安玉玲 白芮

[摘要]目的探討全程无缝隙护理对预防骨科手术切口感染的临床疗效及炎性因子的影响。方法选取2020年2月至2021年2月甘肃省中医院骨科收治的手术治疗患者200例，随机分为观察组（ n=100）与对照组（ n=100）。对照组患者接受骨科常规护理，观察组患者接受全程无缝隙护理模式干预。比较两组患者的切口感染发生率、炎性因子变化水平以及护理满意度。结果术后1周两组患者切口感染发生率比较差异无统计学意义（ P >0.05），但术后1个月随访时观察组患者切口感染发生率低于对照组，差异有统计学意义（ P <0.05）。术后1个月，观察组患者的白细胞介素-6（IL-6）和肿瘤坏死因子-α（TNF-α）水平均低于对照组，差异有统计学意义（ P <0.05）。观察组患者护理总满意度为96.00%，高于对照组的82.00%，差异有统计学意义（ P <0.05）。结论全程无缝隙护理可以有效提高骨科病房手术患者的基础护理质量，通过对患者进行全面专业护理达到有效预防术后切口感染的目的，帮助患者改善炎性因子水平，促进患者预后，并提升护理满意度，具有一定卫生和社会价值，值得推广应用。

[关键词]无缝隙护理;骨科;切口感染;炎性因子

[中图分类号] R473.6 [文献标识码] A  [文章编号]2095-0616（2021）22-0118-04

Application  effect  of whole - course  seamless  nursing  in preventing orthopedic surgery-associated incision infection

AN  Yuling   Bai  Rui

Department of Anesthesia Surgery， Gansu Provincial Hospital of Traditional Chinese Medicine， Gansu， Lanzhou 730050， China

[Abstract] Objective To explore the clinical efficacy of whole-course seamless nursing on the prevention of orthopedic surgery-associated incision infection and its effect on the levels of inflammatory factors. Methods A total of 200 patients undergoing surgery admitted to the Department of Orthopedics， Gansu Provincial Hospital of Traditional Chinese Medicine from February 2020 to February 2021 were selected and randomly divided into the observation group （n=100） and the control group （n=100）. Patients in the control group received conventional orthopedic nursing， while patients in the observation group received the whole-course seamless nursing intervention . The incidence of incision infection， changes in the levels of inflammatory factors， and the satisfaction of patients with nursing were compared in the two groups of patients. Results There was no statistically significant difference between the two groups in the incidence of incision infection one week after surgery （P >0.05）， but the incidence of incision infection in patients in the observation group was lower than that in the control group during follow -up after one month of surgery， with statistically significant difference （P <0.05）. One month after surgery， the levels of interleukin-6（IL-6） and tumor necrosis factor-α（TNF-α） of patients in the observation group were lower than those in the control group， with statistically significant difference （P <0.05）. The total satisfaction of patients with nursing in the observation group was 96.00%， which was higher than that in the control group （82.00%）， with statistically significant difference （P <0.05）. Conclusion Whole-course seamless nursing can effectively enhance the quality of basic nursing for patients undergoing surgery in orthopedicwards . It can achieve the purpose of effectively preventing postoperative incision infection by providing patients with comprehensive professional nursing， and can improve the level of inflammatory factors and promote prognosis of patients， as well as increase nursing satisfaction， which has certain health and social value and is worthy of promotion and application.

[Key words] Seamless nursing; Orthopedics; Incision infection; Inflammatory factors

骨科患者常以中老年患者为多，自身免疫功能相对低下，再加上手术治疗的过程中常需要长期卧床和制动，导致切口感染已成为骨科的主要并发症之一[1]。切口感染不仅会对手术效果产生影响，严重者还会导致截肢、瘫痪，甚至威胁生命，不仅给患者本人造成严重的身心痛苦，还会增加家庭乃至社会的经济、医疗资源负担[2]。手术操作、日常护理不到位和患者自身抵抗力低下是导致切口感染的主要因素[3]。本研究主要从日常护理层面出发，选取2020年2月至2021年2月骨科收治的手术治疗患者200例，探讨全程无缝隙护理对预防骨科手术切口感染的临床疗效及炎性因子影响。现报道如下。

1资料与方法

1.1一般資料

选取2020年2月至2021年2月甘肃省中医院骨科收治的手术治疗患者200例。纳入标准：①符合《外科学》[4]中相关骨科疾病的诊断标准和手术指征，于骨科行手术治疗;②年龄18～70岁，临床资料完整;③签署知情同意书。排除……