Objective:To analyze the management measures and effects of preventing postoperative incision infections in the general surgery department of primary hospitals.Methods:Forty-nine surgical patients with 11 healthcare w...Objective:To analyze the management measures and effects of preventing postoperative incision infections in the general surgery department of primary hospitals.Methods:Forty-nine surgical patients with 11 healthcare workers who were admitted to the general surgery department of the primary hospital between August 2021 and August 2022 were selected as the routine group for routine incision infection management.Forty-nine surgical patients with 11 healthcare workers admitted to the same department between September 2022 and September 2023 were selected as the prevention group for prophylactic management of postoperative incision infections.The incision infection rate,knowledge,attitude,and practice(KAP)scores,and management satisfaction of the patients as well as the management skill scores of healthcare workers were compared between the two groups.Results:The rate of postoperative incision infection in the prevention group was lower than that in the routine group;after implementing management measures,patients in the prevention group had higher KAP scores than those in the routine group;patients in the prevention group were more satisfied with the management than those in the routine group;and healthcare workers in the prevention group had higher scores than those in the routine group,with P<0.05 for the comparison between the groups.Conclusion:The implementation of preventive management for general surgery patients in primary hospitals can reduce the incidence of postoperative incision infection and improve the KAP of patients,with higher management satisfaction.It can also enhance the management skills of healthcare workers,thus improving their overall management level.展开更多
BACKGROUND Prophylactic loop ileostomy is an effective way to reduce the clinical severity of anastomotic leakage following radical resection of rectal cancer.Incisional surgical site infection(SSI)is a common complic...BACKGROUND Prophylactic loop ileostomy is an effective way to reduce the clinical severity of anastomotic leakage following radical resection of rectal cancer.Incisional surgical site infection(SSI)is a common complication after ileostomy closure.AIM To evaluate the efficacy and safety of the micro-power negative pressure wound technique(MPNPWT)in preventing incisional SSI.METHODS This was a prospective,randomized controlled clinical trial conducted at a single center.A total of 101 consecutive patients who underwent ileostomy closure after rectal cancer surgery with a prophylactic ileostomy were enrolled from January 2019 to December 2021.Patients were randomly allocated into an MPNPWT group and a control group.The MPNPWT group underwent intermittent suturing of the surgical incision with 2-0 Prolene and was covered with a micro-power negative pressure dressing.The surgical outcomes were compared between the MPNPWT(n=50)and control(n=51)groups.Risk factors for incisional SSI were identified using logistic regression.RESULTS There were no differences in baseline characteristics between the MPNPWT(n=50)and control groups(n=51).The incisional SSI rate was significantly higher in the control group than in the MPNPWT group(15.7%vs 2.0%,P=0.031).However,MPNPWT did not affect other surgical outcomes,including intra-abdominal complications,operative time,and blood loss.Postoperative hospital stay length and hospitalization costs did not differ significantly between the two groups(P=0.069 and 0.843,respectively).None of the patients experienced adverse effects of MPNPWT,including skin allergy,dermatitis,and pain.MPNPWT also helped heal the infected incision.Our study indicated that MPNPWT was an independent protective factor[odds ratio(OR)=0.005,P=0.025)]and diabetes was a risk factor(OR=26.575,P=0.029)for incisional SSI.CONCLUSION MPNPWT is an effective and safe way to prevent incisional SSI after loop ileostomy closure.展开更多
AIM: To compare the effectiveness of needle-free incision suture closure with butterfly tape and traditional secondary suturing techniques in treating incision infection. METHODS: Two hundred and twenty-three patients...AIM: To compare the effectiveness of needle-free incision suture closure with butterfly tape and traditional secondary suturing techniques in treating incision infection. METHODS: Two hundred and twenty-three patients with incision infection following hepatobiliary surgery at a tertiary hospital were randomly divided into three groups: 90 patients were closed by needle-free incision suture closure, which gradually closed the incision wound when drainage from incision infection was visibly decreased and healthy granulation tissues had grown; 79 patients were closed by butterfly bandage; another 54 patients were closed by traditional secondary suturing technique. Healing time of incision infection was calculated from the beginning of dressing change to the healing of the incision. RESULTS: Healing time in the needle-free incision suture closure group (24.2 +/- 7.2 d) was significantly shorter than that in the butterfly bandage group (33.3 +/- 11.2 d) and the traditional secondary suturing group (36.2 +/- 15.3 d) (P < 0.05). Healing time in the butterfly bandage group appeared to be slightly shorter than that in the secondary suture group, but the difference was not statistically significant (P > 0.05). CONCLUSION: Needle-free incision suture closure could gradually close the infection wound at the same time of drainage and dressing change, thereby shortening the healing time. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.展开更多
Objective: to analyze the related risk factors of incision infection in type I incision surgery, and formulate a targeted nursing management plan based on the actual situation. Methods: the infection problem of incisi...Objective: to analyze the related risk factors of incision infection in type I incision surgery, and formulate a targeted nursing management plan based on the actual situation. Methods: the infection problem of incision surgery is very serious. We mainly analyzed the patients with incision surgery in our hospital from 2018 to December 2019. As the research object, we divided them into two groups by the method of random allocation. We carried out comparative analysis and research on the relevant infection factors of the two groups, and we obtained the relevant results. Results: the time, place, whether to place the guide tube or not, and the receiving operation are all influenced by single factor. The operation time is more than three hours, and the incidence rate of operation is relatively high, all of which have relevant statistical significance. The incision operation should be classified and judged according to the actual situation. Conclusion: according to the actual situation, patients with type I incision surgery should analyze the risk factors and take relevant targeted nursing measures in advance, so as to reduce the incidence of incision infection in the operating room and ensure the safety of the surgery.展开更多
Objective: to study the related factors of incision infection in aseptic orthopedic surgery and to study the nursing intervention in operating room. Methods: 90 cases of orthopedic surgery patients in our hospital fro...Objective: to study the related factors of incision infection in aseptic orthopedic surgery and to study the nursing intervention in operating room. Methods: 90 cases of orthopedic surgery patients in our hospital from July 2018 to July 2020 were selected and divided into control group (45 cases) and observation group (45 cases) according to the grouping standard of random number table. Two groups of patients were given aseptic orthopedic surgery. On this basis, the control group was added with the ordinary care method, while the observation group was taken with the ordinary care + operating room nursing method to find out the relevant factors and nursing results of aseptic surgical incision infection. Results: the infection rate of the patients in the observation group was lower than that of the control group (P < 0.05), and the incision infection was caused by the related factors such as operation duration, type and location, with statistical significance. Conclusion: orthopedic aseptic operation incision infection will be affected by many factors, such as operation duration, operation type, operation site, etc. Strengthening the nursing of the operating room can greatly reduce the incidence of infection, which is worth promoting and using in nursing.展开更多
Objective: to evaluate the effectiveness of operating room nursing intervention to prevent incision infection after total knee replacement. Methods: from October 24, 2019 to October 24, 2020, 70 patients who underwent...Objective: to evaluate the effectiveness of operating room nursing intervention to prevent incision infection after total knee replacement. Methods: from October 24, 2019 to October 24, 2020, 70 patients who underwent total knee arthroplasty in our hospital were randomly selected as subjects. According to the different nursing methods of each group, these patients were divided into routine nursing group and operating room nursing group, with 35 people in each group. The incidence of incision infection was compared between the two groups. Results: after the nursing intervention, in terms of the total satisfaction rate of nursing, the satisfaction rate of the operating room nursing group was higher (P < 0.05), and the incision infection rate of patients in the early rehabilitation nursing group was lower than that in the routine group, and the length of hospital stay was shorter than that in the routine group. The difference between the groups was statistically significant (P < 0.05). Discussion: the implementation of operating room nursing intervention for patients after total knee arthroplasty can effectively prevent incision infection, reduce patients' physical and mental discomfort, and let patients leave the hospital as soon as possible, with obvious advantages.展开更多
Objective:To explore and analyze the role of nursing in the operating room in the prevention of incision infection in aseptic orthopedic surgery.Methods:68 patients that underwent aseptic orthopedic surgery in our hos...Objective:To explore and analyze the role of nursing in the operating room in the prevention of incision infection in aseptic orthopedic surgery.Methods:68 patients that underwent aseptic orthopedic surgery in our hospital from January 2021 to December 2022.They were divided into a research group(n=34)and a control group(n=34)by the random number table method.The patients in the control group received conventional nursing intervention in the operating room,and the patients in the study group received the optimized and modified nursing intervention in the operating room;then,the related indicators of nursing intervention of the two groups were compared.Results:The incidence of incision infection in the study group was lower than that of the control group(P<0.05);the average duration of surgery and length of stay the study group were lower than those in the control group(P<0.05);the stress response indexes of patients in the study group were lower than those in the control group 24 hours after operation(P<0.05);the degree of satisfaction of the patients in the study group to the services provided by the nursing staff was significantly higher than that of the control group(P<0.05).Conclusion:High-quality nursing intervention in the operating room for aseptic orthopedic surgery patients can significantly reduce the incidence of incision infection,reduce the stress response caused by surgery,shorten the duration of surgery and length of stay,and improve nursing satisfaction,which makes it worthy of popularization.展开更多
Objective: to analyze the effect of nursing intervention in operating room to prevent orthopedic incision infection. Methods: 100 patients with orthopaedic diseases admitted in our hospital in recent years were select...Objective: to analyze the effect of nursing intervention in operating room to prevent orthopedic incision infection. Methods: 100 patients with orthopaedic diseases admitted in our hospital in recent years were selected and randomly divided into groups for analysis. The observation group was mainly used for nursing intervention in the operating room, while the control group was used for conventional nursing mode. The postoperative infection and satisfaction degree of the two groups of patients were compared and analyzed. According to the statistical difference results, it can be clearly found that the infection degree of the surgical incision of the orthopaedic patients was significantly reduced after the patients underwent nursing. It is very important to improve the satisfaction degree of nursing and has a very obvious curative effect.展开更多
Objective To study the risk factors of surgical wound infection among the patients in department of abodominal surgery. Methods The factors on surgical wound infection were investigated by retrospective study. The dia...Objective To study the risk factors of surgical wound infection among the patients in department of abodominal surgery. Methods The factors on surgical wound infection were investigated by retrospective study. The diagnosis standard was based on Diagnosis Standard of Hospital Infection published by Ministry of Health.展开更多
Objective: to analyze the application of fine nursing in general surgery of operating room, and to discuss the effect of preventing infection of surgical incision. Methods: 72 cases of subjects were randomly included ...Objective: to analyze the application of fine nursing in general surgery of operating room, and to discuss the effect of preventing infection of surgical incision. Methods: 72 cases of subjects were randomly included from March 2019.to May 2020.All of them was patients undergoing general surgery. The patients were divided into two groups by the odd-even numbering method. One group received conventional nursing as the control group, and the other group received refined nursing as the intervention group. Results: incidence of surgical incision infection and average hospitalization time in the intervention group were significantly lower than those in the control group (P < 0.05). Conclusion: in the development of general surgery in the operating room, taking fine nursing measures can have a positive effect on the prevention of incision infection;its application value is significant, suitable for popularization and promotion.展开更多
Objective: to study the effect of high-quality nursing methods in orthopaedic operating room and operating room on surgical incision infection. Methods: the subjects of this study were 5300 patients undergoing orthopa...Objective: to study the effect of high-quality nursing methods in orthopaedic operating room and operating room on surgical incision infection. Methods: the subjects of this study were 5300 patients undergoing orthopaedic surgery in our hospital from July 2018 to June 2020. Based on the difference of patients' nursing schemes, they are divided into routine nursing group and nursing cooperation group. Patients in the routine nursing group mainly adopt routine nursing methods during operation, and patients in the nursing cooperation group mainly adopt special nursing methods in the operating room during operation. There are 2650 subjects in each group. After the operation, the incidence of postoperative infection, quality of life score and the difference of intraoperative nursing methods were compared between the two groups. Results: after operation, the total incidence of incision infection in the routine nursing group was 11.32% (300 / 2650), which was significantly lower than that in the nursing cooperation group, which was 1.47% (39 / 2650);In terms of postoperative quality of life, the postoperative quality of life score of routine nursing group was (63.54±5.12), which was significantly lower than that of nursing cooperation group (86.33±6.27) (P < 0.05). Conclusion: during the implementation of orthopaedic surgery, treatment with high-quality nursing in the operating room has a very significant effect on the improvement of patients' postoperative quality of life. At the same time, it can reduce the incidence of incision infection and effectively improve the overall prognosis of patients. The effect is significant and worthy of promotion.展开更多
BACKGROUND Laparoscopic colorectal cancer surgery increases the risk of incisional hernia(IH)at the tumor extraction site.AIM To investigate the incidence of IH at extraction sites following laparoscopic colo-rectal c...BACKGROUND Laparoscopic colorectal cancer surgery increases the risk of incisional hernia(IH)at the tumor extraction site.AIM To investigate the incidence of IH at extraction sites following laparoscopic colo-rectal cancer surgery and identify the risk factors for IH incidence.METHODS This study retrospectively analyzed the data of 1614 patients who underwent la-paroscopic radical colorectal cancer surgery with tumor extraction through the abdominal wall at our center between January 2017 and December 2022.Diffe-rences in the incidence of postoperative IH at different extraction sites and the risk factors for IH incidence were investigated.RESULTS Among the 1614 patients who underwent laparoscopic radical colorectal cancer surgery,303(18.8%),923(57.2%),171(10.6%),and 217(13.4%)tumors were ex-tracted through supraumbilical midline,infraumbilical midline,umbilical,and off-midline incisions.Of these,52 patients developed IH in the abdominal wall,with an incidence of 3.2%.The incidence of postoperative IH was significantly higher in the off-midline incision group(8.8%)than in the middle incision groups[the supraumbilical midline(2.6%),infraumbilical midline(2.2%),and umbilical incision(2.9%)groups](χ^(2)=24.985;P<0.05).Univariate analysis showed that IH occurrence was associated with age,obesity,sex,chronic cough,incision infection,and combined diabetes,anemia,and hypopro-teinemia(P<0.05).Similarly,multivariate analysis showed that off-midline incision,age,sex(female),obesity,incision infection,combined chronic cough,and hypoproteinemia were independent risk factors for IH at the site of laparoscopic colorectal cancer surgery(P<0.05).CONCLUSION The incidence of postoperative IH differs between extraction sites for laparoscopic colorectal cancer surgery.The infraumbilical midline incision is associated with a lower hernia rate and is thus a suitable tumor extraction site.展开更多
Objective: to observe the effect of nursing intervention on gastrointestinal incision infection. Methods: 94 patients with gastrointestinal surgery were selected and randomly divided into control group and observation...Objective: to observe the effect of nursing intervention on gastrointestinal incision infection. Methods: 94 patients with gastrointestinal surgery were selected and randomly divided into control group and observation group. The control group gave routine care. The observation group used operating room nursing intervention to compare the incision healing and infection of the two groups. Results: the wound of 29 cases healed completely, 15 cases basically healed, 3 cases unhealed, 24 cases, 12 cases, 11 cases unhealed, the wound infectivity (4.26%) was lower than that of the normal population (19.15%);the recovery status and satisfaction degree of nurses after operation (95.74%) were significantly better (85.11%), P<0.05. Conclusion: operating room nursing intervention can prevent infection, improve postoperative recovery and improve patient experience.展开更多
Inappropriate use of antibiotics leads to microbial resistance.Single-dose antibio-tic prophylaxis prior to laparoscopic cholecystectomy is well known for reducing the risk of postoperative infection in high-risk pati...Inappropriate use of antibiotics leads to microbial resistance.Single-dose antibio-tic prophylaxis prior to laparoscopic cholecystectomy is well known for reducing the risk of postoperative infection in high-risk patients despite some conflicting aspects.High-risk patients are those who are older than 70 years,have diabetes mellitus,whose operation time exceeded 120 minutes,have acute cholecystitis,experienced iatrogenic intraoperative gallbladder perforation resulting in bile or gallstone spillage,suffered from obstructive jaundice,or were deemed immuno-compromised.For gallbladder perforation,one dose of antibiotic prophylaxis is sufficient.Therefore,guidelines are needed and must be strictly followed.Prophy-lactic treatment is not needed for patients at low risk of developing sepsis fo-llowing elective laparoscopic cholecystectomy,although the opposite is suppor-ted.Similarly,superficial surgical infections are related to low morbidity.Patients without risk factors have a very low risk of infection.Thus,the routine use of anti-biotic prophylaxis in elective laparoscopic cholecystectomy is not recommended.展开更多
Objective:To explore the preventive effects of anti-infective treatment on wound infection in emergency surgical trauma.Methods:180 patients in our hospital from 2019 to June to May 2020 were selected as subjects.The ...Objective:To explore the preventive effects of anti-infective treatment on wound infection in emergency surgical trauma.Methods:180 patients in our hospital from 2019 to June to May 2020 were selected as subjects.The 180 patients were randomly divided into two groups.The control group had 90 cases and adopted the conventional treatment method,and the experimental group received anti-infective treatment.The wound healing,infection status,and patient satisfaction of the two groups of patients were analyzed.Results:The wound healing,infection status,and patient satisfaction of the experimental group were better than those of the control group.Conclusion:The application of anti-infective treatment to the prevention of wound infection in emergency surgical trauma can reduce the infection rate of the patients'incision and promote the recovery of patients.It is suitable for clinical applications.展开更多
Objective: in-depth emergency surgical trauma surgery, further explore the preventive care and control measures of incision infection, and make positive contributions to the safe operation and rapid recovery of patien...Objective: in-depth emergency surgical trauma surgery, further explore the preventive care and control measures of incision infection, and make positive contributions to the safe operation and rapid recovery of patients. Methods: 120 patients who came to our hospital for emergency surgery from February 2021 to December 2021 and needed surgery were selected as the research object. The patients were randomly divided into two groups, namely the control group and the observation group, with 60 patients in each group, and all patients had no objection to this. Two groups of patients received different preventive nursing and control measures of surgical incision infection, the control group used routine measures, and the observation group used comprehensive measures. After the study, a series of data were compared to obtain the exact nursing and control effect. Results: in the process of data comparison, it was found that the comprehensive nursing and control measures adopted by the observation group were more effective, which was superior to the control group in reducing incision infection rate, and also had advantages in nursing satisfaction and improving quality of life, which showed the superiority and scientificity of nursing and control measures. The nursing satisfaction of observation group and control group were 98.33% and 80% respectively. The infection rate of incision was 5% and 23.33% respectively. Life quality score includes emotional function, social function, mental health, physiological function and energy. The above three groups of data are statistically significant (P<0.05). Conclusion: in the study of preventive care and control measures for wound infection in emergency surgery, it is found that the comprehensive care and control measures adopted by the observation group are more effective, can achieve the ideal state of prevention and control, and help to improve patient satisfaction and ease the tense doctor-patient relationship. Therefore, it is worthy of further promotion and use in clinic, which has important practical significance.展开更多
Objectives:To explore the risk factors and nursing measures of early surgical site infection(SSI)after posterior lumbar interbody fusion(PLIF).Methods:A total of 468 patients who received PLIF in our hospital from Jan...Objectives:To explore the risk factors and nursing measures of early surgical site infection(SSI)after posterior lumbar interbody fusion(PLIF).Methods:A total of 468 patients who received PLIF in our hospital from January 2017 to June 2020 were enrolled into this study.According to the occurrence of early SSI,the patients were divided into two groups,and the general data were analyzed by univariate analysis.Multivariate logistic regression analysis was conducted with the dichotomous variable of whether early SSI occurred and other factors as independent variables to identify the risk factors of early SSI and put forward targeted prevention and nursing measures.Results:Among 468 patients with PLIF,18 patients developed early SSI(3.85%).The proportion of female,age,diabetes mellitus and urinary tract infection(UTI),operation segment,operation time,post-operative drainage volume,and drainage time were significantly higher than those in the uninfected group,with statistical significance(P<0.05),whereas the preoperative albumin and hemoglobin in the infected group were significantly lower than those in the uninfected group,with statistical significance(P<0.05).There was no significant difference between the two groups in the American Society of Anesthesiologists(ASA)grading,body mass index(BMI),complications including cardiovascular and cerebrovascular diseases or hypertension(P>0.05).Logistic regression analysis showed that preoperative diabetes mellitus(OR=2.109,P=0.012)/UTI(OR=1.526,P=0.035),prolonged drainage time(OR=1.639,P=0.029)were risk factors for early SSI.Men(OR=0.736,P=0.027)and albumin level(OR=0.526,P=0.004)were protective factors in reducing early SSI.Conclusions:Women,preoperative diabetes/UTI,hypoproteinemia,and prolonged drainage time are risk factors for early SSI after PLIF.Clinical effective preventive measures should be taken in combination with targeted nursing intervention to reduce the risk of early SSI.展开更多
Background:Patients with Crohn’s disease(CD)are often reported to be at a high risk for incisional surgical site infection(SSI).The aim of this study was to identify the risk factors associated with post-operative in...Background:Patients with Crohn’s disease(CD)are often reported to be at a high risk for incisional surgical site infection(SSI).The aim of this study was to identify the risk factors associated with post-operative incisional SSI in CD patients after bowel resection.Method:CD patients undergoing bowel resection between 2007 and 2015 were enrolled.Demographic and clinical features related to post-operative incisional SSI were analysed using both univariate and multivariate logistical analyses.Results:Of all eligible patients(n=159),123(77.4%)were male,with a mean age at surgery of 33.4611.8 years.A total of 35(22.0%)CD patients developed post-operative incisional SSI.Post-operative incisional SSI was more likely to happen in patients who had penetrating type of disease(P=0.018),underwent bowel resection for the indication of chronic fistula(P=0.005)and had an intra-operative finding of fistula(P=0.001).A greater proportion of patients with post-operative incisional SSI were found to have anemia(P=0.019)but elevated levels of white blood cells(P=0.027),neutrophils(P=0.006)as well as an elevated percentage of neutrophils(P=0.005).Multivariate logistic regression analysis showed that anemia(odds ratio[OR]:3.31,95%confidence interval[CI]:1.05-10.46,P=0.041),an elevated percentage of neutrophils(OR:2.85,95%CI:1.23-6.59,P=0.014)and an intra-operative finding of fistula(OR:3.76,95%CI:1.53-9.21,P=0.004)were significantly associated with the risk for post-operative incisional SSI.Conclusions:Anemia,elevated percentage of neutrophils and intra-operative finding of fistula are predictors for the development of post-operative incisional SSI in CD patients undergoing bowel resection.Favorable pre-operative nutrition status and low inflammatory status may lessen the incidence of post-operative incisional SSI.展开更多
文摘Objective:To analyze the management measures and effects of preventing postoperative incision infections in the general surgery department of primary hospitals.Methods:Forty-nine surgical patients with 11 healthcare workers who were admitted to the general surgery department of the primary hospital between August 2021 and August 2022 were selected as the routine group for routine incision infection management.Forty-nine surgical patients with 11 healthcare workers admitted to the same department between September 2022 and September 2023 were selected as the prevention group for prophylactic management of postoperative incision infections.The incision infection rate,knowledge,attitude,and practice(KAP)scores,and management satisfaction of the patients as well as the management skill scores of healthcare workers were compared between the two groups.Results:The rate of postoperative incision infection in the prevention group was lower than that in the routine group;after implementing management measures,patients in the prevention group had higher KAP scores than those in the routine group;patients in the prevention group were more satisfied with the management than those in the routine group;and healthcare workers in the prevention group had higher scores than those in the routine group,with P<0.05 for the comparison between the groups.Conclusion:The implementation of preventive management for general surgery patients in primary hospitals can reduce the incidence of postoperative incision infection and improve the KAP of patients,with higher management satisfaction.It can also enhance the management skills of healthcare workers,thus improving their overall management level.
基金Supported by the Zhejiang Provincial Natural Science Foundation of China,No.LQ20H260002.
文摘BACKGROUND Prophylactic loop ileostomy is an effective way to reduce the clinical severity of anastomotic leakage following radical resection of rectal cancer.Incisional surgical site infection(SSI)is a common complication after ileostomy closure.AIM To evaluate the efficacy and safety of the micro-power negative pressure wound technique(MPNPWT)in preventing incisional SSI.METHODS This was a prospective,randomized controlled clinical trial conducted at a single center.A total of 101 consecutive patients who underwent ileostomy closure after rectal cancer surgery with a prophylactic ileostomy were enrolled from January 2019 to December 2021.Patients were randomly allocated into an MPNPWT group and a control group.The MPNPWT group underwent intermittent suturing of the surgical incision with 2-0 Prolene and was covered with a micro-power negative pressure dressing.The surgical outcomes were compared between the MPNPWT(n=50)and control(n=51)groups.Risk factors for incisional SSI were identified using logistic regression.RESULTS There were no differences in baseline characteristics between the MPNPWT(n=50)and control groups(n=51).The incisional SSI rate was significantly higher in the control group than in the MPNPWT group(15.7%vs 2.0%,P=0.031).However,MPNPWT did not affect other surgical outcomes,including intra-abdominal complications,operative time,and blood loss.Postoperative hospital stay length and hospitalization costs did not differ significantly between the two groups(P=0.069 and 0.843,respectively).None of the patients experienced adverse effects of MPNPWT,including skin allergy,dermatitis,and pain.MPNPWT also helped heal the infected incision.Our study indicated that MPNPWT was an independent protective factor[odds ratio(OR)=0.005,P=0.025)]and diabetes was a risk factor(OR=26.575,P=0.029)for incisional SSI.CONCLUSION MPNPWT is an effective and safe way to prevent incisional SSI after loop ileostomy closure.
基金Supported by National Nature Science Foundation of China,No.30801111 and No.30972923Science and Technology Sup-port Project of Sichuan Province No.14ZC1337,No.14ZC1335 and No.2014SZ0002-10
文摘AIM: To compare the effectiveness of needle-free incision suture closure with butterfly tape and traditional secondary suturing techniques in treating incision infection. METHODS: Two hundred and twenty-three patients with incision infection following hepatobiliary surgery at a tertiary hospital were randomly divided into three groups: 90 patients were closed by needle-free incision suture closure, which gradually closed the incision wound when drainage from incision infection was visibly decreased and healthy granulation tissues had grown; 79 patients were closed by butterfly bandage; another 54 patients were closed by traditional secondary suturing technique. Healing time of incision infection was calculated from the beginning of dressing change to the healing of the incision. RESULTS: Healing time in the needle-free incision suture closure group (24.2 +/- 7.2 d) was significantly shorter than that in the butterfly bandage group (33.3 +/- 11.2 d) and the traditional secondary suturing group (36.2 +/- 15.3 d) (P < 0.05). Healing time in the butterfly bandage group appeared to be slightly shorter than that in the secondary suture group, but the difference was not statistically significant (P > 0.05). CONCLUSION: Needle-free incision suture closure could gradually close the infection wound at the same time of drainage and dressing change, thereby shortening the healing time. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
文摘Objective: to analyze the related risk factors of incision infection in type I incision surgery, and formulate a targeted nursing management plan based on the actual situation. Methods: the infection problem of incision surgery is very serious. We mainly analyzed the patients with incision surgery in our hospital from 2018 to December 2019. As the research object, we divided them into two groups by the method of random allocation. We carried out comparative analysis and research on the relevant infection factors of the two groups, and we obtained the relevant results. Results: the time, place, whether to place the guide tube or not, and the receiving operation are all influenced by single factor. The operation time is more than three hours, and the incidence rate of operation is relatively high, all of which have relevant statistical significance. The incision operation should be classified and judged according to the actual situation. Conclusion: according to the actual situation, patients with type I incision surgery should analyze the risk factors and take relevant targeted nursing measures in advance, so as to reduce the incidence of incision infection in the operating room and ensure the safety of the surgery.
文摘Objective: to study the related factors of incision infection in aseptic orthopedic surgery and to study the nursing intervention in operating room. Methods: 90 cases of orthopedic surgery patients in our hospital from July 2018 to July 2020 were selected and divided into control group (45 cases) and observation group (45 cases) according to the grouping standard of random number table. Two groups of patients were given aseptic orthopedic surgery. On this basis, the control group was added with the ordinary care method, while the observation group was taken with the ordinary care + operating room nursing method to find out the relevant factors and nursing results of aseptic surgical incision infection. Results: the infection rate of the patients in the observation group was lower than that of the control group (P < 0.05), and the incision infection was caused by the related factors such as operation duration, type and location, with statistical significance. Conclusion: orthopedic aseptic operation incision infection will be affected by many factors, such as operation duration, operation type, operation site, etc. Strengthening the nursing of the operating room can greatly reduce the incidence of infection, which is worth promoting and using in nursing.
文摘Objective: to evaluate the effectiveness of operating room nursing intervention to prevent incision infection after total knee replacement. Methods: from October 24, 2019 to October 24, 2020, 70 patients who underwent total knee arthroplasty in our hospital were randomly selected as subjects. According to the different nursing methods of each group, these patients were divided into routine nursing group and operating room nursing group, with 35 people in each group. The incidence of incision infection was compared between the two groups. Results: after the nursing intervention, in terms of the total satisfaction rate of nursing, the satisfaction rate of the operating room nursing group was higher (P < 0.05), and the incision infection rate of patients in the early rehabilitation nursing group was lower than that in the routine group, and the length of hospital stay was shorter than that in the routine group. The difference between the groups was statistically significant (P < 0.05). Discussion: the implementation of operating room nursing intervention for patients after total knee arthroplasty can effectively prevent incision infection, reduce patients' physical and mental discomfort, and let patients leave the hospital as soon as possible, with obvious advantages.
文摘Objective:To explore and analyze the role of nursing in the operating room in the prevention of incision infection in aseptic orthopedic surgery.Methods:68 patients that underwent aseptic orthopedic surgery in our hospital from January 2021 to December 2022.They were divided into a research group(n=34)and a control group(n=34)by the random number table method.The patients in the control group received conventional nursing intervention in the operating room,and the patients in the study group received the optimized and modified nursing intervention in the operating room;then,the related indicators of nursing intervention of the two groups were compared.Results:The incidence of incision infection in the study group was lower than that of the control group(P<0.05);the average duration of surgery and length of stay the study group were lower than those in the control group(P<0.05);the stress response indexes of patients in the study group were lower than those in the control group 24 hours after operation(P<0.05);the degree of satisfaction of the patients in the study group to the services provided by the nursing staff was significantly higher than that of the control group(P<0.05).Conclusion:High-quality nursing intervention in the operating room for aseptic orthopedic surgery patients can significantly reduce the incidence of incision infection,reduce the stress response caused by surgery,shorten the duration of surgery and length of stay,and improve nursing satisfaction,which makes it worthy of popularization.
文摘Objective: to analyze the effect of nursing intervention in operating room to prevent orthopedic incision infection. Methods: 100 patients with orthopaedic diseases admitted in our hospital in recent years were selected and randomly divided into groups for analysis. The observation group was mainly used for nursing intervention in the operating room, while the control group was used for conventional nursing mode. The postoperative infection and satisfaction degree of the two groups of patients were compared and analyzed. According to the statistical difference results, it can be clearly found that the infection degree of the surgical incision of the orthopaedic patients was significantly reduced after the patients underwent nursing. It is very important to improve the satisfaction degree of nursing and has a very obvious curative effect.
文摘Objective To study the risk factors of surgical wound infection among the patients in department of abodominal surgery. Methods The factors on surgical wound infection were investigated by retrospective study. The diagnosis standard was based on Diagnosis Standard of Hospital Infection published by Ministry of Health.
文摘Objective: to analyze the application of fine nursing in general surgery of operating room, and to discuss the effect of preventing infection of surgical incision. Methods: 72 cases of subjects were randomly included from March 2019.to May 2020.All of them was patients undergoing general surgery. The patients were divided into two groups by the odd-even numbering method. One group received conventional nursing as the control group, and the other group received refined nursing as the intervention group. Results: incidence of surgical incision infection and average hospitalization time in the intervention group were significantly lower than those in the control group (P < 0.05). Conclusion: in the development of general surgery in the operating room, taking fine nursing measures can have a positive effect on the prevention of incision infection;its application value is significant, suitable for popularization and promotion.
文摘Objective: to study the effect of high-quality nursing methods in orthopaedic operating room and operating room on surgical incision infection. Methods: the subjects of this study were 5300 patients undergoing orthopaedic surgery in our hospital from July 2018 to June 2020. Based on the difference of patients' nursing schemes, they are divided into routine nursing group and nursing cooperation group. Patients in the routine nursing group mainly adopt routine nursing methods during operation, and patients in the nursing cooperation group mainly adopt special nursing methods in the operating room during operation. There are 2650 subjects in each group. After the operation, the incidence of postoperative infection, quality of life score and the difference of intraoperative nursing methods were compared between the two groups. Results: after operation, the total incidence of incision infection in the routine nursing group was 11.32% (300 / 2650), which was significantly lower than that in the nursing cooperation group, which was 1.47% (39 / 2650);In terms of postoperative quality of life, the postoperative quality of life score of routine nursing group was (63.54±5.12), which was significantly lower than that of nursing cooperation group (86.33±6.27) (P < 0.05). Conclusion: during the implementation of orthopaedic surgery, treatment with high-quality nursing in the operating room has a very significant effect on the improvement of patients' postoperative quality of life. At the same time, it can reduce the incidence of incision infection and effectively improve the overall prognosis of patients. The effect is significant and worthy of promotion.
基金This study was reviewed and approved by the Ethics Committee of Shenzhen People's Hospital.
文摘BACKGROUND Laparoscopic colorectal cancer surgery increases the risk of incisional hernia(IH)at the tumor extraction site.AIM To investigate the incidence of IH at extraction sites following laparoscopic colo-rectal cancer surgery and identify the risk factors for IH incidence.METHODS This study retrospectively analyzed the data of 1614 patients who underwent la-paroscopic radical colorectal cancer surgery with tumor extraction through the abdominal wall at our center between January 2017 and December 2022.Diffe-rences in the incidence of postoperative IH at different extraction sites and the risk factors for IH incidence were investigated.RESULTS Among the 1614 patients who underwent laparoscopic radical colorectal cancer surgery,303(18.8%),923(57.2%),171(10.6%),and 217(13.4%)tumors were ex-tracted through supraumbilical midline,infraumbilical midline,umbilical,and off-midline incisions.Of these,52 patients developed IH in the abdominal wall,with an incidence of 3.2%.The incidence of postoperative IH was significantly higher in the off-midline incision group(8.8%)than in the middle incision groups[the supraumbilical midline(2.6%),infraumbilical midline(2.2%),and umbilical incision(2.9%)groups](χ^(2)=24.985;P<0.05).Univariate analysis showed that IH occurrence was associated with age,obesity,sex,chronic cough,incision infection,and combined diabetes,anemia,and hypopro-teinemia(P<0.05).Similarly,multivariate analysis showed that off-midline incision,age,sex(female),obesity,incision infection,combined chronic cough,and hypoproteinemia were independent risk factors for IH at the site of laparoscopic colorectal cancer surgery(P<0.05).CONCLUSION The incidence of postoperative IH differs between extraction sites for laparoscopic colorectal cancer surgery.The infraumbilical midline incision is associated with a lower hernia rate and is thus a suitable tumor extraction site.
文摘Objective: to observe the effect of nursing intervention on gastrointestinal incision infection. Methods: 94 patients with gastrointestinal surgery were selected and randomly divided into control group and observation group. The control group gave routine care. The observation group used operating room nursing intervention to compare the incision healing and infection of the two groups. Results: the wound of 29 cases healed completely, 15 cases basically healed, 3 cases unhealed, 24 cases, 12 cases, 11 cases unhealed, the wound infectivity (4.26%) was lower than that of the normal population (19.15%);the recovery status and satisfaction degree of nurses after operation (95.74%) were significantly better (85.11%), P<0.05. Conclusion: operating room nursing intervention can prevent infection, improve postoperative recovery and improve patient experience.
文摘Inappropriate use of antibiotics leads to microbial resistance.Single-dose antibio-tic prophylaxis prior to laparoscopic cholecystectomy is well known for reducing the risk of postoperative infection in high-risk patients despite some conflicting aspects.High-risk patients are those who are older than 70 years,have diabetes mellitus,whose operation time exceeded 120 minutes,have acute cholecystitis,experienced iatrogenic intraoperative gallbladder perforation resulting in bile or gallstone spillage,suffered from obstructive jaundice,or were deemed immuno-compromised.For gallbladder perforation,one dose of antibiotic prophylaxis is sufficient.Therefore,guidelines are needed and must be strictly followed.Prophy-lactic treatment is not needed for patients at low risk of developing sepsis fo-llowing elective laparoscopic cholecystectomy,although the opposite is suppor-ted.Similarly,superficial surgical infections are related to low morbidity.Patients without risk factors have a very low risk of infection.Thus,the routine use of anti-biotic prophylaxis in elective laparoscopic cholecystectomy is not recommended.
文摘Objective:To explore the preventive effects of anti-infective treatment on wound infection in emergency surgical trauma.Methods:180 patients in our hospital from 2019 to June to May 2020 were selected as subjects.The 180 patients were randomly divided into two groups.The control group had 90 cases and adopted the conventional treatment method,and the experimental group received anti-infective treatment.The wound healing,infection status,and patient satisfaction of the two groups of patients were analyzed.Results:The wound healing,infection status,and patient satisfaction of the experimental group were better than those of the control group.Conclusion:The application of anti-infective treatment to the prevention of wound infection in emergency surgical trauma can reduce the infection rate of the patients'incision and promote the recovery of patients.It is suitable for clinical applications.
文摘Objective: in-depth emergency surgical trauma surgery, further explore the preventive care and control measures of incision infection, and make positive contributions to the safe operation and rapid recovery of patients. Methods: 120 patients who came to our hospital for emergency surgery from February 2021 to December 2021 and needed surgery were selected as the research object. The patients were randomly divided into two groups, namely the control group and the observation group, with 60 patients in each group, and all patients had no objection to this. Two groups of patients received different preventive nursing and control measures of surgical incision infection, the control group used routine measures, and the observation group used comprehensive measures. After the study, a series of data were compared to obtain the exact nursing and control effect. Results: in the process of data comparison, it was found that the comprehensive nursing and control measures adopted by the observation group were more effective, which was superior to the control group in reducing incision infection rate, and also had advantages in nursing satisfaction and improving quality of life, which showed the superiority and scientificity of nursing and control measures. The nursing satisfaction of observation group and control group were 98.33% and 80% respectively. The infection rate of incision was 5% and 23.33% respectively. Life quality score includes emotional function, social function, mental health, physiological function and energy. The above three groups of data are statistically significant (P<0.05). Conclusion: in the study of preventive care and control measures for wound infection in emergency surgery, it is found that the comprehensive care and control measures adopted by the observation group are more effective, can achieve the ideal state of prevention and control, and help to improve patient satisfaction and ease the tense doctor-patient relationship. Therefore, it is worthy of further promotion and use in clinic, which has important practical significance.
文摘Objectives:To explore the risk factors and nursing measures of early surgical site infection(SSI)after posterior lumbar interbody fusion(PLIF).Methods:A total of 468 patients who received PLIF in our hospital from January 2017 to June 2020 were enrolled into this study.According to the occurrence of early SSI,the patients were divided into two groups,and the general data were analyzed by univariate analysis.Multivariate logistic regression analysis was conducted with the dichotomous variable of whether early SSI occurred and other factors as independent variables to identify the risk factors of early SSI and put forward targeted prevention and nursing measures.Results:Among 468 patients with PLIF,18 patients developed early SSI(3.85%).The proportion of female,age,diabetes mellitus and urinary tract infection(UTI),operation segment,operation time,post-operative drainage volume,and drainage time were significantly higher than those in the uninfected group,with statistical significance(P<0.05),whereas the preoperative albumin and hemoglobin in the infected group were significantly lower than those in the uninfected group,with statistical significance(P<0.05).There was no significant difference between the two groups in the American Society of Anesthesiologists(ASA)grading,body mass index(BMI),complications including cardiovascular and cerebrovascular diseases or hypertension(P>0.05).Logistic regression analysis showed that preoperative diabetes mellitus(OR=2.109,P=0.012)/UTI(OR=1.526,P=0.035),prolonged drainage time(OR=1.639,P=0.029)were risk factors for early SSI.Men(OR=0.736,P=0.027)and albumin level(OR=0.526,P=0.004)were protective factors in reducing early SSI.Conclusions:Women,preoperative diabetes/UTI,hypoproteinemia,and prolonged drainage time are risk factors for early SSI after PLIF.Clinical effective preventive measures should be taken in combination with targeted nursing intervention to reduce the risk of early SSI.
基金supported by the National Natural Science Foundation of China(No.81400603)the Guangdong Natural Science Foundation(No.2015A030310190)the Science and Technology Planning Project of Guangdong Province(No.2015B020229001).
文摘Background:Patients with Crohn’s disease(CD)are often reported to be at a high risk for incisional surgical site infection(SSI).The aim of this study was to identify the risk factors associated with post-operative incisional SSI in CD patients after bowel resection.Method:CD patients undergoing bowel resection between 2007 and 2015 were enrolled.Demographic and clinical features related to post-operative incisional SSI were analysed using both univariate and multivariate logistical analyses.Results:Of all eligible patients(n=159),123(77.4%)were male,with a mean age at surgery of 33.4611.8 years.A total of 35(22.0%)CD patients developed post-operative incisional SSI.Post-operative incisional SSI was more likely to happen in patients who had penetrating type of disease(P=0.018),underwent bowel resection for the indication of chronic fistula(P=0.005)and had an intra-operative finding of fistula(P=0.001).A greater proportion of patients with post-operative incisional SSI were found to have anemia(P=0.019)but elevated levels of white blood cells(P=0.027),neutrophils(P=0.006)as well as an elevated percentage of neutrophils(P=0.005).Multivariate logistic regression analysis showed that anemia(odds ratio[OR]:3.31,95%confidence interval[CI]:1.05-10.46,P=0.041),an elevated percentage of neutrophils(OR:2.85,95%CI:1.23-6.59,P=0.014)and an intra-operative finding of fistula(OR:3.76,95%CI:1.53-9.21,P=0.004)were significantly associated with the risk for post-operative incisional SSI.Conclusions:Anemia,elevated percentage of neutrophils and intra-operative finding of fistula are predictors for the development of post-operative incisional SSI in CD patients undergoing bowel resection.Favorable pre-operative nutrition status and low inflammatory status may lessen the incidence of post-operative incisional SSI.
