心胸外科压疮全程预防干预的做法与效果  

Nursing prevention and intervention of pressure sore in cardiothoracic surgery

作　　者：仲继红[1] 陈雪莲[1] 王晓峰[1] 钱慧[1] 汪英娟[1] 丁沭玲[1] 

机构地区：[1]南京军区南京总医院心胸外科,南京210002

出　　处：《医学研究生学报》2010年第6期637-639,共3页Journal of Medical Postgraduates

基　　金：军队医药卫生"十一五"科研项目(06Z017);南京军区南京总医院科研基金(2010M012)

摘　　要：目的心胸外科疾病、手术及术后康复等诸多环节都易使患者成为压疮的高危人群。文中探讨心胸外科压疮高危人群压疮预防预测护理的方法,进行环节质量控制,有效预防压疮的发生。方法针对心胸外科患者专科疾病及治疗处理的特点及护理难点,分析压疮发生可能危险因素,结合压疮预防、预测的最新护理理念,逐一采取应对措施。结果 2008年6月1日起至2009年7月30日住院的1327例手术患者发生压疮3例,其中院外带入2例,经积极处理3周治愈,1例循环不稳定紧急床边开胸止血要求绝对卧床2 d出现Ⅲ度压疮外。结论对于压疮的预防要从思想上加以重视,正确评估压疮的危险性,把握好术前、术中、术后各个环节切实落实预防措施,避免某些干预措施的误区,即可有效避免压疮的发生。Objective Patients undergoing cardiothoracic surgery are among the high-risk cohort of pressure sore due to the disease itself,surgical procedures,and other factors during postoperative recovery.The aim of the present study was to explore the prevention,prediction and nursing intervention of pressure sore in cardiothoracic patients.Methods Based on the characteristics of cardiothoracic diseases and their treatment and difficulties in the nursing care of the patients,the authors analyzed the risk factors of pressure sore,consulted the new nursing concepts of pressure sore prevention and prediction,and took a series of specific measures.Results Among the 1327 patients that underwent cardiothoracic surgery from June 1,2006 to July 30,2009,only 1 developed grade-Ⅲ pressure sore because of absolute lying in bed,and another 2 had pressure sore at the admission but recovered 3 weeks later after proper treatment.Conclusion The prevention and management of pressure sore demand adequate attention,correct evaluation of its nature,strict pre-,peri-and post-operative measures,and avoidance of incorrect intervention.

关 键 词：心胸外科患者 压疮 危险因素 

分 类 号：R64[医药卫生—外科学]