外科手术切口感染的危险因素分析及护理对策

目的探讨外科手术切口感染的危险因素分析及护理对策。方法选择2010年1月-2014年1月在我院住院普外科住院治疗的病例120例,入选病例均有完整的临床资料,对切口感染的发生率采用χ^2检验进行单因素分析,同时采用非条件Logistic回归分析进行多因素分析,并针对相关因素采取对应的护理对策。结果入选的120例病例中发生切口医院感染共11例,感染发生率9.17%。年龄、基础疾病、手术时间、切口类型、住院时间、切口长度、切口引流与外科手术切口感染密切相关（P〈0.05）。年龄〉60岁（OR=6.384）、有基础疾病（OR=5.237）、手术时间≥3 h（OR=4.726）、切口类型Ⅲ类（OR=7.153）是外科手术切口感染发生的危险因素。结论年龄、基础疾病、手术时间、切口类型、住院时间、切口长度、切口引流与外科手术切口感染密切相关,其中年龄〉60岁、有基础疾病、手术时间≥3 h、切口类型Ⅲ类是外科手术切口感染发生的危险因素。外科手术切口感染直接影响到手术的质量和患者的生活水平,护理人员应明确引起切口感染的危险因素,同时针对引起外科手术切口感染的危险因素采取有效的护理干预对策,从而有利于降低手术切口感染发生率,促进疾病早日康复。

Risk factors and nursing countermeasure analysis of surgical operation incision infection

Objective To investigate the surgical operation incision infection risk factors and nursing countermeasure.Methods From 2010 January to 2014 January in our hospital, selected 120 cases hospitalized in department of general surgery, clinical data of patients were completed, the incision infection rate used χ^2test for univariate analysis, and used nonconditional Logistic for multivariate regression analysis, and the corresponding nursing measures for the relevant factors. Results A total of 120 cases were selected, a total of 11 cases of incision occurred hospital infection, infection rate was 9.17%. Age, basic disease, operation time, incision type, length of hospital stay, length of incision, incision drainage and surgical incision infection closely related（P〈0.05）. Above the age of 60 years（OR=6.384）, had basic diseases（OR=5.237）, operation time ≥3 h（OR=4.726）, incision type Ⅲ（OR=7.153） were the risk factors for surgical operation incision infection. Conclusion Age, basic disease, operation time, incision type, length of hospital stay, length of incision, incision and drainage is closely related with infection in surgical operation, including older than 60 years old, have basic diseases, operation time, incision type class Ⅲ≥3 h are the risk factors for surgical operation incision infection. Surgical operation incision infection directly affects the operation quality and patient＇s living standards, the nursing staff should clear the risk factors causing infection of incision, at the same time take care by effective intervention measures on the risk factors of infection of incision surgical operation, to reduce the incidence of operation incision infection, so as to promote the recovery of disease.