全膝关节置换术围手术期护理.docx

江苏大学继续教育学院（1号黑体居中）毕业论文论文题目：专业：姓名：学号：教学点：徐州函授站联系方式：PAGE\*MERGEFORMAT2全膝关节置换术围手术期护理摘要目的探讨围术期护理干预在关节置换术患者中的应用方法及效果。方法将2014年1～12月接受常规护理的452例患者作为对照组，2015年1～12月给予围术期护理干预的438例患者作为观察组，观察围术期护理干预前后手术部位感染率，患者出院时的护理满意度情况，术后3个月的血常规、血沉及C反应蛋白(CＲP)情况。结果观察组切口感染率明显低于对照组(P＜0．05);术后3个月两组CＲP比较差异有统计学意义(P＜0．01);观察组护理满意度高于对照组(P＜0．05)。结论完善的术前准备、术中严格无菌操作、规范的备皮、保暖、术后护理等有效的护理干预可显著降低关节置换术后患者的感染发生率，提高护理满意度。关键词：关节置换；围手术期；降低PerioperativenursingoftotalkneereplacementAbstract：Objectivetoinvestigatetheperioperativenursinginterventionmethodsandeffectsinpatientswitharthroplasty.Methodsfrom20141toDecemberreceivedroutinenursingand452patientsascontrolgroup,20151toDecember438casesofperioperativenursinginterventionofpatientsastheobservationgroup,theobservationofpreoperativenursinginterventionbeforeandafterperioperativesitetheinfectionrate,nursingsatisfactionofpatientsweredischarged,blood3monthsafteroperation,ESRandCreactiveprotein(CRP).Resultstheobservationgroupincisioninfectionratewassignificantlylowerthanthecontrolgroup(P<0.05);therewasstatisticalsignificancebetweenpostoperative3monthdifferenceinCRPbetweenthetwogroups(P<0.01);nursingsatisfactionofobservationgroupwashigherthanthecontrolgroup(P<0.05).Conclusiontoimprovethepreoperativepreparation,strictasepticoperation,standardizedskinpreparation,warm,effectivenursinginterventioncansignificantlyreduceafterjointreplacementpatientstheincidenceofpostoperativeinfection,improvenursingsatisfaction.Keywords:jointreplacement;perioperativeperiod;reduction人工关节置换手术因其可在最大程度上恢复终末期骨关节病患者的关节功能、消除关节疼痛、提高患者生活质量而越来越普及。人工关节置换术后假体周围感染(PJI)是人工关PAGE\*MERGEFORMAT6节置换术最灾难性的并发症。尽管随着手术技术的