Analysis of abdominal hysterectomy factors and nursing countermeasure of infection after excision
- VernacularTitle:开腹子宫切除术后感染因素及其护理对策分析
- Author:
Hongyan SHEN
1
;
Zhijun XU
Author Information
1. 浙江省衢州市人民医院
- Keywords:
Abdominal hysterectomy;
Postoperative infection;
Risk factors;
Pathogen;
Nursing countermeasures
- From:
China Modern Doctor
2014;(18):79-81
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the infection after abdominal hysterectomy factors to provide reference for clinical nursing. Methods The general data of 200 patients were retrospectively analyzed by abdominal hysterectomy ,the causes of postoperative infections were analyzed by using the Pearson univariate analysis and multivariate Logistic regression analysis method. Results All 17 strains of pathogens were detected ,Gram negative bacteria were 12 strains (70.59%),Gram positive bacteria were 4 strains(23.53%),there was one strains of fungi(5.88%).Single factor analysis showed that age, tumor, malignant, operation time, incision length, anemia, hospitalization time had significant difference in terms of the infection after operation (P<0.05).Multivariate Logistic regression analysis showed, 55 years of age or older (β=1.119,OR=3.052),malignant tumor (β=2.014,OR=7.478),anemia (β=1.585,OR=6.063),operation time (β=1.010,OR=5.755)were the risk factors for infection after operation (P<0.05). Conclusion The pathogenic bacteria is pseudomonas aeruginosa, escherichia coli and Staphylococcus aureus.The age,malignant tumor, anaemia, operation time are the important risk factors of postoperative infection.We should adopt according to the incidence of infection nursing measures to reduce postoperative.