Total hip arthroplasty (THA) is the mainstay of treatment for advanced hip arthritis, but a number of postoperative wound complications may occur, such as wound dehiscence, bleeding and infection. Among them, wound infection is one of the serious complications after THA, which may lead to hip dysfunction or even disability, prolong hospital stay, increase readmission rate and significantly increase related medical expenses. Therefore, further understanding and action to change modifiable risk factors associated with wound infection will not only reduce medical expenses, but also improve the prevention, treatment and care. This article reviews the risk factors of surgical wound infection over the past 5 years, including patients factors (serum albumin, serum transferrin, blood transfusion, congestive heart failure, diabetes, overweight or obesity, smoking, and long-term use of hormone) and medical factors (previous surgery, surgical approach, length of surgery, and operating room environment).
Objective To investigate the mental status of medical staffs in the orthopedics department during the earthquake, providing evidence for psychological intervention. Methods Choosing 104 staffs in the orthopedics department as eligible subject with convenient sampling; the research tool was Symptom Checklist-90. The questionnaire was done by the participants with the same instruction from psychological professionals; analyze the results. Results The score in somatization, anxiety and phobic anxiety of staffs in the orthopedics department was significantly higher than the national norm. Conclusion There exists disorder in mental health of medical staffs in orthopedics department, it is necessary to implement mental intervention.
通过分析护理研究生在我院近5年撰写的科研项目申报书、中标与参与课题研究、在国内外学术期刊论文的发表、协助指导论文和参与国内外学术交流活动的情况,从而探讨护理研究生在医院临床科研工作中的角色和作用。
ObjectiveTo investigate the effcacy of subcutaneous placement of negative pressure drainage tube in the prevention of incision fat liquefaction in obese patients after abdominal surgery. MethodsThe wound healing situation in 84 obese patients who underwent abdominal surgery in our department from January 2013 to May 2015 were retrospectively analyzed. The patients were divided into tube placement group (n=39) and control group (n=45). Patients in the tube placement group accepted negative pressure drainage tube placement, while those in the control group underwent routine suturing of the incision without negative pressure drainage tube. The incision healing grade and fat liquefaction rate of the two groups of patients were compared and analyzed. ResultsThere was no significant diTherence in grade-A and –B healing rate and fat liquefaction rate between the two groups (P>0.05), but grade-C healing rate and the second-stage suturing rate in the tube placement group were significantly lower than those of the control group (P<0.05). There was no significant diTherence in grade-C healing rate between the two groups for type-Ⅱ incisions (P>0.05), while the grade-C healing rat of patients with type-Ⅲ incisions was significantly lower in the tube placement group than that in the control group (P<0.05). ConclusionNegative pressure drainage tube can decrease grade-C healing rate and second-stage suturing rate as well as grade-C healing rate of type-Ⅲ incisions in obese patients after abdominal surgery.
目的:了解汶川地震后截肢患者存在的功能障碍及康复需求情况。方法:选取我院骨科2008 年5 月12 日至2008 年6 月1 日收治的19 例截肢患者为研究对象,采用自行设计的调查表,由康复医师在征得研究对象同意的情况下完成资料的收集。结果:63.2%的患者存在肌力下降,36.8%的患者生活需要帮助,其中生活依赖明显占31.6%,完全依赖占5.3 ％,几乎所有患者存在参与功能障碍。 结论:大多数截肢患者存在不同程度的功能障碍,应该引起高度重视其康复锻炼。
目的:了解汶川地震老年伤员存在的身体结构与功能受损程度及活动、参与能力受限程度,明确其康复护理需求。方法:方便抽样的方法选取研究对象,采用自行设计的调查表由康复医师在征得其同意后对其完成资料的收集。结果:共选取研究对象40名。伤员存在多系统多器官的结构和功能受损,存在呼吸道感染者4例(10%),截肢者2例(5%),颅脑损伤导致瘫痪者1例(2.5%),骨折者28例(70%)。伤后早期即出现运动功能的下降,26例(65%)患者存在关节活动受限,26例(65%)肌力下降。疼痛是需要解决的一个重要问题,19例(47.5%)患者存在不同程度的疼痛问题。伤后老年伤员日常活动生活能力下降,生活能基本自理者仅13例(32.5%);参与能力受限也是一个不容忽视的问题,职业能力受限者36例(90%),休闲娱乐能力受限者33例(82.5%),社交能力受限者25例(62.5%)。结论:老年伤员的康复现状不容乐观,应该引起重视,康复治疗需要及早进行。