|
|
The Application Effect of the Comprehensive Assessment Tool for Intraoperative Pressure Ulcer Risk in the Nursing of Patients Undergoing Spinal Correction Surgery |
PANG Jingping, YAO Xiaojuan |
Department of Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan 450000 |
|
|
Abstract 【Objective】To explore the application effect of the comprehensive assessment tool for intraoperative pressure ulcer risk in the nursing of patients undergoing spinal correction surgery. 【Methods】A total of 118 patients who underwent spinal correction surgery in our hospital from January 2022 to July 2024 were selected and divided into the observation group and the control group by the random number table method, with 59 cases in each group. The observation group conducted risk assessment using the comprehensive risk assessment tool for intraoperative pressure ulcers and implemented standardized nursing measures based on the assessment results. The control group received conventional care. The incidence of pressure ulcers, the incidence of postoperative complications, postoperative functional recovery, postoperative pain score [Visual Analogue Scale (VAS)] and patient satisfaction were compared between the two groups. 【Results】The incidence of pressure ulcers in the observation group was 15.25%, significantly lower than 35.59% in the control group, and the difference was statistically significant (P<0.05). The total incidence of postoperative complications in the observation group was 5.08%, significantly lower than 22.03% in the control group, and the difference was statistically significant (P<0.05). The time to get out of bed for the first time, the time to resume independent walking, and the wound healing time in the observation group were significantly shorter than those in the control group. The rate of delayed healing was significantly lower than that in the control group (P<0.05), and the VAS score was significantly lower than that in the control group. The differences were statistically significant (P<0.05). The scores of each dimension of satisfaction in the observation group were significantly higher than those in the control group (P<0.05). 【Conclusion】The comprehensive assessment tool for intraoperative pressure ulcer risk has a significant application effect in the nursing of patients undergoing spinal correction surgery. It can effectively reduce the incidence of pressure ulcers and postoperative complications, promote the functional recovery of patients, alleviate postoperative pain, and improve patient satisfaction.
|
Received: 06 September 2024
|
|
|
|
|
[1] 李云,牛培君. 脊柱侧弯矫正患者术后体力活动现状及影响因素分析[J].河南外科学杂志,2022,28(3):51-53. [2] 张亚平,胡文雪,张子欣. 骨肿瘤患者压疮风险、评估工具及应对策略的研究进展[J].护士进修杂志,2022,37(9):825-828. [3] 张小丹,耿胜南,吴月. Braden量表与NSRAS 量表在NICU早产儿压疮风险评估中的应用对比[J].航空航天医学杂志,2023,34(10):1242-1245. [4] 姚秀英,姚红,黄蕾,等. 护士应用Braden压疮风险评估量表评分一致性的调查与分析[J].安徽医专学报,2022,21(6):20-21. [5] 张冰.负压封闭引流技术联合系统性湿性疗法治疗Ⅳ期压疮效果分析[J].临床医药实践,2023,32(1):11-15. [6] 王颖,朱雅莉,陈祖棋,等. 多学科协作护理模式在脊柱侧弯矫正术后麻醉复苏室护理中的应用效果[J].中国医药导报,2024,21(5):165-167. [7] 纪姝. 不同压疮危险评估量表对慢性心力衰竭卧床患者压疮判断以及预测能力对比[J].中外医疗,2020,39(30):142-144. [8] 陈娟,陈兰,王勤. 自制多孔侧卧位固定架在降低老年髋关节置换术压疮风险临床研究[J].生物医学工程与临床,2022,26(1):76-80. [9] 卞丽艳,戴莲. 压力性损伤风险无线报警系统在骨折患者术前支具固定中的应用效果研究[J].创伤外科杂志,2023,25(12):939-943. [10] 李芳蕊,于艳芳. 手术室急性压疮现状及危险因素分析[J].临床护理杂志,2022,21(3):57-60. [11] 周冰,李晨曦. 快速康复外科护理对重度脊柱侧凸行后路矫正术患者的干预效果观察[J].黑龙江医学,2022,46(10):1243-1245. [12] 张研. Cubbin&Jackson量表在CCU低温体外循环术后患者压疮风险评估中的应用[J].临床研究,2021,29(2):30-31. [13] 陶莎,鲁静,沈玥,等. 俯卧位无创机械通气治疗AECOPD的临床分析[J].中华肺部疾病杂志(电子版),2022,15(6):792-795. [14] 王婷婷. 循证护理在预防肝硬化合并低蛋白血症患者压疮发生中的应用体会[J].中国医药指南,2020,18(28):158-159. [15] 徐光磊,崔巧玲. 个性化营养支持对压疮低蛋白血症的临床效果[J].实用临床护理学电子杂志,2019,4(30):141. |
|
|
|