Effect analysis of fine nursing in operating room on incision infection and nursing satisfaction of patients undergoing cardiac surgery
手术室精细化护理对心脏手术患者切口感染及护理满意度的效果分析

摘要

目的 探究手术室精细化护理对降低心脏手术患者术后切口感染及护理满意度的效果。方法 回顾性分析2021年3月至2024年2月期间在我院心血管外科接受心脏手术治疗的56例患者为对象，根据其接受护理方案的不同进行分组，分为对照组与研究组，各28例。对照组采取手术室常规护理，研究组采取手术室精细化护理。比较两组患者的病原菌检测、切口感染率、护理工作满意度等指标。结果 研究组患者革兰氏阴性杆菌、革兰氏阳性球菌检出率分别为3.57%、7.14%，均显著低于对照组的28.57%、32.14%，差异有统计学意义（P＜0.05）；研究组手术切口感染率0，对照组为21.43%，组间差异有统计学意义（P＜0.05）；研究组患者对护理工作满意度显著高于对照组（96.43%＞67.86%），差异有统计学意义（P＜0.05）。结论 针对心脏手术患者实施手术室精细化护理可有效降低切口感染风险，提升护理满意度，值得在临床范围内广泛应用。

Abstract

Objective To explore the effect of fine nursing in operating room on reducing postoperative incision infection and nursing satisfaction of patients undergoing cardiac surgery.
Methods A retrospective analysis was performed on 56 patients who received cardiac surgery in the Department of Cardiovascular Surgery of our hospital from March 2021 to February 2024, and they were divided into control group and study group, with 28 cases in each group, according to their different nursing programs. The control group took routine nursing in operating room, and the study group took fine nursing in operating room. The pathogenic bacteria detection, incision infection rate and nursing satisfaction were compared between the two groups.
Results The detection rates of gram-negative bacillus and Gram-positive coccus in study group were 3.57% and 7.14%, respectively, which were significantly lower than 28.57% and 32.14% in control group, with statistical significance (P < 0.05). The incision infection rate was 0 in the study group and 21.43% in the control group, and the difference was statistically significant (P < 0.05). The satisfaction of nursing work in the study group was significantly higher than that in the control group (96.43% > 67.86%), and the difference was statistically significant (P < 0.05).
Conclusion   The operation room fine nursing for cardiac surgery patients can effectively reduce the risk of incision infection and improve nursing satisfaction, which is worthy of extensive clinical application.