主动护理干预对俯卧位手术压疮的预防作用

Preventive effect of active nursing intervention on pressure sores caused by surgery in prone position

目的分析主动护理干预对俯卧位手术压疮的预防作用。方法选取行全身麻醉下腰椎手术患者40例,随机分为对照组和研究组,各20例。对照组实施常规护理,研究组在常规护理基础上采取主动护理干预。观察2组皮肤压疮情况,评价护理满意度。结果对照组有13 (65. 00%)例出现皮肤压疮,研究组仅1(5. 00%)例出现皮肤压疮,对照组皮肤压疮率明显高于研究组(P <0. 01)。研究组满意度高于对照组(P <0. 01)。结论全身麻醉下俯卧位手术患者采取主动护理干预可有效减少压疮的发生,提高患者满意度。

Objective To analyze the preventive effect of active nursing intervention on pres- sure sores caused by surgery in prone position. Methods Totally 40 patients undergoing lumbar surgery with general anesthesia were randomly divided into control group and research group, with 20 cases in each group. The control group was given routine nursing, while the research group was added active nursing intervention based on the routine nursing. The condition of pressure sores and satisfactory degree were observed between two groups. Results There were 13 （65.00%） cases and 1 （5.00 % ） case suffering from pressure sores respectively in control group and research group. The rate of pressure sores in control group was significantly higher than that in research group （P 〈 0.01 ）. The satisfactory degree in research group was higher than that in control group （P 〈 0.01 ）. Conclusion Application of active nursing intervention in the prone position surgery with general anesthesia can effectively reduce the occurrence of pressure sores and improve the pa- tients＂ satisfactory degree, which is worthy of clinical promotion.