摘要【目的】探讨综合干预对预防耳鼻喉科患者术后感染的应用效果。【方法】选择2015年1月至2016年12月于本院择期行手术治疗的82例耳鼻喉科患者作为研究对象,选取2015年1~12月收治的41例患者作为对照组,选取2016年1~12月收治的41例患者作为观察组。对照组给予围手术期常规护理干预,观察组在对照组的基础上实施综合护理干预。比较两组术后感染预防效果。【结果】观察组术后感染率为4.88%(2/41),显著低于对照组的26.83%(11/41)( P <0.05)。两组术前病原菌菌落数比较无统计学差异( P >0.05),手术开始10 min、术毕时菌落数均显著多于术前( P <0.05);观察组手术开始10 min、术毕时病原菌菌落数显著低于对照组( P <0.05)。观察组平均抗生素使用时间、住院时间、住院费用均显著低于对照组( P <0.05)。观察组护理服务的满意度为95.12%(39/41),显著高于对照组的75.61%(31/41)( P <0.05)。【结论】对耳鼻喉科患者实施综合护理干预可有效减少术后感染的发生,缩短住院时间,提升患者满意度,值得临床推广应用。
Abstract:【Objective】To investigate the effect of comprehensive intervention on postoperative infection prevention in otolaryngology (ENT) patients. 【Methods】The subjects were selected from 82 cases of otorhinolaryngology patients undergoing elective surgery in our hospital from January 2015 to December 2016.Of them, 41 patients admitted from January 2015 to December 2015 were selected as the control group and 41 patients from January 2016 to December 2016 were treated as the observation group. The control group was given only perioperative routine nursing intervention while the observation group was given comprehensive nursing intervention for the prevention of postoperative otolaryngology infection. The prevention effect of postoperative infection was compared between the two groups. 【Results】The postoperative infection rate in the observation group was 4.88% (2/41), which was significantly lower than that in the control group 26.83% (11/41) ( P < 0.05). There was no significant difference in the number of colonies of preoperative pathogens between the two groups before operation ( P > 0.05).However, the number of colonies of pathogens in the two groups increased at 10 minutes after operation and at the end of surgery. In the observation group, the numbers of colonies of pathogens at 10 min after operation and at the end of surgery were lower than those of the control group at the same time points ( P < 0.05). The average antibiotic use time, hospitalization time and hospitalization cost in the observation group were significantly lower than those in the control group ( P < 0.05). The satisfaction rate of nursing service in the observation group was 95.12% (39/41), which was significantly higher than that in the control group 75.61%, (31/41) ( P < 0.05). 【Conclusion】 The comprehensive nursing intervention for infection prevention in otolaryngology patients can effectively reduce the incidence of postoperative infection, shorten the length of hospital stay, and improve patient satisfaction is high. So it is worth popularizing and applying.
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