摘要
目的 探讨肩关节镜术后患者皮肤损伤的原因,研究预防皮肤损伤的对策,制订有效的护理措施.方法 采用方便抽样法,选取2018年1~6月北京大学第三医院(以下简称“我院”)运动医学科收治的行肩关节镜手术治疗的260例患者作为对照组,观察并记录患者术毕返回病房即刻起至出院前皮肤出现损伤的部位,针对56例术后出现皮肤损伤的患者进行分析,研究导致皮肤损伤的原因,制订相应的护理措施.选取2018年9月~2019年2月我院收治的行肩关节镜手术治疗的231例患者作为试验组,采取改进后护理措施.对两组皮肝损伤的原因及损伤率进行比较.结果 对照组皮肤损伤发生率为21.53%,其中碘酒造成皮肤损伤15例(5.77%),医用粘胶剂造成皮肤损伤25例(9.62%),术中烧伤造成皮肤损伤3例(1.15%),肩关节支具造成皮肤损伤4例(1.54%),术中灌注致患肢肿胀导致皮肤损伤2例(0.77%),医用粘胶剂过敏造成皮肤损伤7例(2.69%).试验组皮肤损伤发生率为4.76%,其中碘酒造成皮肤损伤4例(1.73%),医用粘胶剂造成皮肤损伤6例(2.60%),术中烧伤造成皮肤损伤1例(0.43%).试验组皮肤损伤率低于对照组,差异有统计学意义(P<0.05).结论 改进肩关节镜术后患者皮肤的护理措施,能够有效地提高护理质量,增加患者的舒适度.
Objective To explore the causes of skin injury in patients undergoing shoulder arthroscopy,to research the measures to prevent skin injury,and to formulate effective nursing measures.Methods Using convenient sampling method,a random selection of 260 patients undergoing shoulder arthroscopy surgery in the Department of Sports Medicine of Peking University Third Hospital from January 2018 to June 2018 was selected and set as the control group.The skin lesions were observed and recorded immediately after patients returning to the ward until the discharge.The causes of skin lesions were analyzed in 56 patients with skin lesions after surgery,and the corresponding nursing measures were formulated.From September 2018 to February 2019,231 patients undergoing shoulder arthroscopic surgery were randomly selected as the experimental group to receive improved nursing measures.The causes of skin lesions and the incidence of skin injury were compared in two groups.Results The incidence of skin injury in the control group was 21.53%,among which 15 cases(5.77%)were caused by iodine,25 cases(9.62%)caused by medical adhesive,and 3 cases(1.15%)caused by burns during the surgery,4 cases(1.54%)of skin damage caused by shoulder joint braces,2 cases(0.77%)of skin injury caused by perfusion induced swelling of the affected limb during surgery,7 cases(2.69%)of skin injury caused by allergic medical adhesive.The incidence of skin injury in the experimental group was 4.76%,of which 4 cases(1.73%)caused by iodine,6 cases(2.60%)caused by medical adhesive,and 1 case(0.43%)caused by skin burns during the surgery.The incidence of skin injury in the experimental group were lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Improving the skin nursing measures of patients after shoulder arthroscopy can effectively improve the quality of nursing and increase the comfort of patients.
作者
宁静
刘研
郭鑫悦
NING Jing;LIU Yan;GUO Xinyue(Department of Sporsts Medicine,Peking University Third Hospital,Beijing 100191,China)
出处
《中国医药导报》
CAS
2020年第19期194-196,F0003,共4页
China Medical Herald
关键词
肩关节镜
皮肤损伤
碘酒
医用粘胶剂
Shoulder arthroscopy
Skin lesions
Iodine
Medical adhesive
