摘要
目的探讨压力性损伤风险量化评估结合三时段护理降低特需病房恶性肿瘤手术患者术后压力性损伤发生率的临床应用效果。方法选取2018年10月—2020年10月医院特需病房恶性肿瘤患者126例,按照组间基本特征具有可比性的原则分为观察组和对照组,每组63例。对照组予以三时段护理,观察组在对照组基础上结合压力性损伤风险量化评估。比较两组手术相关指标、体温情况、压力性损伤发生情况及护理满意度。结果两组术中出血量比较,差异无统计学意义(P>0.05);观察组体位摆放时间和手术总时间均明显短于对照组,差异有统计学意义(P<0.05)。两组麻醉时和皮肤切开时体温比较,差异无统计学意义(P>0.05);手术结束后观察组体温明显高于对照组,差异有统计学意义(P<0.05);观察组低体温发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组压力性损伤发生率明显低于对照组,差异有统计学意义(P<0.05),且观察组未出现III、IV期及不明确分期压力性损伤。观察组护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论压力性损伤风险量化评估结合三时段护理可明显降低特需病房恶性肿瘤手术患者术后压力性损伤发生率,提高护理满意度。
Objective To explore the clinical eff ect of pressure ulcers risk quantitative assessment combined with three-period nursing to reduce the incidence of postoperative pressure injury in patients with malignant tumor surgery in special need wards.Methods From October 2018 to October 2020,126 patients with malignant tumor in special need ward of hospital were selected and divided into observation group and control group according to the principle of comparability of basic characteristics between groups,with 63 patients in each group.The control group was given three-period of nursing and the observation group was given the risk quantitative assessment based on the control group.Operation related indexes,body temperature statue,stress injury occurance and nursing satisfaction were compared between the two groups.Results There was no statistically signifi cant diff erence in intraoperative blood loss between the two groups(P>0.05).The time of body position and total operation time in the observation group were signifi cantly shorter than the control group,there were statistically signifi cant(P<0.05).There was no statistically signifi cant diff erence in body temperature between the two groups during anesthesia and skin incision(P>0.05).After operation,the body temperature of observation group was signifi cantly higher than that of control group,the diff erence was statistically signifi cant(P<0.05).The incidence of hypothermia in observation group was signifi cantly lower than the control group(P<0.05).The incidence of pressure injury in the observation group was signifi cantly lower than the control group,the diff erence was statistically signifi cant(P<0.05),and there was no stage III,IV or undefined stage pressure injury in the observation group.Nursing satisfaction in the observation group was signifi cantly higher than the control group,the diff erence was statistically signifi cant(P<0.05).Conclusion Quantitative assessment of risk of pressure injury combined with three-period nursing can signifi cantly reduce
作者
许欢萍
杨婕
XU Huanping;YANG Jie(Sun Yat-sen University Cancer Center,Guangzhou,510060,China)
出处
《护理实践与研究》
2021年第23期3608-3612,共5页
Nursing Practice and Research
关键词
压力性损伤风险量化评估
三时段护理
特需病房
恶性肿瘤手术
术后压力性损伤
Pressure ulcers risk quantitative assessment
Three periods of nursing
Special needs ward
Surgery for malignant tumor
Postoperative stress injury
