| 钱文静,王维.降低心脏手术患者手术压红发生的探讨[J].上海护理,2017,17(7): |
| 降低心脏手术患者手术压红发生的探讨 |
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| DOI： |
| 中文关键词: 心脏手术 手术压红；降低 |
| 英文关键词:cardiovascular surgery intraoperative pressure red reduce |
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| 中文摘要: |
| 目的 探讨降低心脏手术患者手术压红发生的方法。方法 选取2014.3.1～2014.3.31在我院实施择期心脏手术的150例患者为对照组,选取2014.7.1～7.31在我院实施择期心脏手术的150例患者为观察组。应用自制《手术压疮风险评估量表》,对对照组进行患者信息记录及压疮风险评估后采用普通防压疮措施,即臀部采用啫喱垫、垫足跟垫；观察组进行患者信息记录、压疮风险评估后,根据不同压疮评分,应用《术中压疮预防护理记录表》结合心脏手术特征采取相应的专科压疮防范护理措施,并建立与病房之间良好的交接。观察两组患者手术压红的发生率。结果 两组患者一般资料及压疮评估分值的比较均无显著性差异(P>0.05)。对照组发生手术压红79例(52.67％),观察组发生手术压红21例(14.00％),观察组手术压红的发生率明显低于对照组,两组手术压红发生率有显著性差异。(X2 =50.46,P<0.01)。结论 手术室护理人员通过制定手术压疮风险评估机制,建立预警系统；建立术中压疮防范体系,根据不同压疮评分实施针对性压疮防范护理措施,并建立与病房之间良好的交接,可有效降低心脏手术患者手术压红的发生率。 |
| 英文摘要: |
| Objective To explore the method to reduce intraoperative pressure red who undergo cardiovascular surgery. Methods Select 150 patients undergoing elective cardiovascular surgery in 2014.3.1 ~ 2014.3.31 in our hospital as the control group, selecting 150 patients undergoing elective cardiovascular surgery in 2014.7.1 ~ 7.31 in our hospital as the observation group. The risk assessment scale of intraoperative pressure ulcer is applied in the control group to record their information and assess the risk of intraoperative pressure ulcer.Then we use common prevention measures,for example the use of the gel pad under hip and pad heel in the control group. After recording information and assessing intraoperative pressure ulcer risk of the observation group, we apply the nursing record scale of intraoperative pressure ulcer prevention to take corresponding nursing measures to prevent intraoperative pressure ulcers in combination with characteristics of cardiovascular surgery according to the different pressure ulcer score , and establish a good handover with ward. We observe the incidence of intraoperative pressure red of two groups .Results Two groups of patients with general information and the comparison of intraoperative pressure ulcer assessment score had no significant difference (P > 0.05).The control group has 79 cases of operation pressure red(52.67%), and the observation group has 21 cases of operation pressure red (14.00%).The incidence of intraoperative pressure red of the observation group was obviously lower than the control group, two groups of intraoperative pressure red incidence have significant difference.( X2 = 50.46, P < 0.01).Conclusion By making the risk assessment mechanism of intraoperative pressure ulcer, establishing early warning system,setting up prevention system of intraoperative pressure ulcer in the operration, implementing pertinent nursing measures to prevent pressure ulcers according to the different pressure ulcer score,and establishing a good transition between ward, operating room nursing staff can effectively reduce the incidence of cardiovascular surgery patients with intraoperative pressure red. |
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