预测接受腹部手术的老年人手术部位感染的因素:回顾性队列研究

IF 0.7 Q4 NURSING
Papattranan Dangsri, Supreeda Monkong, I. Roopsawang
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引用次数: 0

摘要

手术部位感染是非医院感染中的一个重要健康问题,会导致接受手术的老年人术后死亡。确定风险因素对提高手术护理质量至关重要。这项回顾性队列研究在曼谷的一家大学医院进行,严格考察了接受腹部手术的老年人的手术部位感染率及其预测因素。该研究采用方便抽样的方法,招募了 300 名在 2020 年 1 月 1 日至 12 月 31 日期间接受腹部手术的老年人,他们都使用了《国际疾病分类,第九版,临床修正》(ICD-9-CM)的编码,并填写了电子病历。使用的工具包括人口统计学特征表、术前临床特征表、术中记录表和术后记录表。研究采用描述性统计和二元逻辑回归分析法对收集到的数据进行分析,确保对接受腹部手术的老年人手术部位感染的风险因素进行全面、稳健的分析。手术部位感染率为每 100 例患者中有 12 例,不同解剖部位和手术程序的感染率不同,从 0.33% 到 5.66% 不等,其中结肠手术最常见。研究发现了预测手术部位感染的重要风险因素,包括合并症和肥胖等级2,而美国麻醉医师协会身体状况等级2和3被认为是保护因素。这些发现为在护理实践中筛查有手术部位感染风险的患者(尤其是接受结肠手术的老年人)以及预防手术部位感染提供了有力的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Predicting Surgical Site Infection in Older Adults Undergoing Abdominal Surgery: A Retrospective Cohort Study
Surgical site infection is a significant health problem among nosocomial infections, leading to post-operative mortality in surgical older adults. Identifying risk factors is essential in surgical care quality. This retrospective cohort study, conducted at a university hospital in Bangkok, rigorously examined the surgical site infection rate and its predictive factors in older adults undergoing abdominal surgery. The study employed convenience sampling to recruit 300 older adults who underwent abdominal surgery using the code of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and completion of electronic medical records between January 1 and December 31, 2020. The instruments used included the Demographic Characteristics Form, the Preoperative Clinical Characteristics Form, the Intraoperative Record Form, and the Post-operative Record Form. The data collected were analyzed using descriptive statistics and binary logistic regression analysis, ensuring a comprehensive and robust analysis of the risk factors for surgical site infection in older adults undergoing abdominal surgery. The results of this study revealed that 63.25% of participants were female, with a mean age of 74.5 years. The surgical site infection rate was 12 per 100 patients, varying across anatomical locations and surgical procedures, ranging from 0.33% to 5.66%, with colon surgery being the most common. The study identified significant risk factors predicting surgical site infection, including comorbidities and obesity class 2, while the American Society of Anesthesiologists Physical Status class 2 and 3 were identified as protective factors. These findings provide a powerful tool to screen patients at risk of surgical site infection in nursing practice, particularly with older adults undergoing colon surgery, and to prevent surgical site infection.
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
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