摘要
目的探析神经外科手术患者术中实施预见性护理的压力性损伤预防效果。方法便利选取2018年1—12月该院神经外科收治的55例急诊手术患者纳入参照组,以2019年1—12月收治的55例急诊手术患者纳入研究组。参照组行常规压力性损伤预防护理,研究组同时行预见性护理,包括术前风险评估、术中体位摆放、术中综合保护、避免术中器械压力性损伤、重点部位监护以及术后观察与交接,应用手术室压力性损伤风险门罗评分表评测两组患者术后及住院期间压力性损伤发生风险,并比较两组患者压力性损伤的发生情况。结果研究组术后0.5 h未发生压力性损伤,术后72 h发生1期压力性损伤1例,2期压力性损伤1例;参照组术后0.5 h发生1期压力性损伤6例,术后72 h发生1期压力性损伤6例,2期压力性损伤3例,3期压力性损伤1例。研究组术后0.5 h、72 h的压力性损伤发生率分别为0.00%、3.64%,参照组分别为10.91%、18.18%,差异有统计学意义(χ^(2)=4.407、5.986,P<0.05);观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论在神经外科手术患者中参实施压力性损伤预见性护理,可有效降低压力性损伤风险,减少术中压力性损伤发生,有着重要临床意义。
Objective To explore the preventive effect of predictive nursing on pressure ulcers in neurosurgery patients.Methods Conveniently selected 55 emergency surgery patients admitted to the hospital from January to December 2018 were included in the reference group,and 55 emergency surgery patients admitted from January to December 2019 were included in the study group;the reference group received routine pressure ulcer prevention nursing,the study group performed predictive care at the same time,including preoperative risk assessment,intraoperative posture,intraoperative comprehensive protection,avoiding intraoperative instrument pressure injury,monitoring of key parts,and postoperative observation and handover.The operating room pressure ulcer risk monroe scale was used to evaluate the risk of pressure ulcers in the two groups of patients after surgery and during hospitalization,and the occurrence of pressure sores was compared between the two groups.Results There were no pressure ulcers in the study group at 0.5 h postoperatively,1 case of stage 1 pressure ulcer occurred at 72 h postoperatively,and 1 case of stage 2 pressure ulcer occurred at 72 h postoperatively;6 cases of stage 1 pressure ulcer occurred at 0.5 h postoperatively in the reference group,and stage 1 pressure ulcer occurred at 72 h postoperatively.There were 6 cases of pressure ulcers,3 cases of stage 2 pressure ulcers,and 1 case of stage 3 pressure ulcers.The incidence of pressure ulcers at 0.5 h and 72 h in the study group were 0.00%and 3.64%,respectively,while those in the reference group were 10.91%and 18.18%,respectively.The difference was statistically significant(χ^(2)=4.407,5.986,P<0.05);the total satisfaction degree of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Participating in predictive care of pressure ulcers in neurosurgery patients can effectively reduce the risk of pressure ulcers and reduce the occurrence of pressure ulcers during surgery,which has impo
作者
陈珍梅
柯艺灵
蔡艺敏
CHEN Zhenmei;KE Yiling;CAI Yimin(Anesthesia Operating Room,Xinglin Branch,First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361022 China)
出处
《中外医疗》
2021年第29期151-155,共5页
China & Foreign Medical Treatment
