手术室护理小组干预在降低乳腺癌手术患者术后感染中的应用

摘要

目的:探讨手术室护理小组干预在降低乳腺癌手术患者术后感染中的应用效果.方法:选取2016年11月~2017年4月我院收治的80例乳腺癌手术患者为研究对象,采用随机数字表法等分为对照组和研究组,对照组实施常规护理干预,研究组在对照组基础上实施手术室护理小组干预,观察护理干预前后两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)的评分情况、护理效果、术后感染率、医疗纠纷发生率及复发情况.结果:护理干预前两组患者SAS,SDS评分相比较无统计学意义(P>0.05);护理干预后两组患者SAS,SDS评分较护理干预前明显降低,且研究组的降低程度高于对照组(P<0.05).护理干预后研究组患者手术室护理管理、护理质量、护理安全、护理服务、护理文书方面评分明显高rn于对照组(P<0.05).护理干预后研究组患者的医源性感染发生率及医疗纠纷发生率、复发率均明显低于对照组(P<0.05).结论:手术室护理小组干预在乳腺癌手术患者中应用,可有效减轻患者焦虑、抑郁情绪,明显提高护理效果,降低术后感染及不良事件发生率,且预后效果佳.%Objective:To discuss the effect of application of intervention from operating room nursing group in reduction of postoperative infection of surgical patients with breast cancer.Methods:Selected 80 cases of surgical patients with breast cancer admitted to our hospital from November 2016 to April 2017, and they were taken as objects of study.They were equally divided into control group and research group with random number table method.Routine nurs-ing intervention was given to the control group, and intervention from operating room nursing group was given to the research group on the bass of control group, and the patents from two groups were observed for self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scoring conditions,nurs-ing effect,postoperative infection rate,medical dispute occurrence,and recurrence conditions before and after the intervention.Results:Before the nursing intervention, the comparison of two groups of patients in SAS and SDS scores was not of statistical significance(P>0.05); after the nursing intervention, the patients from two groups had significantly reduced SAS and SDS scores,and the research group had a higher degree of reduction than the control group (P<0.05).After the nursing intervention, the research group was superior to the control group in operating room nursing management, nursing quality, nursing safety, nursing service,and written scoring of nursing documents(P<0.05).After the nursing intervention,those from research group had signifi-cantly reduced iatrogenic infection incidence, medical dispute occurrence, and recurrence than those from control group(P<0.05).Conclusion:Through the intervention from operating room nursing group to surgical patients with breast cancer, it was able to effectively alleviate the patient's anxiety and de-pression, significantly improve the nursing effect,and reduce the postoperative infection and adverse event rate,and a better prognosis effect could be got.