COMMUNITY NURSING AND PERIPROSTHETIC JOINT INFECTION: A GENERAL SURGERY APPROACH

Abstract

Abstract
The study aims to assess patient satisfaction rates, incision healing status at 2 weeks post-surgery, blood cell parameters, inflammatory markers (C-reactive protein, CRP; Procalcitonin, ProCT; Erythrocyte sedimentation rate, ESR), serum albumin (ALB) levels, blood glucose levels, and the incidence of peripheral prosthesis infection (PJI) within 3 months post-surgery, to compare the impact of different nursing interventions on infection risk post-TKA within the realm of general surgery. patients undergoing TKA at our institution from January 2017 to January 2020 were randomly allocated into two groups: one receiving routine care (control group) and the other receiving specialized community transitional nursing (experimental group). The study aims to assess patient satisfaction rates, incision healing status at 2 weeks post-surgery, blood cell parameters, inflammatory markers (C-reactive protein, CRP; Procalcitonin, ProCT; Erythrocyte sedimentation rate, ESR), serum albumin (ALB) levels, blood glucose levels, and the incidence of peripheral prosthesis infection (PJI) within 3 months post-surgery, to compare the impact of different nursing interventions on infection risk post-TKA in the realm of general surgery. There were no significant differences in baseline clinical characteristics (e.g., age, gender) between the two patient groups. The Grade A incision healing rate in the community transitional nursing group (98.1%) exceeded that of the conventional care group (88.5%) at 2 weeks post-surgery (P=0.00066). White blood cell count (WBC), CRP, and ESR levels in the community transitional nursing group were lower than those in the conventional care group at 1 and 3months post-surgery (P<0.05), while hemoglobin (HGB) and ALB levels were higher, and blood glucose levels were more stable (P<0.05). Moreover, patient satisfaction rates were significantly higher in the community transitional nursing group compared to the conventional care group (99% vs. 90.5%, P<0.05). Further analysis revealed that patients with infections in the specialized community transitional nursing group had longer operation times, prolonged glucocorticoid usage, and poorer blood glucose control (P<0.05). The findings suggest that high-quality community transitional nursing intervention can effectively decrease the incidence of PJI following TKA and enhance patient satisfaction rates within the realm of general surgery.