Abstract
Objective To explore the risk factors of the infection in elderly patients with total hip replacement in Operating Room and study the effects of the targeted nursing interventions to the infection. Methods A total of 296 patients with total hip replacement in our hospital from January 2001 to December 2013 were included and divided into infection group and control group. group contained 102 patients with surgical incision infection and control group contained 194 patients without surgical incision infection. The demographic data, medical history, blood index, Harris function score, operation situation and postoperative drainage time were recorded. diagnosis depended on Diagnose Standard of Nosocomial Infection . The risk factors were analyzed by single factor analysis and step-wise Logistic multiple regression analysis. The targeted nursing interventions were proposed. The effects of the targeted nursing interventions were studied in 56 patients from February 2014 to August 2015. Results Single factor analysis showed that hemoglobin concentrations, joint operations, operative character, visiting during operations and operative time were significantly different between infection group and control group (P<0.01). Logistic multiple regression analysis showed that hemoglobin concentrations, joint operations, operative character, visiting during operation and operative time were relative risk factors of postoperative infection (P<0.01). The infection ratio of 56 patients with nursing interventions from February 2014 to August 2015 was 17.8% (10/56), which was significantly decreased comparing with the ratio 34.5% (102/296) from January 2001 to December 2013 (P<0.05). Conclusions Low hemoglobin concentrations, joint operations, emergency operations, visiting during operation and long operative time are risk factors of postoperative infection in elderly patients with total hip replacement in Operating Room. The targeted nursing interventions can reduce the infection ratio and deserves further clinical promoting. Key words: Elderly patients; Total hip replacement; Postoperative infection; Risk factors; Prevention
Published Version
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