手术室预防性护理对老年手术患者压力性损伤的影响探讨  

Exploration of the impact of preventive nursing in operating rooms on pressure injuries in elderly surgical patients

作　　者：朱声龙 李天行 陈琦[1] Zhu Shenglong;Li Tianxing;Chen Qi(Anesthesiology Department of Guangzhou University of Traditional Chinese Medicine Meizhou Hospital,Meizhou Traditional Chinese Medicine Hospital,Meizhou Tianjiabing Hospital,Meizhou College of Traditional Chinese Medicine,Guangdong Meizhou 514000,China)

机构地区：[1]广州中医药大学梅州医院(梅州市中医医院梅州市田家炳医院梅州市中医药科学院)麻醉科,广东梅州514000

出　　处：《临床普外科电子杂志》2024年第4期46-49,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨手术室护理的实行对降低手术压力性损伤发生率的价值。方法收集2022年3月至2023年11月广州中医药大学梅州医院收治的60例手术患者,依据随机数字表法分为对照组与观察组,各30例。对照组予以常规手术室护理,观察组实施手术室预防性护理,评价两组的压疮发生情况、压疮风险评估及患者满意度。结果观察组压疮发生率低于对照组,压疮面积小于对照组,且患者满意度高于对照组,差异均有显著性(P<0.05)。观察组患者护理前后的Braden评分分别为(13.36±2.66)、(19.27±2.47)分,对照组患者护理前后的Braden评分分别为(13.28±2.56)、(16.23±2.25)分。护理后,两组的Braden评分均较护理前升高,且观察组患者的Braden评分高于对照组,差异有显著性(t=4.984,P<0.001)。结论针对压力性损伤进行科学评估并结合老年患者实际情况,制订相应的手术室护理计划,有利于降低压疮的发生风险,同时提高患者满意度。Objective To explore the value of implementing operating room nursing in reducing the incidence of surgical pressure injuries.Method Sixty surgical patients admitted to Guangzhou University of Traditional Chinese Medicine Meizhou Hospital from March 2022 to November 2023 were collected and randomly divided into a control group and an observation group,with 30 patients in each group,using a random number table method.The control group received routine operating room care,while the observation group received preventive care in the operating room.The incidence of pressure ulcers,pressure ulcer risk assessment,and patient satisfaction were evaluated in both groups.Result The incidence of pressure ulcers in the observation group was lower than that in the control group,the area of pressure ulcers was smaller than that in the control group,and the patient satisfaction was higher than that in the control group,with significant differences(P<0.05).The Braden scores of the observation group patients before and after nursing were(13.36±2.66)and(19.27±2.47)points,respectively,while the Braden scores of the control group patients before and after nursing were(13.28±2.56)and(16.23±2.25)points,respectively.After nursing,the Braden scores of both groups increased compared to before nursing,and the Braden scores of patients in the observation group were higher than those in the control group,with a significant difference(t=4.984,P<0.001).Conclusion Scientific evaluation of pressure injuries and the development of corresponding operating room nursing plans based on the actual situation of elderly patients can help reduce the risk of pressure ulcers and improve patient satisfaction.

关 键 词：手术室护理 压力性损伤 影响 

分 类 号：R472.3[医药卫生—护理学]