根本原因护理法对长时间侧卧位手术患儿术中急性压疮的影响

Effect of root cause nursing on acute pressure sore of operation children in long time lateral position

目的探讨根本原因护理法对长时间侧卧位手术患儿术中急性压疮的预防效果.方法选取手术室2018年9-12月收治的310例长时间侧卧位患儿为对照组,采用常规护理.选取手术室2019年1-4月收治的325例患儿为观察组,分析急性压疮的根本原因,采用针对性护理.比较2组术后24 h的皮肤潮红、潮湿情况以及压疮情况.结果2组的体位摆放时间无统计学意义(P>0.05).观察组术后24 h的皮肤潮红程度评分低于对照组(P<0.05),术毕体温高于对照组(P<0.05),术中低体温的发生率低于对照组(P<0.05).观察组的手术压疮发生率低于对照组(P<0.05),压疮面积小于对照组(P<0.05).结论根本原因护理法能够预防长时间侧卧位手术患儿术中急性压疮的发生,提高手术的安全性.

Objective To explore the preventive effect of root cause nursing on acute pressure sore in patients undergoing long time lateral position operation.Methods A total of 310 patients with long-term lateral position operation from September to December 2018 were selected as control group,given routine nursing.A total of 325 patients with long-term lateral position operation from January to April 2019 were selected as observation group,and the root causes of acute pressure sore were analyzed and targeted nursing was adopted.Skin flush,dampness and pressure sore after 24 hours of the operation of two groups were compared.Results There was no significant difference between the two groups in posture position time(P>0.05).At 24 hours after operation,the skin flushing score of the observation group was lower,the temperature at time point of surgery conclusion was higher,and the incidence of intraoperative hypothermia was lower than that of the control group,the differences were statistically significant(P<0.05).The incidence of operation pressure sore in the observation group was lower than that in the control group,and the area of pressure sore was smaller than that in the control group,the differences were statistically significant(P<0.05).Conclusion The root cause nursing can prevent the occurrence of acute pressure sore and improve the safety of operation.