Analysis of factors related to infection of sterile orthopedic incision and nursing interventionin operating room
骨科无菌手术切口感染相关因素分析与手术室护理干预

摘要

目的 分析接受无菌手术进行治疗的患者切口部位发生感染的影响因素，并针对性实施手术室护理干预。方法 采用随机抽取的方式来选出研究对象，所有研究对象都是在本院接受无菌手术治疗的患者，对患者的基本资料进行了回顾性分析，并对其预后情况展开了观察，分析影响切口感染的因素；自2022年7月开始实施手术室护理干预，将研究对象按照是否接受手术室护理干预分为研究组和对照组，比较手术室护理干预的临床实施效果。结果 （1）分析实施手术室护理干预之前影响切口感染的因素，发现手术时间＞3h、在急诊接受骨科手术、接受肩颈上肢骨科手术、年龄≥60岁的患者切口发生感染的概率更大；（2）与常规护理相比，手术室护理质量更高，差异显著（p＜0.05）：（3）研究组患者发生感染的概率明显小于对照组，差异显著（p＜0.05）。结论 在手术室护理工作中，必须分析骨科无菌手术切口感染的有关因素，了解主要的影响因素，并有针对性地进行预防性的护理干预，从而减少了切口感染率，切实提升了手术室的护理工作的质量，也让骨科手术的病人对相关工作的满意度得到了进一步的提高。

Abstract

Objective To analyze the influencing factors of incision site infection in patients undergoing aseptic surgery, and to implement nursing intervention in operating room.
Methods The subjects were selected by random selection. All subjects were patients receiving aseptic surgical treatment in our hospital. The basic data of the patients were analyzed retrospectively, and the prognosis was observed to analyze the factors affecting the incision infection. Operating room nursing intervention has been implemented since July 2022. Subjects were divided into study group and control group according to whether they received operating room nursing intervention. Clinical implementation effects of operating room nursing intervention were compared.
Results (1) The factors affecting incision infection before operation room nursing intervention were analyzed, and it was found that patients with operation time > 3h, orthopedic surgery in emergency, orthopedic surgery in shoulder, neck and upper limb, and age ≥60 years old had a higher probability of incision infection. (2) Compared with conventional nursing, the nursing quality in the operating room was higher, and the difference was significant (p < 0.05) : (3) The probability of infection in the study group was significantly lower than that in the control group, and the difference was significant (p < 0.05).
Conclusion   In the nursing work of the operating room, it is necessary to analyze the factors related to the infection of sterile orthopaedic surgery incision, understand the main influencing factors, and carry out targeted preventive nursing intervention, so as to reduce the infection rate of the incision, effectively improve the quality of nursing work in the operating room, but also let the satisfaction of orthopaedic surgery patients on the related work has been further improved.