压疮预警干预结合凝胶体位垫预防长时间手术中急性压力性损伤的效果及对体位稳定性的影响

Effect of pressure ulcer early warning intervention combined with gel position pad on preventing acute pressure injury during long-term surgery and its influence on position stability

目的探讨压疮预警干预结合凝胶体位垫预防长时间手术中急性压力性损伤的效果及对体位稳定性的影响。方法选取2020年1月至2022年2月我院收治的46例需手术患者为研究对象,按照随机数字表法将其分为对照组与观察组,各23例。对照组采用常规手术室护理,观察组在对照组基础上加压疮预警干预结合凝胶体位垫护理。比较两组的干预效果。结果观察组的急性压力性损伤总发生率低于对照组(P<0.05)。观察组的术中体位稳定无位移占比和术野暴露评分均高于对照组(P<0.05)。干预后,观察组的Kolcaba舒适状况量表(GCQ)各维度评分高于对照组(P<0.05)。结论压疮预警干预结合凝胶体位垫可降低长时间手术中急性压力性损伤发生率,提高体位稳定性和舒适度,减少压疮风险,值得推广。

Objective To investigate the effect of pressure ulcer early warning intervention combined with gel position pad on preventing acute pressure injury during long-term surgery and its influence on position stability.Methods A total of 46 patients who needed surgery in our hospital from January 2020 to February 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 23 cases in each group.The control group was adopted routine surgery room nursing,and the observation group was adopted with pressure ulcer early warning intervention combined with gel position pad nursing on the basis of the control group.The intervention effects of the two groups were compared.Results The total incidence of acute pressure injury in the observation group was lower than that in the control group(P<0.05).The proportion of stable intraoperative position without displacement and surgical field exposure score of the observation group were higher than those of the control group(P<0.05).After intervention,the scores of each dimension of General Comfort Questionnaire(GCQ)in the observation group were higher than those in the control group(P<0.05).Conclusion The pressure ulcer early warning intervention combined with gel position pad can reduce the incidence of acute pressure injury during long-term surgery,improve the position stability and comfort,and reduce the risk of pressure ulcer,which is worthy of promotion.