手术室皮肤管理在骨科患者术后压疮预防中的应用

Application of Operating Room Skin Management in the Postoperative Pressure Sores Prevention in Orthopedic Patients

目的观察手术室皮肤管理在骨科患者术后压疮预防中的应用效果。方法将拟于我院行骨科手术的138例患者随机分为对照组与观察组各69例,对照组应用常规手术室护理,观察组在对照组基础上应用手术室皮肤管理护理,观察两组护理质量、患者术后皮肤情况、压疮发生率、护理满意度情况。结果观察组护理质量(健康宣教、体位指导、调整受压部位、防潮处理、术中保暖、促进血液循环)评分显著高于对照组(P<0.05);观察组术后皮肤压红率显著高于对照组(P<0.05);观察组术后7d内压疮发生率显著低于对照组(P<0.05),患者满意度显著高于对照组(P<0.05)。结论手术室皮肤管理能够提高护理质量疾患者护理满意度,有效预防骨科手术患者术后压疮。

Objective To observe the application effects of operating room skin management on postoperative pressure sores prevention in orthopedic patients. Methods A total of 138 patients who underwent orthopedic surgery in our hospital were randomly divided into control group and observation group, with 69 cases in each group. Control group was treated with routine operating room nursing, and observation group was treated with operating room skin management nursing on the basis of control group. Nursing quality, postoperative skin conditions, incidence rate of pressure sores and nursing satisfaction were observed in the two groups. Results The scores of nursing quality(health education, position guidance, adjustment of compression site, damp-proof treatment, intraoperative warming,promotion of blood circulation) in observation group were significantly higher than those in control group(P<0.05).The skin redness rate in observation group after operation was significantly higher than that in control group(P<0.05).The incidence rate of pressure sores in observation group within 7 d after operation was significantly lower than that in control group(P<0.05), and the patients’ satisfaction was significantly higher than that in control group(P<0.05).Conclusions Operating room skin management can improve the nursing quality and nursing satisfaction of patients,and effectively prevent postoperative pressure sores in patients with orthopedic surgery.