紫草油预防胸外侧卧位手术患者术中医源性压力损伤的应用研究

Application of Borage Oil on Preventing Intraoperative Iatrogenic Pressure Injury in Patients with Thoracolumbar Supine Surgery

目的:探讨紫草油在胸外侧卧位手术患者中的应用效果。方法:选取2019年10月-2021年10月于赣南医学院第一附属医院行胸外侧卧位手术治疗的患者100例,按随机数字表法分为两组,各50例。对照组使用泡沫敷料进行皮肤保护,观察组使用紫草油进行皮肤保护,对照组手术前使用泡沫敷料至手术结束,观察组手术前涂抹紫草油一次。比较两组医源性压力损伤预防效果、舒适度、反应性充血情况、不良反应发生率和满意度。结果:两组干预前Kolcaba的舒适状况量表(GCQ)评分比较,差异无统计学意义(P>0.05);观察组医源性压力损伤预防总有效率为96.00%,高于对照组的84.00%,差异有统计学意义(P<0.05);观察组干预后GCQ中生理(18.59±3.57)分,心理(23.69±4.58)分,精神(19.72±4.35)分,社会文化(13.77±2.22)分,均高于对照组,差异均有统计学意义(P<0.05);观察组反应性充血率、不良反应发生率分别为4.00%、4.00%,均低于对照组的18.00%、16.00%,差异均有统计学意义(P<0.05);观察组患者满意度中皮肤保护方式(86.98±3.32)分,操作技术(86.57±3.27)分,安全性(85.94±3.50)分,舒适度(86.54±3.55)分,均高于对照组,差异均有统计学意义(P<0.05)。结论:在胸外侧卧位手术患者中采取紫草油进行皮肤保护,能够降低医源性压力损伤发生率,提高患者舒适度,有助于术后康复,且不良反应少,患者满意度高。

Objective:To explore the application effect of Borage Oil in patients undergoing thoracolumbar supine surgery.Method:From October 2019 to October 2021,100 patients who underwent thoracolumbar supine surgery in the First Affiliated Hospital of Gannan Medical College were selected and divided into two groups according to the random number table,with 50 patients each.The control group used foam dressing for skin protection,the observation group used Borage Oil for skin protection,the control group used foam dressing before the operation until the end of the operation,and the observation group applied Borage Oil once before the operation.The prevention effect,comfort,reactive hyperemia,adverse reaction rate and satisfaction of iatrogenic pressure injury were compared between the two groups.Result:There were no significant differences between the two groups in the scores of Kolaba comfort scale (GCQ) before intervention (P>0.05).The total effective rate of iatrogenic pressure injury prevention in the observation group was 96.00%,which was higher than 84.00% in the control group (P<0.05).After intervention,the GCQ scores of the observation group[physiology (18.59±3.57) points,psychology (23.69±4.58) points,spirit (19.72±4.35) points and social culture (13.77±2.22) points]were significantly higher than those of the control group (P<0.05).The rates of reactive hyperemia and adverse reactions in the observation group were 4.00% and 4.00%,respectively,which were lower than 18.00% in the control group,the differences were statistically significant (P<0.05).The scores of skin protection (86.98±3.32) points,operation technique (86.57±3.27) points,safety (85.94±3.50) points and comfort (86.54±3.55) points in the satisfaction of patients in the observation group were higher than those in the control group (P<0.05).Conclusion:Borage Oil can reduce the incidence of iatrogenic pressure injury,improve the comfort of patients,and contribute to postoperative recovery in patients undergoing thoracolumbar supine surgery.It has less adverse reactions and high patient satisfaction.