皮肤压疮预防在神经外科侧俯卧位中的运用  

Application of skin pressure sore prevention in prone position on neurosurgical side

作　　者：郑丽芳[1] 杨琼[1] 陈敏[1] Zheng Lifang;Yang Qiong;Chen Min(Operating Room of The First Affiliated Hospital of Gannan Medical College, Ganzhou, Jiangxi, 341000, China)

机构地区：[1]赣南医学院第一附属医院手术室

出　　处：《当代医学》2019年第18期62-63,共2页Contemporary Medicine

摘　　要：目的研究皮肤压疮预防在神经外科侧俯卧位中的运用效果。方法选取2015年1月至2018年5月本院行神经外科手术患者38例为研究对象,对其术前、术中仔细做好皮肤压疮相关因素评估,术中准确摆放体位并采用适当的护理方法预防压疮,观察护理效果及患者对护理工作的满意度。结果本研究38例患者经手术医师、麻醉师、手术室护师协调一致下,严格按照科学合理原则摆放体位,手术均顺利完成,仅3例(7.89%)因手术时间长局部出现皮肤压红,手术完成受压情况解除后以长效抗菌材料洁优神局部涂抹,均于3d内恢复正常,无其他严重并发症。38例患者均接受问卷调查,发放问卷38份,回收有效问卷38份,问卷回收率100.00%。其中非常满意26例,满意12例,不满意0例,护理工作满意度为100.00%(38/38)。结论术前通过对行神经外科手术患者评估压疮风险,术中科学合理的摆放体位,并采取积极有效的护理措施,不但能确保术野开阔便于操作,且能有效预防压疮发生,提高患者对护理工作满意度。Objective To study the effect of skin pressure sore prevention in the prone position on the neurosurgical side. Methods From January 2015 to May 2018, 38 patients who underwent neurosurgery in our hospital were selected as subjects. The preoperative and intraoperative factors were evaluated carefully for the relevant factors of skin pressure sore, and the position was accurately placed during the operation. Appropriate nursing methods were used to prevent pressure sores, and the nursing effect and patient satisfaction with nursing work were observed. Results In this study, 38 patients were coordinated by surgeons, anesthesiologists, and operating room nurses, and placed in strict accordance with scientific and reasonable principles. The operation was successfully completed. Only 3 cases (7.89%) had skin redness due to long operation time. After the operation was completed, the long-acting antibacterial material Jieyoushen was applied locally after the pressure was relieved. All of them returned to normal within 3 days without other serious complications. 38 patients were surveyed, 38 questionnaires were distributed, and 38 valid questionnaires were collected. The questionnaire recovery rate was 100.00%. Among them, 26 cases were very satisfied, 12 cases were satisfied, 0 cases were not satisfied, and the satisfaction of nursing work was 100.00%(38/38). Conclusion Preoperatively, the risk of pressure ulcers is assessed by patients undergoing neurosurgery. The scientific and reasonable placement of the position during the operation and the active and effective nursing measures can not only ensure the wide open and easy operation, but also effectively prevent the occurrence of pressure sores and improve patients. Satisfaction with nursing work.

关 键 词：皮肤压疮 神经外科 侧俯卧位 神经外科手术 

分 类 号：R473.6[医药卫生—护理学]