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投稿时间：2024-01-30 网络发布日期：2024-10-20
投稿时间：2024-01-30 网络发布日期：2024-10-20
中文摘要: 目的 探讨压疮专项护理小组配合凝胶体位垫干预对于预防长时间侧卧位脊柱手术患者急性压力性损伤的效果。
方法 回顾性分析2021年1月至2023年6月于安徽省第二人民医院行长时间侧卧位脊柱手术治疗的95例患者的临床资料。压疮专项护理小组成立前（2021年1月至2022年3月）予以常规护理干预的48例患者为对照组；成立后（2022年4月至2023年6月）予以压疮专项护理小组配合凝胶体位垫干预的47例患者为研究组。比较两组术后疼痛程度（VAS评分）及舒适度（GCQ评分）、急性压疮（APU）发生情况、临床情况（住院时间、护理相关费用、术后感染发生率）和护理满意度。
结果 研究组术后30 min、72 h的VAS评分均低于对照组，GCQ评分均高于对照组（P＜0.01）；研究组术后72 h的APU总发生率（8.51% vs 25.00%, χ2=4.610, P=0.032）低于对照组，Branden评分高于对照组（P＜0.01）；在发生APU的患者中，研究组APU人均损伤个数和面积低于对照组（P＜0.01），干预结束后研究组的住院时间、防护费用、术后感染发生率评分均低于对照组（P＜0.05）；研究组护理满意度高于对照组（P＜0.05）。
结论 压疮专项护理小组配合凝胶体位垫干预可显著缓解长时间侧卧位脊柱手术患者术后疼痛程度，提高舒适度，降低APU发生率，缩短康复进程，提高护理满意度。
Abstract:ObjectiveTo explore the effect of special pressure ulcer nursing team (SPUNT) combined with gel position pad in the prevention of acute pressure injury in patients undergoing prolonged lateral decubitus spinal surgery.
Methods A retrospective analysis was performed on the clinical data of 95 patients undergoing prolonged lateral decubitus spinal surgery in Anhui Second Peoples Hospital between January 2021 and June 2023. Before the establishment of SPUNT (from January 2021 to March 2022), 48 patients received routine nursing intervention were served as the control group. After the establishment of SPUNT (from April 2022 to June 2023), 47 patients intervened received intervention of SPUNT and gel position pads were served as the study group. The degree of postoperative pain (VAS score) and comfort (GCQ score), the occurrence of acute pressure ulcer (APU), clinical situation (hospitalization time, nursing-related expenses, postoperative infection rate) and nursing satisfaction were compared between the two groups.
Results At 30 min and 72 h after surgery, VAS score in study group were lower than that in control group, and GCQ scores were higher than that in control group (P＜0.01). At 72h after surgery, total incidence of APU (8.51% vs 25.00%, χ2=4.610, P=0.032) in study group were lower than that in control group (P＜0.01), while Branden score was higher than that in control group (P＜0.01). Among patients with APU,the number and area of APU injuries per person in study group were lower compared with control group (P<0.01). After intervention, hospitalization time, protection cost, and incidence of postoperative infection in study group were lower than those in control group (P＜0.05), and nursing satisfaction was higher than that in control group (P＜0.05).
Conclusion The intervention using SPUNT combined with gel position pad can significantly relieve postoperative pain, improve comfort, reduce the incidence of APU, shorten rehabilitation process, and improve nursing satisfaction in patients undergoing prolonged lateral decubitus spinal surgery.
keywords: Spinal surgery Lateral decubitus Acute pressure injury Pressure ulcer Special pressure ulcer nursing team Gel position pad
文章编号： 中图分类号：R473.6 文献标志码：B
基金项目:2022年度省高校自然科学研究一般项目（ZR2022B004）
附件
| Author Name | Affiliation |
| CHENG Xiaomei, KONG Yan, ZHENG Jun | Department of Orthopedics, Anhui Second Peoples Hospital, Hefei, Anhui 230041, China |
引用文本：
程晓妹，孔艳，郑军.压疮专项护理小组配合凝胶体位垫预防长时间侧卧位脊柱手术急性压力性损伤的效果[J].中国临床研究,2024,37(10):1618-1623.
程晓妹，孔艳，郑军.压疮专项护理小组配合凝胶体位垫预防长时间侧卧位脊柱手术急性压力性损伤的效果[J].中国临床研究,2024,37(10):1618-1623.