神经外科术中获得性压力性损伤的预防护理专案

Intraoperative prevention of pressure injuries during neurosurgery

目的降低神经外科术中获得性压力性损伤发生率。方法将2019年10~12月的1378例神经外科择期手术患者作为对照组,采取常规护理措施预防术中获得性压力性损伤。将2020年10~12月的1551例患者作为观察组,成立护理专案小组,开展多学科协作,实施护理专案改善。结果观察组术中获得性压力性损伤发生率为0.90%,对照组为2.18%,两组比较,差异有统计学意义(P<0.05);两组术中获得性压力性损伤治愈率比较,差异无统计学意义(P>0.05)。观察组预防术中获得性压力性损伤关键监测指标落实率较好,除术后规范交接班落实875例(61.40%)外,其他指标均>88.00%。结论多学科协作护理专案能够有效降低术中获得性压力性损伤发生率,提高术中获得性压力性损伤预防和管理质量。

Objective To decrease the incidence of intraoperatively acquired pressure injury(IAPI)in neurosurgical procedures.Me-thods A total of 1,378 patients undergoing elective neurosurgery between October and December,2019,were treated as the control group and given routine measures for prevention of IAPI,while 1,551 patients between October and December,2020,were served as the observation group and received multidisciplinary interventions for the management of IAPI.Results The incidence of IAPI was 0.90%in the observation group and 2.18%in the control group,showing significant difference(P<0.05).The curative rate of IAPI had no significant difference between the two groups(P>0.05).The implementation rates of key monitoring indicators for IAPI prevention were satisfactory(>88.00%)in the observation group,except for the implementation of standardized postoperative handover being 61.40%.Conclusion Multidisciplinary collaboration can effectively reduce IAPI and improve the quality of prevention and management.