摘要
目的探讨手术室护理和术后肺部感染的相关性。方法回顾性选择2018年7月—2020年4月于本院行手术治疗的100例患者作为研究对象,给予其常规护理,观察患者术后肺部感染发生情况,并将出现术后感染患者纳入感染组(10例),将未出现肺部感染患者纳入非感染组(90例)。调查和统计两组患者护理情况,并Logistic回归分析手术室护理与术后肺部感染的相关性。结果感染组无预防性抗生素、手术器械清洁和消毒不到位、术中出血量多、手术时间长、器械性损伤、有参观人员占比率高于参照组,差异具有统计学意义(P<0.05);经Logistic多因素分析,手术时间长、手术器械清洁和消毒不到位、无预防性抗生素、出血量多是术后肺部感染的独立危险因素。结论手术时间长、无预防性抗生素、出血量多可提高患者术后肺部感染的风险,故需加强和优化手术室护理,增强预防抗感染意识,完善手术器械管理,积极配合医师快速完成手术。
Objective To explore the correlation between operating theatre nursing intervention and postoperative pulmonary infection.Methods Retrospective selection A total of 100 patients who received surgical treatment from July 2018 to April 2020 were selected in our hospital.Routine care was given to observe the occurrence of postoperative pulmonary infection in patients.Patients with postoperative infection were in the infection group(10 cases)and those without pulmonary infection in the non-infection group(90 cases).The nursing received by the patients in the two groups was investigated and statistically analysed,and the correlation between the nursing care in operating theatre and postoperative pulmonary infection was analysed by Logistic regression.Results The infection group had no prophylactic antibiotics,the cleaning and disinfection of surgical instruments were not in place,the amount of intraoperative blood loss,the operation process lasted long,the rate of instrument injury and the number of visitors was higher than that of the control group,and the difference was statistically significant(P<0.05).According to Logistic multivariate analysis,long operation process time,inadequate cleaning and disinfection of surgical instruments,no prophylactic antibiotics and large amount of blood loss were independent risk factors for postoperative pulmonary infection.Conclusion Long operation process time,no prophylactic antibiotics and large amount of blood-loss can increase the risk of postoperative pulmonary infection in patients.Therefore,it is necessary to strengthen and optimize the operating theatre nursing intervention,enhance the awareness of prevention and anti-infection,improve the management of surgical instruments,and actively cooperate with doctors to complete the operation quickly.
作者
唐志菊
TANG Zhiju(Infection Control Department,Dezhou United Hospital,Dezhou Shandong 253000,China)
出处
《中国卫生标准管理》
2021年第10期162-165,共4页
China Health Standard Management
关键词
手术室护理
术后肺部感染
相关性
手术时间
预防性抗感染
手术器械管理
出血量
operating room nursing
postoperative pulmonary infection
correlation
operative time
prophylactic anti-infection
surgical instrument management
bleeding volume
