细节管理预防婴幼儿手术高危部位发生压疮的应用效果

Application Effect of Detail Management for Preventing Pressure Ulcers From Infants' Surgical High Positions

目的探讨细节管理预防婴幼儿手术高危部位发生压疮的成效。方法选取福建省某三级甲等专科妇幼保健院年龄在0~3岁,手术时间>2小时的患儿100例作为研究对象,随机分为试验组和对照组各50例。对照组采用常规方法预防婴儿高危部位压疮的发生,试验组在此基础上应用细节管理模式。比较两组患儿压疮发生率。结果对照组婴幼儿发生压疮9例,试验组发生压疮2例。秩和检验结果显示,两组患儿的压疮发生率差异具有统计学意义(P<0.05)。结论应用细节管理可有效降低婴幼儿手术中高危部位压疮的发生。

Objective To investigate the application effect of detail management for preventing pressure ulcers from Infants’ surgical high positions. Methods 100 children aged 1~3 years with operation time more than two hours were randomly divided into experimental group and control group （n=50）. The control group was treated with routine nursing care and the experimental group was treated with detail management based on the routine nursing care. The rates of pressure ulcers were evaluated and compared between the two groups. Results 9 cases of pressure ulcers were in the experimental group and 2 cases in the control group. The results of Rank-Sum Test showed that there were significant differences in the pressure ulcers rates between the two groups（P 〈 0.05）. Conclusion Detail management which is worth popularizing in clinical practice, can effectively decrease the incidence of pressure ulcers from infants’ surgical high positions.[