预见性护理程序在预防心胸外科患者围术期压力性损伤中的效果

Effect of predictive nursing procedure on prevention of perioperative stress trauma in patients with cardiothoracic surgery

目的探讨分析预见性护理程序在预防心胸外科患者围术期压力性损伤效果。方法抽取南通市第一人民医院2016年2月至2019年2月收治的心胸外科手术患者80例作为研究对象,按照随机数字表法分为对照组与研究组,每组40例,对照组给予相应常规围术期护理,研究组在对照组相同围术期常规护理基础上对患者进行压疮风险动态评估,并给予预见性护理程序干预,比较两组围术期Braden得分及压力性损伤发生情况。结果两组入院时压力性损伤评分量表(Braden)得分比较差异无统计学意义(t=1.406,P>0.05),术后各阶段研究组Braden得分均高于对照组(P<0.05);且研究组压力性损伤总发生率(2.5%)低于对照组(17.25%),差异有统计学意义(χ2=5.000,P<0.05)。结论给予心胸外科患者围术期预见性护理干预能够有效降低压力性损伤发生风险,预防压力性损伤发生。

Objective To explore the effect of predictive nursing procedure in the prevention of perioperative stress trauma in patients with cardiothoracic surgery.Methods A total of 80 patients with cardiothoracic surgery admitted to the hospital from February 2016 to February 2019 were selected as research objects and divided into control group and research group according to random number table method,with 40 cases in each group.The control group was given the corresponding routine perioperative nursing,and the research group was given the dynamic assessment of pressure ulcer risk on the basis of the same routine perioperative nursing of the control group,and the predictive nursing program intervention was given.The perioperative Braden score and the incidence of stress trauma were compared between the two groups.Results There was no significant difference in Braden scores between the two groups on admission(t=1.406,P>0.05),the Braden score of the research group was higher than that of the control group at all postoperative stages(P<0.05).The total incidence of stress trauma in research group(2.5%)was lower than that in control group(17.25%),and the difference was statistically significant(χ2=5.000,P<0.05).Conclusions Perioperative predictive nursing intervention for patients in cardiothoracic surgery can effectively reduce the risk of pressure sore and prevent the occurrence of pressure sore.