首页|围手术期进行手术室护理干预对预防关节置换术后感染的效果观察

围手术期进行手术室护理干预对预防关节置换术后感染的效果观察

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目的 分析手术室护理干预对围手术期预防关节置换术后感染的效果。方法 将河南省人民医院 2022 年 1 月至 2023 年 1 月接受关节置换术治疗的 180 例患者作为研究对象,依据随机抽检法(单数入对照组、双数入研究组)分组,各 90 例,对照组行手术室常规护理,研究组优化手术室护理干预。比较两组术后感染发生率、术后各阶段疼痛评分及护理前后生活质量评分(SF-36)。结果 研究组术后感染发生率(2。22%)低于对照组(10。00%),差异有统计学意义(P<0。05);研究组术后 6 h、12 h、48 h疼痛评分均低于对照组,差异有统计学意义(P<0。05);护理前两组SF-36 评分对比差异无统计学意义(P>0。05),护理后两组生理功能、精神、社会、总体健康等 8 个维度评分均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0。05)。结论 手术室护理干预应用于接受关节置换术患者中,可降低术后感染发生率,减轻术后疼痛,提升患者生活质量,值得应用。
Observation on the Effect of Perioperative Operating Room Nursing Intervention in Preventing Postoperative Infection in Joint Replacement Surgery
Objective To analyze the effect of operating room nursing intervention in preventing postoperative infection during the perioperative period of joint replacement surgery.Methods A total of 180 patients who underwent joint replacement surgery at Henan Provincial People's Hospital from January 2022 to January 2023 were selected as the research subjects.They were divided into a control group and a study group according to the random sampling method(odd numbers in the control group,even numbers in the study group),with 90 cases in each group.The control group received routine operating room nursing,while the study group received optimized operating room nursing intervention.The postoperative infection rate,pain scores at various postoperative stages,and pre-and post-nursing 36-item Short-Form(SF-36)were compared between the two groups.Results The postoperative infection rate in the study group(2.22%)was lower than that in the control group(10.00%),with statistically significant differences(P<0.05).The pain scores at 6 hours,12 hours,and 48 hours postoperatively in the study group were lower than those in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in SF-36 scores between the two groups before nursing(P>0.05).After nursing,the scores in the eight dimensions of physical function,mental health,social function,and overall health in both groups were higher than before treatment,and the scores in the study group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The application of operating room nursing intervention in patients undergoing joint replacement surgery can reduce the incidence of postoperative infection,alleviate postoperative pain,and improve the quality of life of patients,making it worthy of application.

operating room nursing interventionjoint replacementpostoperative infectionroutine nursing

李恒、刘云、栗筠

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河南省人民医院 麻醉与围术期医学科,郑州大学人民医院,河南 郑州 450003

手术室护理干预 关节置换 术后感染 常规护理

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(9)