科研成果详情

题名可控压体位垫结合测压仪在预防术中获得性压力性损伤中的应用研究
其他题名Application of controlled pressure position pad combined with manometer in prevention of intraoperative acquired stress injury
作者
发表日期2024-01-10
发表期刊护士进修杂志   影响因子和分区
语种中文
原始文献类型学术期刊
关键词体位垫 预防 压力性损伤 术中护理
其他关键词position pad ; prevention ; pressure injury ; application
摘要目的 观察可控压体位垫在预防平卧位手术术中获得性压力性损伤(IAPI)中的应用效果。方法 选取2022年1-10月我院收治的预计手术时间>3 h的120例平卧位手术患者为研究对象,按随机数字表法分为观察组和对照组各60例。对照组使用凝胶垫加棉垫和泡沫敷料,术中巡回护士徒手给予患者骶尾部局部减压;观察组采用可控压体位垫加棉垫和泡沫敷料,术前使用测压仪评估患者骶尾部悬空需要的充气值,术中每隔2 h体位垫充气至预设值,悬空骶尾部保持30 min,放气恢复原体位。比较2组患者IAPI的发生率、医生及护士工作满意度。结果 观察组未发生IAPI,对照组发生IAPI 5例,2组比较差异有统计学意义(P<0.05);术中医生满意度调查结果:观察组满意度为86.7%,对照组满意度为16.7%,差异有统计学意义(P<0.001);术中护士工作满意度调查显示观察组满意度为80%,对照组的满意度为41.7%,差异有统计学意义(P<0.001)。结论 可控压体位垫结合测压仪的应用,可提高巡回护士术中对患者受压部位进行减压的积极性,降低平卧位手术患者IAPI的发生率,提高护理质量。
其他摘要Objective To observe the application effect of controlled pressure position pad in supine patients with intraoperative acquired stress injury(I API).Method A total of 120 patients operated on in the supine position with expected operation time>3 h who were admitted to our hospital from January to October 2022 were selected as the research objects,and were then divided into observation group and control group according to the random number ta-ble method,with 60 cases in each group.In the control group,gel pad,cotton pad,and foam dressing were used,and local decompression of caudal-sacral part was given by traveling nurses during the operation.In the observation group,controlled pressure position pad was added with cotton pad and foam dressing,preoperative manometer was used to evaluate the aeration value required by caudal-sacral suspension of patients,and the position pad was inflated to the preset value every 2 h during the operation,the sacrococcygeal region was suspended for 30 min and then de-flated to return to the original position.The incidence of IAPI,doctors'and nurses'job satisfaction were compared be-tween the two groups.Results There were no IAPI in the observation group and 5 cases in the control group,the difference was statistically significant(P<0.05);The satisfaction of doctors was 83.3%in the observation group and 16.7%in the control group,and the difference was statistically significant(P<0.001);In the survey of nurses'job satisfaction,the satisfaction of the observation group was 80%and that of the control group was 41.7%,the difference was statistically significant(P<0.001).Conclusion The application of controlled pressure position pad combined with manometer can improve the enthusiasm of circuit nurses to decompress the compressed parts of pa-tients during operation,reduce the incidence of I API in patients undergoing surgery in supine position,and improve the quality of care.
资助项目浙江省温州市基础性医疗卫生科技项目(编号:Y20210646);
ISSN1002-6975
卷号39期号:01页码:106-109
DOI10.16821/j.cnki.hsjx.2024.01.019
页数4
收录类别CNKI ; 万方 ; 维普
URL查看原文
引用统计
文献类型期刊论文
条目标识符https://kms.wmu.edu.cn/handle/3ETUA0LF/208716
专题附属第一医院
附属第一医院_护理部
附属第一医院_手术室
通讯作者郑凤燕
作者单位
1.温州医科大学附属第一医院护理部手术室护理单元;
2.温州医科大学附属第一医院护理部
第一作者单位附属第一医院;  手术室;  护理部
第一作者的第一单位附属第一医院
推荐引用方式
GB/T 7714
杨彩芬,郑凤燕,郑秀云,等. 可控压体位垫结合测压仪在预防术中获得性压力性损伤中的应用研究[J]. 护士进修杂志,2024,39(01):106-109.
APA 杨彩芬, 郑凤燕, 郑秀云, & 钱黄静. (2024). 可控压体位垫结合测压仪在预防术中获得性压力性损伤中的应用研究. 护士进修杂志, 39(01), 106-109.
MLA 杨彩芬,et al."可控压体位垫结合测压仪在预防术中获得性压力性损伤中的应用研究".护士进修杂志 39.01(2024):106-109.

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