骨折患者钢板取出术后切口感染预防及护理对策

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1、骨折患者钢板取出术后切口感染预防及护理对策［摘要］目的探讨骨折患者钢板取出术后切口感染预防与护理对策。方法随机筛选2009年8月〜2011年5月我院收治的行骨折钢板取出术患者300例，并将其随机分为常规护理组(150例)和护理干预组(150例)。常规护理组实行常规护理措施，护理干预组在对患者进行个体化护理评估后，进行有针对性的护理干预。比较两组患者切口感染情况和护理满意度。结果护理干预组无感染病例发生，均痊愈出院。两组治疗后评分比较，护理干预组切口感染患者(0例)明显少于常规护理组(21例)，差异有统计学意义(P<0.05)o常规护理组

2、患者满意度(60.67%)低于护理干预组(98.67%),差异有统计学意义(P<0.05)o结论对患者采取有针对性的护理干预有利于患者康复，降低切口感染的几率，提高患者的满意度。［关键词］骨折；钢板取出术；切口感染预防；护理对策［中图分类号］R473.6［文献标识码］C［文章编号］1673-7210(2012)01(c)-0134-02Incisioninfectionpreventionandnursingstrategiesofpatientswithfractureaftersteelpla.teremovalsurgeryZEN

3、GXiuzhenLiuzhuyuanCommunityHealthServiceCenter,XixiangPeople，sHospitalofBao^anDistrietinShenzhenCity,GuangdongProvince,Shenzhen518102,China[Abstract]ObjectiveToinvestigatetheincisioninfectionpreventionandnursingstrategiesofpatientswithfractureaftersteelplateremovalsurger

4、y.Methods300patientsadmittedandtreatedwithfracturesteelplateremovalsurgeryinourhospitalfromAugust2009toMay2011wererandomlyselectedanddividedintotheconventionalnursinggroup(n=50)andthenursinginterventiongroup(n二50).Theconventionalnursinggroupreceivedconventionalnursingmea

5、sureswhilethenursinginterventiongroupreceivedspecificnursinginterventionafterpersonalizednursingevaluation.Theincisioninfectionandnursingsatisfactionofbothgroupswerecompared.ResuItsTherewasnooccurrenceofinfectioninthenursinginterventiongroupandallthepatientsfullyrecovere

6、dandlefthospital.Thescorecomparisonofbothgroupsaftertreatmentshowedthatthenursinginterventiongroup(0case)wassignificantlylowerthantheconventionalnursinggroup(21cases)intheincisioninfection,withsignificantdifference(P<0.05).Theconventionalnursinggroup(60.67%)wassignifican

7、tlylowerthanthenursinginterventiongroup(98.67%)inthesatisfactionrate,withsignificantdifference(P<0.05).ConclusionSpecificnursinginterventionforthepatientsisconducivetopatientrehabilitation,andreduceincisioninfectionandimprovepatientsatisfaction.[Keywords]Fracture；Steelpl

8、ateremovalsurgery；Incisioninfectionprevention；Nursingstrategy骨折发生后，由于部分骨折部位周围组织解剖结构的特殊性，行内固定钢板取出术后，常会导致