Incision Infection, Orthopedic Disorder
Conditions
Keywords
Orthopedic Disorder, Incision Infection, Operating room, Integration of medical staff
Brief summary
To explore the preventive effect and clinical enlightenment of establishing an integrated working group of doctors and nurses in operating room on incision infection in orthopedic surgery.
Detailed description
Surgery is the most used treatment in orthopedics. During orthopedic surgery, the integrity of the skin barrier is compromised, resulting in direct exposure of sterile tissue to the external environment and the potential impact of surgical instruments on local tissue. Additionally, orthopedic surgery procedures often entail prolonged duration, extensive surgical areas, and significant blood loss, all of which contribute to an elevated risk of surgical site infections. However, there are some limitations in the practical application of the conventional nursing model in the operating room. Against this backdrop, numerous new nursing models have emerged to meet contemporary demands. Among them, the integration of medical and nursing staff (MANS) in the operating room has garnered significant attention. Presently, this integrated model is predominantly employed in critical care settings and for postoperative infection prevention. However, the establishment and effectiveness of an integrated working group comprising both MANS in the operating room remains in its nascent stage of exploration, warranting further investigation into its clinical impact and implications.
Interventions
OTHERan integrated working group nursing
(1) Establishment of an integrated team in the operating room; (2) Development of a nursing plan; (3) Nursing safety training and reflection in the operating room; (4) Designate a person to manage instruments and equipment in the operating room and establish protocols (5) Nurses should also participate in the development of the patient's individualized surgical plan communicate with the surgeon about the preparation of items needed for surgery to ensure seamless coordination. Assist anesthesiologists and surgeons and oversee the implementation of aseptic procedures.
Sponsors
The Fourth Affiliated Hospital of Zhejiang University School of Medicine
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* (1) All selected cases met the relevant diagnostic criteria outlined in the orthopedic disease guidelines. Diagnosis was confirmed through imaging methods. (2) The patients ranged in age from 18 to 70. (3) All individuals underwent surgery in the orthopedic department of our hospital. (4) The vital signs of the patients were essentially stable. (5) Patients possessed normal cognitive function before the operation and demonstrated the ability to listen, speak, read, and write.
Exclusion criteria
* (1) Orthopedic patients with multiple injuries in other locations (such as craniocerebral trauma, chest trauma, etc.); (2) Patients with severe internal diseases, such as severe anemia, severe diabetes, liver insufficiency; (3) Patients with chronic infectious diseases; (4) Patients with malignant tumor; (5) Patients with pathological fracture, such as bone tumor; (6) Patients with mental diseases and cognitive impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incision infection rate | One month after surgery | Incision infection rate = the number of postoperative incision infection / the total number of cases × 100% |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incision recovery | On the 1 day of discharge | On the day of discharge, the effect of incision healing was evaluated by the doctor and recorded by the nurse, including excellent: the surgical incision basically healed without adverse reactions; good: poor healing, mild redness, swelling and induration around the incision, but no suppuration; poor: the incision has been infected and suppurate. Excellent and good rate = (excellent + good) cases / total cases × 100% |
| Nursing quality | On the 1 day of discharge | The nursing quality management questionnaire of operating room made by our hospital was used, and the quality control department staff or head nurse made an unannounced visit to evaluate the nursing quality |
| Adverse nursing risk events | On the 1 day of discharge | the total adverse nursing risk rate of the two groups |
Countries
China
Contacts
Primary ContactFeng Huang, BA
Outcome results
None listed