Value of high-quality operating room nursing in preventing incision infection in pregnant women with gestational diabetes mellitus undergoing cesarean section
手术室优质护理预防妊娠期糖尿病患者行剖宫产术切口感染的价值探讨

摘要

目的 探讨手术室优质护理在预防妊娠期糖尿病（GDM）患者行剖宫产术切口感染中的应用价值，为优化GDM剖宫产围手术期护理方案提供依据。方法 选取2024年5月至2025年5月在我院行剖宫产术的720例GDM患者为研究对象（注：我院同期年剖宫产手术总量约2160例，本研究样本占比约1/3，具有代表性），年龄25-40岁，采用随机数字表法分为对照组（360例）与实验组（360例）。对照组实施剖宫产常规手术室护理，实验组采用手术室优质护理（涵盖术前血糖管控、术中无菌强化、术后切口精细化护理）。比较两组患者切口感染率、切口愈合时间、护理满意度及围手术期不良事件发生率。结果 实验组切口感染率（1.39%）显著低于对照组（6.67%），差异有统计学意义（χ²=12.15，P=0.001）；实验组切口愈合时间（6.18±1.03）d短于对照组（8.52±1.30）d，差异有统计学意义（t=26.34，P＜0.001）；实验组护理满意度（97.78%）高于对照组（90.00%），差异有统计学意义（χ²=18.56，P＜0.001）；实验组围手术期不良事件发生率（2.22%）低于对照组（7.22%），差异有统计学意义（χ²=10.83，P=0.001）。结论 对行剖宫产术的GDM患者实施手术室优质护理，可有效降低切口感染风险，缩短切口愈合时间，提升护理满意度，减少围手术期不良事件，具有重要临床推广价值。

Abstract

Objective To explore the application value of high-quality operating room nursing in preventing cesarean section incision infections in patients with gestational diabetes mellitus (GDM), and provide a basis for optimizing perioperative nursing protocols for GDM patients undergoing cesarean delivery.
Methods A total of 720 GDM patients undergoing cesarean section at our hospital from May 2024 to May 2025 were selected as research subjects (Note: The total annual cesarean section volume of our hospital during the same period was about 2160 cases, and the sample of this study accounted for about 1/3, which is representative), aged 25-40 years. Patients were randomly divided into a control group (360 cases) and an experimental group (360 cases) using a random number table. The control group received standard operating room nursing during cesarean delivery, while the experimental group received high-quality operating room nursing (including preoperative blood glucose control, enhanced aseptic measures during surgery, and meticulous postoperative incision care). Comparison was made between the two groups in terms of incision infection rates, incision healing time, nursing satisfaction, and perioperative adverse event rates.
Results The incision infection rate in the experimental group (1.39%) was significantly lower than that in the control group (6.67%), with statistically significant differences (χ²=12.15, P=0.001). The incision healing time in the experimental group (6.18±1.03) days was shorter than that in the control group (8.52±1.30) days, with statistically significant differences (t=26.34, P<0.001). The nursing satisfaction rate in the experimental group (97.78%) was higher than that in the control group (90.00%), with statistically significant differences (χ²=18.56, P<0.001). The perioperative adverse event rate in the experimental group (2.22%) was lower than that in the control group (7.22%), with statistically significant differences (χ²=10.83, P=0.001).
Conclusion   Implementing high-quality surgical care for GDM patients undergoing cesarean section can effectively reduce the risk of incision infection, shorten the healing time, improve nursing satisfaction, and reduce perioperative complications, demonstrating significant clinical value for widespread application.