저외과수술후상구감염발생솔,Logistics연구결과현시료대영향의원감염적고위인소진행침대성방호유리우강저외과수술후의원감염솔。
Objective To analyze the influencing factors of postoperative wound infection and investigate the corresponding nursing countermeasures. Methods The data of 110 cases had hospital infection after surgery in our hospital from June 2013 to April 2015 were summarized retrospectively. The patients were randomly divided into the observation group and the control group with 55 cas-es in each, treated by the strict operating room nursing management method, conventional nursing method respectively. The data of the two groups were counted based on the efficacy standard in this paper and compared by the statistical method. Results Com-pared with the control group, the observation group had much lower incidence of postoperative complications [9.1%(5/55) vs 20%], obviously lower incidence of postoperative recurrence rate [5.5%(3/55) vs 14.5%], the differences between the two groups were sta-tistically significant(P<0.05). Nemar test results showed that the risk factors that may cause postoperative wound infection including the following six factors:duration of operation(χ2=14.8), consecutive operation(χ2=12.1), surgical infection(χ2=17.5), prophylactic an-tibiotics(χ2=11.9), ICU(χ2=17.1), flow of people(χ2=8.2). Multivariate regression analysis showed that in the operating room nursing management surgical incision(OR=6.68, P<0.05), prophylactic antibiotics(OR=2.98, P<0.05), ICU(OR=13.19, P<0.05), duration of surgery(OR=3.80,P<0.05) were the high risk factors of hospital infection in patients with surgery. Conclusion Strict operating room nursing management method can significantly reduce the incidence of postoperative wound infection. The result of logistics study showed that targeted protection against the risk factors of hospital infection is conducive to reducing the incidence of postoperative hospital infection.