普外科手术切口感染的影响因素及护理预防对策.docVIP

普外科手术切口感染的影响因素及护理预防对策 　　[摘要] 目的 探讨普外科手术切口感染影响因素及护理预防对策。 方法 2008年1月～2011年6月普外科切口感染患者80例，按照1：1比例选无切口感染普外科80例患者作为对照病例，对可能影响切口感染先进行单因素分析，然后将单因素分析中P＜0.05的变量筛选出来，进行多因素Logistic回归分析。 结果 单因素分析中P＜0.05的变量共12个，多因素Logistic回归分析结果显示出切口感染的5个独立危险因素为手术时间长（OR=3.78）、体重指数高（OR=3.18）、备皮至手术时间长（OR=3.02）、心理准备不充分（OR=2.76）、年龄大（OR=2.52）。 结论 普外科切口感染因素复杂，通过提高患者抵抗力、控制手术时间、缩短备皮至手术时间、心理护理及健康教育等护理预防对策以减少切口感染的发生。 　　[关键词] 普外科；切口感染；因素；护理对策 　　[中图分类号] R63 [文献标识码] B [文章编号] 1673-9701（2012）02-0103-02 　　 　　Influence factors of general surgical incision infection and its preservation and nursing measures 　　XIANG Xiaoai 　　Department of Nursing, The Traditional Chinese Medicine Hospital of Longquan in Zhejiang Province, Longquan 323700, China 　　[Abstract] Objective To investigate influence factors of general surgical incision infection and its preservation and nursing measures. Methods From January 2008 to June 2011, 80 cases of patients with general surgical incision infection were selected. According to the ratio of 1:1, 80 cases of general surgical patients without incision infection were taken as control cases. Firstly, carried out univariate analysis for factors possibly influencing incision infection, and then select variables with P＜0.05 in univariate analysis for multivariate logistic regression analysis. Results Totally, there were 12 variables with P＜0.05 in univariate analysis. Multivariate logistic regression analysis results showed that there were five independent risk factors of incision infection: long operation time (OR=3.78), high body mass index (OR=3.18), long time interval from skin preparation to surgery (OR=3.02), inadequate mental preparation (OR=2.76) and old age (OR=2.52). Conclusion Infection factors of general surgical incision were very complex. It was feasible to reduce the incidence of incision infection by enhancing disease resistance of patients, controlling surgery time, shortening time interval from skin preparation to surgery, implementing psychological care and health