abstract
Objective: To observe the effect of optimized nursing in operating room on preventing incision infection in gynecological open surgery.
Methods: 800 patients who underwent open surgery in the Department of Obstetrics and Gynecology of our hospital from April 38, 2065 to March 38, 2065 were divided into control group and observation group according to different nursing methods.
Observation group, 400 cases in each group, in which the control group was given routine care and the observation group was given optimized care, and the nursing effects of the two groups were compared and analyzed.
Results: After nursing, the first-class healing rate of surgical incision in the observation group was 89.50%, which was significantly higher than that in the control group (60.25%, the difference was statistically significant (P
The infection rate of surgical incision in the observation group was 2.75%, which was significantly lower than that in the control group (8.00%, the difference was statistically significant (P
The nursing satisfaction of the observation group was 98.75%, which was significantly higher than that of the control group (865,438 0.25%), with statistical significance (P < 0.05).
Conclusion: Optimized nursing in operating room has a significant effect on preventing incision infection in gynecological open surgery, which is helpful for patients to recover their health and is worth popularizing.
key word
Operating room.
Optimize nursing.
Obstetrics and gynecology
Open surgery.
Incision infection
A large number of studies have found that open surgery is the main method to treat various gynecological diseases at present, which has played a huge role in clinic, but how to avoid postoperative incision infection is still a clinical problem.
In recent years, with the continuous improvement of nursing level, optimized nursing in operating room has achieved remarkable results in preventing incision infection after gynecological open surgery [1].
In this study, 800 patients who underwent open surgery in obstetrics and gynecology from March 20 14 to March 20 15 were optimized in the operating room, which provided a powerful reference for further confirming the application value of this kind of nursing. The specific research report is as follows.
1 data and methods
1. 1 general information
Participants were 800 gynecological patients who underwent open surgery in our hospital from March 20 14 to March 20 15, excluding serious diseases such as heart, liver and kidney.
According to different nursing methods, patients with systemic diseases and coagulation dysfunction were divided into control group and observation group.
There were 400 cases in the control group, aged from 22 to 68, with an average of (365438 0.02? 0.25 years old.
The types of operation included 350 cases of cesarean section, 6 cases of hysteromyoma/kloc-0, 2 cases of hysterectomy, 5 cases of ectopic pregnancy and 8 cases of ovarian cyst.
There were 400 cases in the observation group, aged from 23 to 67, with an average of (31.1? 0. 19) years old.
The types of operations included cesarean section in 352 cases, hysteromyoma 18 cases, hysterectomy 16 cases, ectopic pregnancy in 4 cases and ovarian cyst 10 cases.
There was no significant difference in general data between the two groups (P & gt0.05), which was comparable.
1.2 nursing methods
The control group used routine nursing methods in the operating room, including air disinfection in the operating room, examination of patients' clinical data and disinfection treatment. On this basis, the observation group gave the operating room optimized nursing methods. The specific operation contents are as follows.
1.2. 1 preoperative communication
Because patients undergoing open surgery have different degrees of anxiety, tension and other negative emotions, if not adjusted in time, it will not only reduce the surgical treatment effect, but also affect the prognosis recovery, and then adversely affect the overall quality of life of patients.
Therefore, nurses need to maintain good communication and exchange with patients, strengthen ward patrol before operation, and master the psychological state of patients in detail through communication.
At the same time, on the basis of understanding the psychological state of patients, targeted psychological intervention is implemented. If the patient is worried about surgical pain, he can introduce the clinical experience and anesthetic effect of the attending doctor to him at this time.
On the other hand, explain the operation-related knowledge to patients, including operation methods and contents, matters needing attention during operation, and the importance of implementing optimized nursing in operating room. So as to relieve patients' nervousness and make them cooperate with the work of medical staff more actively.
1.2.2 Strict aseptic operation
First of all, enhance the aseptic consciousness of operating room staff and strictly demand the methods and procedures of hand washing before operation.
Secondly, 30min minutes before the operation, the operating room was disinfected by specialized nursing staff, and unused sterile items were properly managed and preserved.
In addition, nurses should prepare surgical instruments and articles in advance and assist doctors in the operation in an orderly manner.
1.2.3 strengthen the nursing work in the operating room
First, before anesthesia, give patients some encouragement and support, answer their inner doubts as much as possible, eliminate their nervousness, and ensure the smooth operation.
Second, closely monitor the patient's vital signs during the operation, such as pupil changes, state of consciousness, ECG display, etc.
At the same time, fully protect the exposed skin of patients and avoid infection.
Third, keep the number of people in the operating room to a minimum, minimize the number of people walking around and entering and leaving the operating room, and ensure the surgical effect to the maximum extent.
1.2.4 postoperative ward follow-up
Postoperative follow-up work is carried out by specialized nursing staff, mainly to master the patient's diet and wound healing.
The results of each follow-up were recorded in detail, which provided a powerful reference for the following nursing work.
1.3 observation index
(1) wound healing and infection index: After the operation, the patient's wound healing was excellent, and there were no other adverse reactions, which was grade A healing.
The wound healing effect of the patient was general, and there was no suppuration, but there were adverse reactions such as hematoma, which suggested B-class healing.
The patient's wound healing failed, suppuration occurred at the same time, and even incision drainage was needed, which was indicated as class C healing.
(2) Through the self-made questionnaire, we know the satisfaction of the two groups of patients with nursing work in detail, which is divided into three levels: very satisfied, satisfied and dissatisfied. Satisfaction = (very satisfied cases+satisfied cases)/total cases? 100%。
1.4 statistical processing
Statistical software SPSS 19.0 was used for data processing, and (x-? S) indicates that the comparison adopts T test, the counting data is expressed by ratio (%), and the comparison adopts word 2 test, with P.
Two results
2. 1 Comparison of wound healing and infection between the two groups.
After nursing, the first-class healing rate in the observation group was higher than that in the control group, with statistical significance (P
2.2 Comparison of nursing satisfaction between the two groups
In the observation group, 352 cases were very satisfied, 43 cases were satisfied and 5 cases were dissatisfied, accounting for 88.00%, 65,438+00.75%, 65,438+0.25% respectively, and the nursing satisfaction rate was 98.75%.
In the control group, 269 cases were very satisfied, 56 cases were satisfied and 75 cases were dissatisfied, accounting for 67.25%, 65,438 04.00% and 65,438 08.75% respectively, and the nursing satisfaction was 865,438 0.25%.
Thus, the nursing satisfaction of the observation group was significantly higher than that of the control group, and the difference was statistically significant (word 2=68.06, P
2.3 Comparison of surgical incision infection rate between the two groups
In the observation group, patients 1 1 person were infected with surgical incision, and the infection rate was 2.75%.
In the control group, 32 cases were infected with surgical incision, and the infection rate was 8.00%.
The infection rate of surgical incision in the observation group was higher than that in the control group, and the difference was statistically significant (word 2= 10.84, P
3 discussion
Open surgery is the most commonly used method in the treatment of gynecological diseases, which has a certain therapeutic effect, but it can also induce complications of incision infection, affect the quality of surgical treatment, and is extremely unfavorable to patients' physical and mental health [2-3].
Practice has proved that the occurrence of postoperative incision infection is closely related to many factors, including: open surgery is traumatic, and invasive operation will reduce the patient's resistance, which will lead to incision infection, which is also the main factor leading to this complication.
Whether the surgical instruments are disinfected correctly.
Whether the air in the operating room is circulating, etc.
Therefore, how to prevent incision infection is the key to improve clinical efficacy.
The study found that good nursing methods can not only ensure the clinical treatment effect, but also provide strong support for improving the prognosis of patients.
In recent years, with the development and progress of nursing level, optimized nursing in operating room has been widely used in the nursing work of gynecological open surgery, and achieved good nursing effect.
Optimal nursing in operating room is a new nursing mode, which is patient-centered and has strong pertinence and purpose.
In this study, the nursing contents were mainly implemented through preoperative communication, strict aseptic operation, strengthening nursing in operating room and postoperative ward follow-up.
On the one hand, we can accurately grasp the psychological state of patients and take certain psychological counseling measures, which can effectively improve the psychological state of patients and reduce negative emotional components.
On the other hand, it can enhance the aseptic consciousness of operating room personnel and constantly improve and standardize the operating procedures and processes of operating room.
In this nursing mode, in addition to avoiding the bacterial infection of the incision to the greatest extent, it can also ensure the smooth operation, so as to achieve the purpose of surgical treatment.
Combined with the results of this study, the first-class healing rate and nursing satisfaction rate of the observation group were 89.50% and 98.75%, respectively, which were higher than those of the control group.
60.25% and 865,438+0.25% in the control group, and the infection rate of incision was 2.75%, which was significantly lower than 8.00% in the control group, which was consistent with the results of domestic literature [4-5].
In a word, optimized nursing in operating room has a high nursing effect in gynecological open surgery, which can not only reduce the infection rate of incision, but also effectively improve nursing satisfaction.
It shows that optimized nursing in operating room is an efficient and correct nursing mode, which has high clinical application value and is worthy of wide application and promotion.
Authors: Chen Liqin Setting: Longyan Maternal and Child Health Hospital.
refer to
[1] Liu Ying. Study on the effect of operating room nursing in preventing incision infection in gynecological open surgery [J]. China Continuing Medical Education, 2015,7 (30): 200-201.
Zhang Caihong Zhang Xuelian Zhou Saiya. Application of PDCA management in incision infection control of gynecological open surgery [J]. Nursing and Rehabilitation, 20 13, 12 (5): 49 1-492.
[3] Yang Jilan, Wang Fengyun. Analysis of the effect of high-quality nursing service mode in operating room on preventing abdominal incision infection [J]. Jilin Medicine, 2015,36 (15): 3381-3382.
[4] Wu Wenyuan. Observation and Nursing of Abdominal Incision in Gynecological Surgery Patients [J]. Chinese and Foreign Medicine, 2013,32 (6):163-164.
[5] Zhang Jing. Study on the clinical effect of humanized nursing on patients undergoing gynecological surgery [J]. Contemporary Medical Series, 20 14,12 (18):130-131.
Related papers on nursing application in obstetrics and gynecology
abstract:
Objective To explore the effect of holistic nursing intervention on intractable obstetric and gynecological bleeding.
Methods Fifty-four patients with intractable gynecological bleeding were selected as the research object, and the treatment time was 20 14 months to 2015 years.
1 month, randomly divided into two groups, namely the control group and the research group, with 27 cases in each group. Routine nursing intervention and holistic nursing intervention were taken respectively, and the nursing effects of the two groups were compared and analyzed.
Results After nursing, there were significant differences in operation time, hemostasis time and hospitalization days between the intervention group and the control group (P < 0.05).
Conclusion The application of holistic nursing intervention in obstinate bleeding patients in obstetrics and gynecology is effective and an ideal nursing model, which is worth learning and popularizing.
Key words:
Holistic nursing intervention.
Refractory bleeding in obstetrics and gynecology.
Hemostasis time.
degree of satisfaction
Holistic nursing intervention is a new nursing model, which is widely used in clinical nursing at present, and the application effect is high [1][2][3].
From 20 14 to 20 15 and 10, our hospital implemented holistic nursing intervention for patients with intractable gynecological bleeding, and achieved good results. The specific report is as follows.
1 data and methods
Basic information of 1. 1
This study includes 54 cases of intractable obstetric and gynecological bleeding treated in our hospital. The treatment time was 20 14 1 month ~ 20 15 1 month, and they were divided into two groups by random number table method.
One group is the control group (n=27), the youngest is 23 years old and the oldest is 38 years old, with an average of 26. 1.2? 1.20 years old.
17 patients were primiparas and 10 patients were multiparas.
The other group is the intervention group (n=27), the youngest is 22 years old and the oldest is 39 years old, with an average of 26.24? 1. 15 years old.
18 cases were primiparas and 9 cases were multiparas.
There is no significant difference in the basic data between the two groups, P & gt0.05, which can be compared.
1.2 nursing methods
In this study, the control group was given routine nursing intervention, such as keeping the ward clean and tidy and recording the illness in detail. On this basis, the intervention group was given holistic nursing intervention, such as: ① preoperative nursing.
Evaluate patients' psychological state, formulate personalized intervention measures according to different patients' psychological state, and guide patients to maintain a positive and optimistic attitude by listening to music and communicating in pairs.
In addition, through the distribution of manuals, knowledge lectures and other measures to introduce disease knowledge to patients, as well as the use of past successful cases to help patients build confidence in treatment.
② Intraoperative nursing.
Closely observe the patient's condition changes, such as facial expression, breathing, etc. , strengthen the nursing of venous access, ensure its normal use, and do a good job of blood transfusion and infusion.
③ Postoperative care.
To design a scientific and reasonable diet plan for patients, we should give priority to choosing foods rich in protein and high in calories, and remind patients to take a rest and avoid excessive exercise.
At the same time, strengthen the patient's discharge health education, guide the patient to pay attention to diet and rest again, and strengthen the observation of vaginal bleeding. If the amount of bleeding exceeds the amount of menstruation, you need to be admitted to the hospital immediately.
1.3 observation index
The operation time, hemostasis time and hospitalization days of the two groups were compared and analyzed.
Statistical analysis of 1.4
SPSS 15.0 software and X? S stands for measurement data, t test, x2 test and counting data, P.