手术室口诀式项目管理预防原位肝移植患者术中获得性压力性损伤的效果  

Prevention of intraoperative acquired pressure injury in orthotopic liver transplantation recipients based on formula project management

作　　者：陈雪莉[1] 马建中[1] 王飞[1] 周爱霞[2] 史艳蕾[1] CHEN Xueli;MA Jianzhong;WANG Fei;ZHOU Aixia;SHI Yanlei(Operating room,Liaocheng People′s Hospital,Liaocheng 252000,China;不详)

机构地区：[1]聊城市人民医院手术室,山东聊城252000 [2]聊城市人民医院护理部,山东聊城252000

出　　处：《中国临床护理》2024年第3期171-174,共4页Chinese Clinical Nursing

基　　金：2022年度实践教学教育研究计划项目(编号:JYSJ2022B12)。

摘　　要：目的探讨手术室口诀式项目管理预防原位肝移植患者术中获得性压力性损伤(intraoperative acquired pressure injury,IAPI)的效果。方法选取2022年1月-2023年10月于笔者所在医院行肝移植手术的64例患者为研究对象。按照入院先后顺序,将2022年1月-12月的32例患者设为对照组,将2023年1月-10月的32例患者设为观察组。对照组实施术中IAPI风险常规管理,观察组采用“一看、二定、三查、四准、五巡”的口诀式项目管理,比较2组IAPI预防措施落实情况及IAPI发生率。结果观察组IAPI预防措施落实得分高于对照组(t=6.920,P<0.001),IAPI发生率低于对照组(χ2=6.093,P=0.014)。结论手术室口诀式项目管理可以促进肝移植患者IAPI预防措施的落实,降低术中获得性压力性损伤发生率,值得临床推广应用。Objective To explore the effect of prevention intraoperative acquired pressure injury(IAPI)in orthotopic liver transplantation(OLT)recipients based on the formula project management.Methods Totally 64 OLT recipients treated in the researcher′s hospital between January 2022 and October 2023 were selected as the subject.The 32 recipients in year 2022 were selected into a control group,while another 32 recipients operated in the following ten months were chosen into an observation group.The control group was given routine management against IAPI,while the observation group prevented the IAPI by the self-made formula one observation,two decisions,three checks,four grants and five patrolling.The implementation of IAPI prevention and incidence of IAPI were compared between the two groups.Results The implementation of IAPI preventive measures was significantly higher than that of the control group(t=6.920,P<0.001),while the incidence of IAPI in the observation group was significantly lower than that of the control group(χ2=6.093,P=0.014).Conclusion The self-made formula management can promote the implementation of IAPI prevention measures and lower the incidence of IAPI.Therefore,it is worthy of promotion in the clinical practice.

关 键 词：手术室 术中获得性压力性损伤 IAPI 原位肝移植 皮肤护理 安全管理 

分 类 号：R473.6[医药卫生—护理学]