手术室专业护理分组对控制腔镜肾切除术后感染的效果

发布时间：2018-04-03 19:12

本文选题：手术室专业护理分组　切入点：腔镜肾切除术　出处：《广东医学》2016年21期

【摘要】：目的探讨与分析手术室专业护理分组对腔镜肾切除术后感染的控制影响。方法采用前瞻性研究方法,选择进行腔镜肾切除术患者76例,根据入院顺序分为观察组与对照组各38例,所有患者均接受腔镜肾切除术,在术后给予对照组进行常规护理,观察组在基于对照组的护理工作基础上进行手术室专业护理分组控制管理,观察两组感染发生情况与预后恢复情况。结果观察组与对照组术后感染发生率分别为2.6%(1/38)和13.2%(5/38),观察组的术后感染发生率明显少于对照组(X~2=3.123,P0.05);所有感染患者术后持续使用第3代头孢菌素、喹诺酮类抗生素抗炎治疗后好转。观察组的术后肛门排气时间、引流管留置时间、下床活动时间、住院时间都明显少于对照组(P0.05)。观察组术后尿漏、尿性囊肿、输尿管残端综合征、下位肾功能缺失等并发症发生率为5.3%,对照组为23.7%,观察组比对照组明显要少(P0.05)。观察组和对照组的护理满意度分别为100.0%和89.5%,观察组明显高于对照组(P0.05)。结论手术室专业护理分组在腔镜肾切除术的应用有利于控制术后感染,减少并发症的发生,促进患者康复,提高患者的满意度,从而实现优质护理服务。
[Abstract]:Objective to explore and analyze the effect of nursing group in operating room on infection control after endoscopic nephrectomy.Methods A prospective study was carried out in 76 patients undergoing endoscopic nephrectomy. According to the order of admission, the patients were divided into two groups: the observation group and the control group. All the patients received endoscopic nephrectomy, and the control group was given routine nursing care after operation.On the basis of the nursing work of the control group, the observation group carried on the control management of the professional nursing group in the operating room, and observed the incidence of infection and the recovery of prognosis in the two groups.Results the incidence of postoperative infection in the observation group and the control group was 2.6 / 38) and 13.22 / 5 / 38 respectively. The incidence of postoperative infection in the observation group was significantly lower than that in the control group (P 0.05), and the third generation of cephalosporin and quinolone antibiotics were improved after anti-inflammatory therapy.The anus exhaust time, drainage tube indwelling time, the time of getting out of bed and the hospitalization time of the observation group were obviously less than those of the control group (P 0.05).The incidence of postoperative complications such as urinary leakage, urinary cyst, ureteral stump syndrome and inferior renal dysfunction were 5.3 in the observation group and 23.7in the control group. The incidence of complications in the observation group was significantly less than that in the control group (P 0.05).The nursing satisfaction of the observation group and the control group were 100.0% and 89.5% respectively. The observation group was significantly higher than the control group (P 0.05).Conclusion the application of special nursing group in operating room in endoscopic nephrectomy is beneficial to control postoperative infection, reduce complications, promote patients' recovery and improve patients' satisfaction, so as to achieve high quality nursing service.
【作者单位】：海南省人民医院手术室;海南省人民医院泌尿外科;
【基金】：海南省卫生厅2012年度医学科研重点课题(编号:琼卫2012ZD-07)
【分类号】：R472.3

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