体外循环手术术中急性压力性损伤的对因循证预防  

Evidence-based prevention of acute pressure injury in extracorporeal circulation surgery

作　　者：张丽[1] 张玲玲[1] 耿冉[1] 汪静怡[1] ZHANG Li;ZHANG Ling-ling;GENG Ran;WANG Jing-yi

机构地区：[1]山东大学齐鲁医院第一手术室,济南市250000

出　　处：《护理实践与研究》2020年第16期120-122,共3页Nursing Practice and Research

摘　　要：目的探讨对因循证护理对体外循环手术患者术中急性压力性损伤的预防效果。方法选取2017年8月至2019年8月我院80例体外循环手术患者,随机将其等分为对照组与观察组,对照组给予围术期常规护理,观察组采用对因循证预防。比较手术结束时两组患者Munro评分、皮肤潮湿评分、压力性损伤发生率及压力性损伤面积。结果手术结束时观察组Munro评分、皮肤潮湿评分均明显低于对照组(P<0.05);观察组术中急性压力性损伤发生率低于对照组,差异无统计学意义(P>0.05)。结论对因循证预防护理能够有效降低体外循环手术术中急性压力性损伤发生风险,改善皮肤潮湿状况,对术中急性压力性损伤的预防效果较好。Objective To explore the effect of evidence-based nursing on the prevention of acute pressure injury in patients undergoing extracorporeal circulation surgery.Methods We selected 80 cases of patients undergoing extracorporeal circulation surgery in our hospital from August 2017 to August 2019,and they were randomly divided into a control group and an observation group.The control group was given perioperative routine care,and the observation group adopted evidence-based prevention.The Munro score,skin moist score,incidence of pressure injury and area of pressure injury were compared between the two groups at the end of the operation.Results At the end of the operation,the Munro score and skin moist score in the observation group were significantly lower than those in the control group(P<0.05).The incidence of intraoperative acute pressure injury in the observation group was lower than that in the control group,and the difference was no statistically significant(P>0.05).Conclusion The evidence-based preventive care can effectively reduce the risk of acute pressure injury during extracorporeal circulation surgery,improve skin moist,and had a better preventive effect on intraoperative acute pressure injury.

关 键 词：体外循环 急性压力性损伤 对因循证预防 

分 类 号：R472.3[医药卫生—护理学]