多学科合作干预对脊柱胸腰段后入路手术患者术中压力性损伤的影响  

Study on the effects of multidisciplinary cooperation intervention on intraoperative pressure injury in patients undergoing spinal thoracic and lumbar posterior approach surgery

作　　者：杨方兰 陈红[1] YANG Fanglan;CHEN Hong(Huaxi Nursing School of Sichuan University,Sichuang,Chengdu 610041,China)

机构地区：[1]四川大学华西护理学院,成都市610041

出　　处：《河北医药》2022年第19期2964-2966,2970,共4页Hebei Medical Journal

基　　金：四川省卫计委科研课题(编号:18PJ166)。

摘　　要：目的探究多学科合作干预对脊柱胸腰段后入路手术患者术中压力性损伤的影响。方法选择2019年1月至2020年5月就诊并采用脊柱后入路手术治疗的88例患者为观察对象,将其按数表法随机分为对照组和观察组,每组44例。对照组采用常规护理干预,观察组采用多学科合作干预,对2组护理效果进行比较。结果观察组压力性损伤发生率低于对照组(P<0.05);观察组的损伤个数少于对照组;术后30 min、72 h,观察组视觉模拟评分(VAS)均低于对照组(P<0.05),损伤面积均小于对照组(P<0.05);观察组满意度高于对照组(P<0.05)。2组上述各项结果指标比较差异有统计学意义(P<0.05)。结论多学科合作干预对脊柱胸腰段手术后入路患者术中压力性损伤具有良好的控制效果,同时还可减轻患者术后疼痛情况,有助于提升患者的满意度。Objective To investigate the effects of multidisciplinary cooperation intervention on intraoperative pressure injury in patients undergoing spinal thoracic and lumbar posterior approach surgery.Methods A total of 88 patients who were treated by spinal thoracic and lumbar posterior approach surgery in our hospital from January 2019 to May 2020 were enrolled in the study,who were randomly divided into two groups,with 44 cases in each group.The patients in control group were treated by routine nursing intervention after operation,however,those in observation group were treated by multidisciplinary cooperative intervention after operation.The nursing effects were observed and compared between the two groups.Results After nursing intervention,the incidence of stress injury in observation group was significantly lower than that in the control group(P<0.05),and the number of injuries in observation group was significantly less than that in control group(P<0.05).Moreover the VAS scores at 30min and 72h after surgery,and the injury area in observation group were significantly less than those in control group(P<0.05).However the satisfaction degree in observation group was significantly higher than that in control group(P<0.05).There were significant differences in the results mentioned above between the two groups(P<0.05).Conclusion Multidisciplinary cooperation intervention has better good control effects on intraoperative pressure injuries of patients undergoing spinal thoracic and lumbar posterior approach surgery,moreover,which can relieve the postoperative pain of patients,which is conducive to improving the satisfaction degree of patients.

关 键 词：多学科合作干预 脊柱胸腰段后入路手术 压力性损伤 疼痛 满意度 

分 类 号：R473.6[医药卫生—护理学]