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手术患者发生压疮的术中危险因素分析 被引量：94

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摘要 目的分析影响手术患者发生压疮的术中危险因素,探讨术中预防压疮的有效措施。方法对211例择期手术患者的8项术中相关指标进行分析。结果Logistic回归分析结果与χ2检验一致,术中最低SaO2正常组和低于95%组间、术中低血压时间与手术时间比不同组间2项指标的压疮发生率差异有统计学意义(P<0.05),OR值分别为12.908、5.524。结论术中低血压时间较长等可能引起组织灌注不足的患者是手术室护士与病房护士重点交接班的对象,防止术后压疮的发生。
作者 谢小燕 刘雪琴 周萍
机构地区 南方医科大学珠江医院护理部 南方医科大学珠江医院麻醉科
出处 《解放军护理杂志》 2008年第1期21-23,共3页 Nursing Journal of Chinese People's Liberation Army
基金 广东省卫生厅医学科研基金资助项目(A2006417)
关键词 手术 压疮 危险因素
分类号 R197.323 [医药卫生—卫生事业管理]
  • 相关文献

参考文献13

  • 1Aronovitch S A. Intraoperatively acquired pressure ulcer prevalence:a national study[J]. J Wound Ostomy Continence Nurs,1999,26(3) :130-136.
  • 2Gebhardt K S. Pressure ulcer research: where do we go from here[J]. Br J Nuts,2004,13(19) :S14-S18.
  • 3Bergstrom N,Braden B, Kemp M, et al. Multi-site study of incidence of pressure ulcers and the relationship between risk level, demographic characteristics, diagnoses, and prescription of preventive interventions [J]. J Am Geriatr Soc,1996, 44(1) :22-30.
  • 4Kwong E,Pang S,Wong T, et al. Predicting pressure ulcer risk with the modified braden, braden and norton scales in acute care hospitals in China's Mainland[J]. Appl Nurs Res,2005,18(2) :122-128.
  • 5Schoonhoven L, Defloor T, van der Tweel I, el al. Risk indicator for pressure ulcers during surgery[J]. Appl Nurs Res,2002,15(3) :163-173.
  • 6Hoshowsky V M, Schramm C A. Intraoperative pressure sore prevention: an analysis of bedding materials[J]. Res Nurs Health,1994,17(5) :333-339.
  • 7Fife C,Otto G,Capsuto EG, et al. Incidence of pressure ulcers in a neurologic intensive care unit[J]. Crit Care Med,2001,29(2) :283-290.
  • 8Stotts N A. Predicting pressure ulcer development in surgical patients[J]. Heart Lung,1988,17(6 Pt 1) :641-647.
  • 9Allman R M,Goode P S,Patrick M M, et al. Pressure ulcer risk factors among hospitalized patients with activity limitation[J]. JAMA,1995,273(11) :865-870.
  • 10Halfens R J,Bours G J,Van Ast W. Relevance of the diagnosis stage 1 pressure ulcer': an empirical study of the clinical course of stage 1 ulcers in acute care and longterm care hospital populations[J]. J Clin Nurs, 2001,10 (6) :748-757.

二级参考文献13

  • 1谢小燕,刘雪琴.压疮的动物实验研究进展[J].解放军护理杂志,2004,21(8):52-53. 被引量：30
  • 2谢小燕,刘雪琴.难免性压疮发生的危险因素及预防[J].解放军护理杂志,2005,22(9):57-58. 被引量：46
  • 3Aronovitch S A.Intraoperatively acquired pressure ulcer prevalence:a national study[J].J Wound Ostomy Continence Nurs,1999,26(3):130-136.
  • 4Gebhardt K S.Pressure ulcer research:where do we go from here?[J].Br J Nurs,2004,13(19):S14-S18.
  • 5Schoonhoven L,Defloor T,Van der Tweel I,et al.Risk indicator for pressure ulcers during surgery[J].Appl Nurs Res,2002,15(3):163-173.
  • 6Bergstrom N,Braden B,Kemp M,et al.Multi-site study of incidence of pressure ulcers and the relationship between risk level,demographic characteristics,diagnoses,and prescription of preventive interventions[J].J Am Geriatr Soc,1996,44(1):22-30.
  • 7Kwong E,Pang S,Wong T,et al.Predicting pressure ulcer risk with the modified Braden,Braden and Norton Scales in acute care hospitals in China's Mainland[J].Appl Nurs Res,2005,18(2):122-128.
  • 8Allman R M,Goode P S,Patrick M M,et al.Pressure ulcer risk factors among hospitalized patients with activity limitation[J].JAMA,1995,273(11):865-870.
  • 9Halfens R J,Bours G J,Van Ast W.Relevance of the diagnosis 'stage 1 pressure ulcer':an empirical study of the clinical course of stage 1 ulcers in acute care and long-term care hospital populations[J].J Clin Nurs,2001,10(6):748-757.
  • 10Houwing R,Overgoor M,Kon M,et al.Pressure-induced skin lesions in pigs:reperfusion injury and the effects of vitamin E[J].J Wound Care,2000,9(1):36-40.

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解放军护理杂志
2008年 第1期

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