压力性损伤风险量化评估结合三时段护理在老年下肢骨折手术患者围术期中的应用

Application of Stress Injury Risk Quantitative Evaluation Combined with Three-period Nursing in Perioperative Elderly Patients with Lower Limb Fracture Surgery

目的:探讨压力性损伤风险量化评估结合三时段护理在老年下肢骨折手术患者围术期中的应用效果。方法:将2018年1月1日-2020年12月31日行下肢骨折手术的112例老年患者随机分为结合组55例和对照组57例,对照组采用常规护理方法,结合组采用压力性损伤风险量化评估结合三时段护理。比较两组手术相关指标、围术期体温、负性情绪[采用汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)]及压力性损伤发生情况。结果:结合组手术时间、体位安置时间均短于对照组(P<0.01);结合组术中、术毕时体温高于对照组(P<0.01);护理1周后,两组HAMA、HAMD评分低于护理前(P<0.05),且结合组低于对照组(P<0.01);术后24 h,结合组压力性损伤发生率低于对照组(P<0.05)。结论:压力性损伤风险量化评估结合三时段护理,可有效缩短老年下肢骨折患者手术时间,保持围术期体温稳定,缓解焦虑、抑郁等负性情绪,降低压力性损伤发生率。

Objective: To explore the application effect of stress injury risk quantitative evaluation combined with three period nursing in the perioperative elderly patients with lower limb fracture surgery.Methods: During January 1,2018 to December 31,2020,112 cases of elderly patients with lower limb fracture surgery were randomly divided into the combination group with 55 cases and the control group with 57 cases, the control group adopted conventional care method, the combination group adopted stress injury risk quantitative evaluation combined with three period nursing.Comparison was made between the two groups on indicators related to the operation, perioperative body temperature, negative emotions by Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD) and stress injury occurrence.Results: The operation time, position and resettlement time in the combination group were shorter than those in the control group(P<0.01).The intraoperative and postoperative body temperature was higher in the combination group than that in the control group(P<0.01).After nursing for one week, the HAMA and HAMD scores were lower in both groups than those before nursung(P<0.05),and those in the combination group were lower than those in the control group(P<0.01).24 h after surgery, the incidence of stress injury was lower than that in the control group(P<0.05).Conclusion: Stress injury risk quantitative evaluation combined with three period nursing, can effectively shorten the surgery time in elderly patients with lower limb fracture, keep perioperative body temperature steady, reduce anxiety, depression and other negative emotions, and reduce the incidence of stress injury.