A factor and a study about the relations with the nursing care to cause surgical site infection

我让你延长住院时间，据说手术部位感染的爆发会降低患者的生活质量，但手术部位的皮肤护理并不明确。在41例消化道手术中，应用两种创面覆盖材料。并对创面覆盖材料粘贴部位的皮肤进行了生理学和细菌学调查。很少发生SSI爆发，通过此次调查，无法确认差异。而A组创面部位中枢神经系统（CNS）大量爆发。皮肤生理指标为角质物质水含量之一，A组显著高于B组。A组较上述结果更易形成血凝块，提示有可能成为细菌暴发的基础。在护理干预方面，皮肤护理方面，对A组术后创面部位的皮肤水量进行固定，并对一过性细菌进行清除。另外，B组除铜绿假单胞菌等一过性细菌外，建议进行皮肤护理干预。

I let you extend hospitalization, and it is said to decrease the QOL of the patient the outbreak of the surgical site infection, but it is not made clear about the skin care of the surgical site. For 41 cases to perform a digestive organ surgical operation, I used two kinds of wound covering materials. And I investigated a physiology and the bacteria outbreak of the skin in the wound covering material pasting part. There was little SSI outbreak and, by this investigation, was not able to confirm the difference. However, the wound part of A group had much outbreak of CNS. A skin physiology was one item of the quantity of corneum substance water, and A group showed the price that was significantly higher than B group. A clot was easy to be made than the above-mentioned result in A group, and the possibility that became the groundwork of the bacteria outbreak was suggested. About the intervention of the nursing care,Skin care I fix the quantity of water of the skin after an operation in A group for a wound part and to remove transient bacteria is important. In addition, in B group, intervention of the skin care except transient bacteria such as the Pseudomonas aeruginosa was suggested.