术中获得性压力性损伤的高危影响因素分析及预防性量表评估干预措施

Analysis of high risk factors of pressure injury acquired in operation and evaluation of intervening measure with preventive scale

目的探讨术中获得性压力性损伤的高危影响因素及预防性量表评估干预措施。方法选取2016年5月至2019年5月我院收治的手术治疗患儿80例,其中有9例发生术中获得性压力性损伤,收集患儿人口特征信息和临床资料,采用单因素分析和多因素logistic回归分析术中获得性压力性损伤的影响因素。结果单因素分析结果表明,患儿手术时间、术中低体温、手术体位、局部潮湿、麻醉因素、体外循环、约束带松紧度为导致手术患儿术中压力性损伤的影响因素(P <0. 05);多因素logistic回归分析结果表明,术中低体温、手术体位、局部潮湿、麻醉因素、约束带松紧度为影响术中获得性压力性损伤的独立危险因素(P <0. 05)。结论护理人员应针对不同手术类型和个体差异制定预防性护理措施,术中动态应用预防性量表评估,提高手术治疗的安全性和舒适性。

Objective To explore of high risk factors of pressure injury acquired in operation and evaluation of intervening measure with preventive scale. Methods To select 80 children patients treated in our hospital from May 2016 to May 2019. There were 9 cases of pressure injury acquired in operation among them. The demographic characteristics and clinical data of the children patients were collected,and univariate analysis and multivariate analysis were used to analyze the influencing factors of pressure injury acquired in operation. Results Univariate analysis showed that the operation time,intraoperative hypothermia,operative position,local humidity,anesthesia factors,extracorporeal circulation,and tightness of the restraint strap were the influencing factors leading to the pressure injury during the operation( P < 0. 05). Multivariate logistic regression analysis showed that the intraoperative hypothermia,operative position,local humidity,anesthesia factors,and tightness of the restraint strap were the independent risk factors leading to the pressure injury during the operation( P < 0. 05). Conclusion Nursing staff should target different types of operations and individual differences to establish preventive nursing measures,and dynamically apply preventive scale assessment during the operation to improve the safety and comfort of surgical treatment.