Application of modified preoperative skin preparation for craniotomy in neurosurgery
10.3760/cma.j.issn.1674-2907.2016.16.031
- VernacularTitle:改良开颅手术备皮策略在神经外科中的应用效果
- Author:
Zirong LI
1
;
Shuang SUN
;
Yanping SHI
;
Jiong ZHOU
;
Xiaojun MA
;
Renzhi WANG
;
Junji WEI
;
Wenbin MA
;
Yi ZHANG
;
Linfeng LI
;
Yufen MA
Author Information
1. 100032 中国医学科学院 北京协和医学院 北京协和医院外科
- Keywords:
Neurosurgery;
Craniotomy;
Preoperative skin preparation;
Improvement;
Infection;
Satisfaction
- From:
Chinese Journal of Modern Nursing
2016;22(16):233-2334
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the feasibility about the widely implementation improved skin preparation for craniotomy in neurosurgery.Methods Improved strategies about skin preparation in PUMCH′s neurosurgery were established by evidence-based medicine.From December 2011 to January 201 2,80 cases were randomly assigned to traditional and modified group,40 cases in each one.Traditional group applied the disposable blade to shave head preoperation,while intervention group used modified strategic method.The incidence of surgical sites infection and satisfaction of doctor-nurse-patient were compared of between two methods. Results Satisfaction of doctor-nurse-patient of intervention group was better than the traditional group (P <0.01 ).A total of 1 294 cases participated the research from January 2009 to July 201 4.There were 24 cases infected and 684 uninfected in intervention group,comparing with 70 infected and 51 6 uninfected in the traditional group (χ2 =34.83,P <0.01 ).Conclusions The improved preoperative skin preparation can improve clinical quality of care,increase productivity,and prevent intracranial infection after craniotomy positively,which can be widely applied in neurosurgery.
