Abstract
Objective This study aimed to provide scientific management methods to prevent nosocomial infection based on the systematical evaluation of the effect of operating room nursing management on nosocomial infection in orthopedic surgery. Methods PubMed, Web of Science, Embase, China National Knowledge Internet, and Wanfang Databases were systematically searched for relevant studies published from 2013 to 2020. In this meta-analysis, comprehensive estimates of effect size estimates and 95% confidence intervals (CIs) for nursing satisfaction and incidence of infection were obtained. Results Twenty studies with 2962 orthopedic patients were included in the meta-analysis. The experimental group received operating room nursing management while the routine nursing management was given for the control group. Meta-results showed that, in comparison with the control group, the nursing satisfaction in the experimental group was increased (OR = 6.22, 95% CI: 4.63–8.35, P < 0.001), while the incidence of infection was reduced (OR = 0.20, 95% CI: 0.15–0.28, P < 0.001), and the differences had statistical significance. Conclusions Operating room nursing management could reduce the incidence of infection while prevent nosocomial infection in orthopedic surgery, which could be utilized to guide the hospital management.
Highlights
In recent years, nosocomial infections have increasingly become one of the major problems faced by hospital management
Two reviewers independently searched PubMed, Web of Science, Embase, China National Knowledge Internet (CNKI), and Wanfang databases for relevant articles related to operating room nursing management and nosocomial infections in orthopedic surgery between 2013 and 2020, without limitations of publication date and language. e following keywords were included: (“operating room nursing management” or “nursing management of operating room”), (“orthopedic surgery” or “orthopedics operation”), (“hospital infection” or “nosocomial infection”), and (“intervention effect” or “intervention outcome”)
(3) Intervention measures: in the experimental group, operating room nursing management was performed with the following specific measures: 1 preoperative management: preoperative comprehensive evaluation for all patients and active control of their underlying diseases to prepare for surgery, restriction of movement of personnel in the operating room, and preoperative disinfection of surgical instruments
Summary
Nosocomial infections have increasingly become one of the major problems faced by hospital management. Zhang et al [3] investigated 9126 inpatients in Henan Provincial Orthopedic Hospital from 2009 to 2019 and found an average infection rate of 1.96% (176/8975). Qi et al [4] monitored 4022 patients who underwent surgery for fracture from 2009 to 2011 and found a nosocomial infection rate of 0.94% (38/4022). Ese infections probably occur as a result of the orthopedic surgery with a long operation time and large wound surface, and implantation of allogeneic materials such as allogeneic bone, bone cement, steel plate, screw, and artificial joint. Patients have long postoperative recovery time staying in bed, and during this period, due to the poor blood supply to bone tissue, the condition is more serious and difficult to control once a surgical wound infection occurs [5]. Among the common microorganisms in arthroplasty infections are coagulase-negative staphylococci, Staphylococcus aureus, aerobic Gram-negative bacilli, etc. ese microorganisms may lead to urinary tract infections, infected leg ulcers, and other hazards [6]
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