术前建立个性化皮肤管理方案降低头面部手术患者术中压力性损伤风险的价值  

The value of establishing a personalized skin management plan before surgery to reduce the risk of intraoperative stress injury in patients undergoing head and face surgery

作　　者：李达 戴荣兄 冯新新 LI Da;DAI Rongxiong;FENG Xinxin(Department of Anesthesiology and Surgery,the First Affiliated Hospital with Nanjing Medical University,Jiangsu,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院麻醉手术科,南京市210029

出　　处：《河北医药》2025年第3期525-528,共4页Hebei Medical Journal

摘　　要：目的评估术前建立个性化皮肤管理方案对降低头面部术中压力性损伤风险的价值。方法选取2021年1~12月南京医科大学第一附属医院进行头面部手术的病例102例,配合完成护理干预,作为研究对象。调查患者资料,按照随机原则等比例分组,使用黑箱随机摸球法分2组,每组51例。对照组采用皮肤系统管理,观察组术前建立个性化皮肤管理方案。比较2组压力性损伤情况、整体舒适度、疼痛程度和护理满意度。结果观察组压力性损伤的发生率及临床分期、损伤面积均优于对照组,差异有统计学意义(P<0.05)。观察组生理、心理精神、环境、社会文化评分均优于对照组,差异有统计学意义(P<0.05)。观察组术后6、12、24 h的VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组的护理总满意率(100.00%)高于对照组(88.24%),差异有统计学意义(P<0.05)。结论术前建立个性化皮肤管理方案有助于降低头面部手术中压力性损伤风险,提高整体舒适度、护理满意度,减轻疼痛。Objective To evaluate the value of establishing a personalized skin management plan before surgery in reducing the risk of pressure injury during head and face surgery.Methods A total of 102 patients treated with head and face surgery in the First Affiliated Hospital with Nanjing Medical University and cooperated with nursing interventions were selected from January to December 2021.Clinical data were collected.They were randomly divided into two groups according to the principle of randomization and equal proportion,using the black box random touch ball method.The skin system management was adopted in the control group(n=51),and a preoperatively established personalized skin management plan was performed in the observation group(n=51).Stress injury,overall comfort,pain level,and nursing satisfaction were compared between the two groups.Results The incidence,clinical stage,and injury area of pressure injury in the observation group were significantly better than those of the control group(P<0.05).The physiological,psychological,environmental,and socio-cultural scores of the observation group were significantly better than those of the control group(P<0.05).The Visual Analogue Scale(VAS)scores of the observation group at 6 hours,12 hours,and 24 hours after surgery were significantly lower than those of the control group(P<0.05).The overall satisfaction rate of nursing in the observation group was significantly higher than that of the control group(100.00%vs 88.24%,P<0.05).Conclusion A preoperatively established personalized skin management plan can help reduce the risk of stress injury during head and face surgery,improve overall comfort,nursing satisfaction,and reduce pain.

关 键 词：个性化皮肤管理方案 头面部手术 压力性损伤风险 

分 类 号：R61[医药卫生—外科学]