手术室压疮风险评估表在术中压疮高危患者中的应用

Application of pressure ulcer risk assessment of the operation room in high risk of pressure ulcer patients

目的探讨手术室压疮风险评估表在术中压疮高危患者中的效果。方法选择2014年1～3月我科手术患者116例,随机分为两组,每组58例,对照组给予常规压疮预防护理,观察组在对照组基础上采用自制手术室压疮风险评估表进行评估,并对中重度危险的患者给予针对性预防措施。比较两组患者压疮发生情况。结果 2014年1～3月我科采用自制手术室压疮风险评估表评估高危患者58例,所有压疮风险评估正确,护理干预措施落实到位,观察组压疮发生1例,发生率为1.7%。对照组压疮发生6例,发生率为10.3%,两组患者压疮发生率比较差异有统计学意义（χ^2=4.435,P〈0.05）。结论应用自制手术室压疮风险评估表,使手术室护士能正确、客观评价患者各方面情况,正确的评估压疮高危患者,提高手术压疮风险的预见性,及时采取有效的护理干预措施,减少了术中压疮的发生。

Objective To study the assessment scale of pressure ulcer in patients at high risk of pressure ulcer risk in operation room. Methods 116 cases in our department operation from January to March 2014 were selected, randomly divided into two groups, 58 cases in each group, the control group was given routine bedsore prevention and nursing, the observation group based on the control group, were assessed by the self-made pressure sore risk assessment scale, and the severe danger of patients were given the preventive measures. Compared pressure ulcer incidence of two groups. Results There were 58 cases of high-risk patients from January to March 2014 in our department evaluated by self-made operation room pressure ulcer risk, all pressure sore risk assessment was correct, nursing intervention measures were put in place, the observation group of pressure ulcer occurred in 1 cases, the incidence rate was 1.7%. The control group was 6 cases, the incidence rate was 10.3%, The incidence of pressure ulcers of the two groups had statistical significance（χ^2=4.435, P〈0.05）. Conclusion The application of self-made pressure sore risk assessment scale to the operation room, helps nurses correct, objective evaluating of all aspects of the patient, correctly evaluate the pressure sore in patients at high risk, improve the predictability of operation pressure sore risk, timely and effective nursing interventions, reduces the incidence of pressure sores.