皮肤温度观察在老年下肢动脉闭塞患者压力性损伤预防中的应用效果  

Effects of skin temperature observation in prevention of pressure injury in elderly patients with lower extremity arterial occlusion

作　　者：刘卫萍[1] 王俊霞[2] 贾艳青 Liu Weiping;Wang Junxia;Jia Yanqing(Department of Macrovascular Surgery,Zhengdong Section,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Outpatient Department,Zhengdong Section,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院郑东院区大血管外科,郑州450000 [2]郑州大学第一附属医院郑东院区门诊部,郑州450000

出　　处：《中华现代护理杂志》2023年第10期1372-1375,共4页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190071)。

摘　　要：目的探讨皮肤温度观察对老年下肢动脉闭塞患者压力性损伤预防的作用。方法采用便利抽样法,选择2020年5月—2021年12月在郑州大学第一附属医院血管外科住院治疗的98例老年下肢动脉闭塞患者,根据随机数字表法分为对照组和观察组,各49例。溶栓治疗期间,对照组采取常规护理方法,观察组在对照组的基础上实施皮肤温度观察管理。比较两组患者的住院时间、压力性损伤发生率与损伤程度。结果对照组和观察组的住院时间分别为(15.02±2.76)、(10.22±3.04)d,压力性损伤发生率分别为22.45%(11/49)、8.16%(4/49),差异均有统计学意义(P<0.05)。观察组的压力性损伤Ⅰ期和Ⅱ期发生率均低于对照组,但差异无统计学意义(P>0.05)。结论基于皮肤温度观察的管理措施能有效降低老年下肢动脉闭塞患者溶栓治疗期间的压力性损伤发生率,缩短住院时间。Objective To explore the effect of skin temperature observation on the prevention of pressure injury in elderly patients with lower extremity arterial occlusion.Methods From May 2020 to December 2021,98 elderly patients with lower extremity arterial occlusion in Vascular Surgery of the First Affiliated Hospital of Zhengzhou University were selected by convenient sampling.According to the method of random number table,the patients were divided into control group and observation group,with 49 cases each.During thrombolytic therapy,the control group adopted routine nursing,and the observation group implemented skin temperature observation on the basis of the control group.The hospital stay,the incidence of pressure injury and the degree of injury were compared between the two groups.Results The hospital stay of the control group and the observation group were(15.02±2.76)and(10.22±3.04)days respectively,and the incidence of pressure injury was 22.45%(11/49)and 8.16%(4/49),respectively,with statistical differences(P<0.05).The incidence of stageⅠand stageⅡpressure injury in the observation group was lower than that in the control group,but the difference was not statistically significant(P>0.05).Conclusions Management measures based on skin temperature observation can effectively reduce the incidence of pressure injury during thrombolytic therapy in elderly patients with lower extremity arterial occlusion and shorten the hospital stay.

关 键 词：老年人 下肢动脉闭塞 压力性损伤 皮肤温度 

分 类 号：R473.6[医药卫生—护理学]