探讨手术室内护理对合并糖尿病患者术后切口感染预防的效果观察
[摘要] 目的 研究分析合并糖尿病患者接受手术室内护理对术后切口感染的预防以及效果。 方法 根据2013年11月—2015年11月該院的合并糖尿病病例开展研究，将112例患者分成对照组和观察组，分别使用常规护理和手术室内护理，比较分析两组感染几率和满意度情况。 结果 观察组患者的术后切口感染几率是3.57%，对照组的切口感染几率是25.00%，两组结果差异有统计学意义（P<0.05）。所以手术室内护理可以降低合并糖尿病患者的切口感染几率。观察组有2例感染病例，占5.36%，对照组有13例感染病例，占23.21%，两组结果差异有统计学意义（P<0.05）。观察组满意度是96.43%，对照组是83.93%，结果差异有统计学意义（P<0.05）。 结论 合并糖尿病患者接受手术室内护理能够降低切口感染率和并发症几率，患者对手术满意度提升，能够改善患者手术后的生活质量。
[关键词] 手术室内护理；合并糖尿病；术后切口感染
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2017）11（b）-0112-02
[Abstract] Objective To research and analyze the prevention effect of nursing in the operating room on the postoperative incision infection of patients with diabetes. Methods 112 cases of patients with diabetes admitted and treated in our hospital from November 2013 to November 2015 were selected and divided into two groups， including the control group and the observation group， respectively treated with routine nursing and nursing in the operating room， and the occurrence probability of infection and satisfactory degree were compared between the two groups. Results The occurrence probability of incision infection after surgery in the observation group and in the control group was respectively 3.57% and 25.00%， and the difference was statistically significant（P<0.05）， and the nursing in operating room could reduce the infection probability of patients with diabetes， and in the observation group， there were 2 infectious cases， accounting for 5.36%， and in the control group， there were 13 infectious cases， accounting for 23.21%， and the differences were statistically significant（P<0.05）， and the satisfactory degree in the observation group and in the control group was respectively 96.43% and 83.93%， and the difference was statistically significant（P<0.05）. Conclusion The nursing in the operating room of patients with diabetes can reduce the incision infection rate and occurrence of complications， and it can improve the operation satisfactory degree and improve the quality of life of patients after surgery.
[Key words]Nursing in the operating room； Combined with diabetes； Postoperative incision infection
糖尿病的病因比较多，患者终生需要接受治疗，合并糖尿病的手术患者，因为手术复杂，术后切口愈合不佳，容易感染，存在多种并发症，所以其生命安全受到了威胁[1-6]。该疾病主要发病群体是中老年人，患者接受手术治疗时，切口会导致患者的血糖出现波动，引起血糖水平上升，让患者的切口出现感染以及并发症。手术后，对于合并糖尿病患者提供全面的护理服务，手术是护理对于患者的康复，安全有非常大的帮助，能够给患者提供必需的护理需求，并且让患者的感染和并发症几率下降。手术期护理可以让患者手术成功率获得提升，对医院的整体水平有比较大的改善[7-8]。根据该院2013年11月—2015年11月接收的112例患者来开展此次研究分析，探讨手术室内护理的效果，现报道如下。
1 资料与方法
1.1 一般资料