Effect of Nursing in Operating Room Combined with Intraoperative Heat Preservation Intervention on Prevention of Incision Infection and Improvement of Hemodynamics in Patients with Anterior Cruciate Ligament Injury and Reconstruction under Knee Arthroscopy

Abstract

Objective. To explore the effect of nursing in operating room combined with intraoperative heat preservation intervention on preventing incision infection and improving hemodynamics in patients with anterior cruciate ligament (ACL) injury and reconstruction under knee arthroscopy. Methods. About 200 patients with knee arthroscopic ACL reconstruction in our hospital from January 2019 to July 2021 were enrolled. The patients were randomly assigned into two groups: the control group and the study group. The former group received nursing care in the operating room operating room and the latter group received nursing care in operating room combined with intraoperative heat preservation intervention. Nursing satisfaction, incidence of incision infection, knee joint VAS score, knee joint range of motion, knee joint Lysholm score, and hemodynamic indexes were compared. Results. First of all, we compared the nursing satisfaction, the study group was very satisfied in 78 cases, satisfactory in 20 cases, and general in 2 cases, and the satisfaction rate was 100.00%, while in the control group, 445 cases were very satisfied, 20 cases were satisfied, 15 cases were general, and 8 cases were dissatisfied. The satisfaction rate was 82.00%. The nursing satisfaction of the study group was higher compared to the control group ( P < 0.05 ). Secondly, we compared the incidence of incision infection. The incidence of incision infection in the study group was lower compared to the control group ( P < 0.05 ). With regard to the knee joint VAS score, the knee joint VAS score of the study group was lower compared to the control group at 2 weeks, 4 weeks, 8 weeks, and 12 weeks after operation ( P < 0.05 ). In terms of the range of motion of the knee joint, the range of motion of the knee joint in the study group was higher compared to the control group at 2 weeks, 4 weeks, 8 weeks, and 12 weeks after operation ( P < 0.05 ). Regarding the knee joint Lysholm score, the knee joint Lysholm score of the study group was higher compared to the control group at 2 weeks, 4 weeks, 8 weeks, and 12 weeks after operation ( P < 0.05 ). Finally, we compared the hemodynamic indexes. Before nursing, there exhibited no significant difference ( P > 0.05 ). During and after nursing, the indexes of HR and MAP in the study group fluctuated little ( P < 0.05 ). Conclusion. During the perioperative period of patients with ACL injury and reconstruction under knee arthroscopy, standardized and necessary operating room combined with intraoperative thermal insulation intervention measures should be given, attention should be paid to the management of operating room, and intraoperative thermal insulation intervention should be strengthened. It includes preoperative visit, psychological nursing of patients, strict application of antibiotics before operation, monitoring of air quality in operating room, disinfection and sterilization of surgical instruments, shortening operation time, maintaining body temperature during operation, and paying attention to hand hygiene of medical staff. It plays a supervisory role in promoting the attention of medical staff to the prevention of wound infection, which is beneficial to the healing of surgical wounds of patients. It plays a positive role in enhancing hemodynamic indexes. Comprehensive nursing intervention on the risk factors of each link can effectively prevent postoperative wound infection and strengthen the prognosis and quality of life of patients.

Related factors of perioperative low body temperature and incidence of postoperative shivering in patients undergoing complex percutaneous nephrolithotomy and the effect analysis of composite insulation nursing intervention

“…According to relevant studies, the proportion of patients experiencing postoperative shivering ranges from approximately 39 %–99 % [ 10 ]. Factors influencing the occurrence of postoperative shivering in complex PCNL primarily include temperature reduction, age, gender, pre-existing systemic conditions, infection status, surgical duration, and individual factors [ 11 ]. Research indicates that local anesthesia during the surgical process and postoperative analgesic consumption can lead to temperature reduction, making it one of the most common factors triggering shivering [ 12 ].…”

Effect of Perioperative Comprehensive Nursing Intervention on the Rehabilitation Effect of Radiofrequency Ablation for Patients with Hypertrophic Obstructive Cardiomyopathy

“…Whether in terms of preoperative publicity and education, venous access preparation, intraoperative attention to patients, cooperation with doctors, and prevention of postoperative complications, if the nursing work mode is not standardized, it is bound to affect the safety of operation and the rehabilitation of patients. Radiofrequency ablation of hypertrophic obstructive cardiomyopathy under the guidance of intracardiac ultrasound is a new and sophisticated operation in recent years [18]. At present, nurses lack a systematic understanding of the operation, the preparation of intraoperative instruments, and the prevention of surgical complications [18][19][20].…”

“…Radiofrequency ablation of hypertrophic obstructive cardiomyopathy under the guidance of intracardiac ultrasound is a new and sophisticated operation in recent years [18]. At present, nurses lack a systematic understanding of the operation, the preparation of intraoperative instruments, and the prevention of surgical complications [18][19][20].…”

Retracted: Effect of Nursing in Operating Room Combined with Intraoperative Heat Preservation Intervention on Prevention of Incision Infection and Improvement of Hemodynamics in Patients with Anterior Cruciate Ligament Injury and Reconstruction under Knee Arthroscopy

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”