MDT式压疮预防管理干预在脊柱后入路手术老年患者中的应用

MDT-Style Pressure Ulcer Prevention Management Intervention in Elderly Patients Underwent Posterior Spinal Access Surgery

目的探讨多学科团队协作(MDT)式压疮预防管理干预在接受脊柱后入路手术老年患者中的应用效果。方法选取郑州大学第一附属医院2019年1月至2020年1月收治的85例脊柱后入路手术老年患者作为研究对象,以入院顺序编号分组,对照组42例采取常规压疮管理,MDT组43例采取MDT式压疮预防管理干预。比较两组压力性损伤风险评估、压疮发生情况、干预前后营养状况、患者满意度。结果MDT组低风险发生率(58.14%)高于对照组(16.67%),中风险(30.23%)、高风险(11.63%)发生率低于对照组(52.38%、30.95%),差异有统计学意义(P<0.05);MDT组压疮分期Ⅰ期(9.30%)、Ⅱ期(4.65%)发生率低于对照组(30.95%、23.81%),差异有统计学意义(P<0.05);干预后MDT组营养评分低于对照组,差异有统计学意义(P<0.05);MDT组患者满意度评分高于对照组,差异有统计学意义(P<0.05)。结论脊柱后入路手术老年患者采用MDT式压疮预防管理干预,不仅能降低患者压疮风险,减少其压疮发生,且能改善患者营养状况,提升患者满意度。

Objective To investigate the effectiveness of a multidisciplinary teamwork(MDT)-style pressure ulcer prevention and management intervention in elderly patients underwent posterior spinal access surgery.Methods A total of 85elderly patients underwent posterior spinal approach surgery in our hospital from January 2019 to January 2020 were selected for the study and grouped in order of admission,with 42 cases in the control group undergoing conventional pressure ulcer management and 43 cases in the MDT group undergoing MDT-style pressure ulcer prevention management intervention.The pressure injury risk assessment,pressure ulcer occurrence,nutritional status before and after the intervention,and patient satisfaction were compared between the 2 groups.Results The incidence of low-risk(58.14%)in the MDT group was higher than that in the control group(16.67%),and the incidence of medium-risk(30.23%)and high-risk(11.63%)in the MDT group were lower than those in the control group(52.38%and 30.95%),the differences were statistically significant(P<0.05);About pressure ulcer stage,in the MDT group,the incidence of stage I was 9.30%and stage II was 4.65%,lower than those in the control group 30.95%and 23.81%,the differences were statistically significant(P<0.05);The nutritional score of the MDT group was lower than that of the control group after the intervention,with statistically significant difference(P<0.05).Patient satisfaction score in the MDT group was higher than that in the control group,with statistically significant difference(P<0.05).Conclusion The MDT-style pressure ulcer prevention management intervention for elderly patients underwent posterior spinal approach surgery not only can reduce the risk of pressure ulcers and their occurrence,but also can improve the nutritional status of patients and enhance patient satisfaction.