器官移植患者围手术期序贯性皮肤干预效果的相关性  

Correlation Analysis of Sequential Skin Intervention Effect in Perioperative Period of Organ Transplantation Patients

作　　者：蔡丽萍[1] 向建文[1] 王胤佳[1] 李敏[1] 徐丽萍[1] 蒙旭 CAI Li-ping;XIANG Jian-wen;WANG Yin-jia;LI Min;XU Li-ping;MENG Xu(Dept.of Endocrinology,The First People's Hospital of Kunming City,The Affiliated Ganmei Hospital of Kunming Medical University,Kunming Yunnan 650231,China)

机构地区：[1]昆明市第一人民医院甘美医院/昆明医科大学附属甘美医院内分泌科,云南昆明650231

出　　处：《昆明医科大学学报》2020年第5期167-173,共7页Journal of Kunming Medical University

基　　金：昆明市卫计委科研基金资助项目(2017-14-02-005)。

摘　　要：目的对器官移植患者围手术期序贯性皮肤干预,降低器官移植患者围手术期皮肤压力性损伤的发生率。方法选取昆明市第一人民医院2018年4月至2019年10月接受器官移植患者100例,随机分为对照组、治疗组,每组50例。对照组选用传统的围手术期皮肤照护标准,治疗组实施围手术期序贯性皮肤干预,比较两组患者的围手术期压力性损伤发生率。观察术前(Barand评分、血清总蛋白);手术期(Waterlow评分、手术时间、手术类型、术中体温);术后(血清总蛋白、术后下床活动时间、术后第一次活动时间)对发生压力性损伤的相关性。结果对照组压力性损伤发生率为22.0%(11/50);治疗组压力性损伤发生率为6.0%(3/50),明显低于对照组,差异具有统计学意义(P<0.05)。Braden评分、Waterlow评分、手术类型、手术时长(h)是器官移植患者发生压力性损伤的影响因素,相关性具有统计学意义(P<0.05)。结论影响器官移植患者围手术期皮肤压力性损伤发生的危险因素较多,临床实施针对性的序贯性皮肤干预能够降低患者围手术期皮肤压力性损伤的发生率,为临床护士提供了照护标准,体现了专业护理能力及水平,提高护理质量。Objective To reduce the incidence of perioperative skin stress injury in organ transplant patients by sequential skin intervention during perioperative period.Me thods 100 patients who received organ transplantation in our hospital from April 2018 to October 2019 were randomly divided into control group and treatment group,with 50 patients in each group.The control group used the traditional perioperative skin care standard,and the treatment group carried out sequential perioperative skin intervention.The incidence of perioperative stress injury was compared between the two groups.The correlation was observed between preoperative observation(Barand score,serum total protein).Operation period(Waterlow score,operation time,operation type,intraoperative body temperature)and total serum protein,time of getting out of bed and time of the first activity after surgery with the occurrence of stress injury.Re s ults The incidence of stress injury in the control group was 22.0%(11/50).The incidence of stress injury in the treatment group was 6.0%(3/50),significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Braden score,Waterlow score,type of surgery,and operation duration(h)were the influencing factors of stress injury in organ transplantation patients,and the correlation was statistically significant(P<0.05).Conclus ions There are more risk factors of perioperative skin stress injury in organ transplant patients.Clinical implement corresponding sequential cutaneous intervention can reduce the incidence of perioperative patients with skin stress damage,provided clinical nurse care standards.It can embodies the professional nursing ability and level and improve the quality of nursing.

关 键 词：器官移植患者 围手术期 压力性损伤 序贯性皮肤干预 相关因素 

分 类 号：R617[医药卫生—外科学]