摘要
目的 对手术室术后压疮危险因素进行分析并对护理预防措施进行总结。方法 回顾纳入2025年1月-12月术后压疮患者50例(观察组)以及相同时间段内未出现压疮患者50例(对照组)。对患者各方面资料进行分析,总结患者压疮危险因素,并对护理预防策略进行总结。结果 结合对患者围术期各方面信息进行对比,观察组手术时间、麻醉方式、体位、皮肤潮湿、年龄、营养状态与对照组对比(P<0.05)。可见手术时间、麻醉方式、体位、皮肤潮湿、年龄、营养状态均属于手术室术后压疮危险因素。结论 导致手术室术后压疮的危险因素较多,会增加患者出现压疮风险,需及时采取有效护理措施对术后压疮进行预防。
关键词: 手术室;术后压疮;危险因素;护理预防
Abstract
Objective To analyze the risk factors of postoperative pressure ulcers in the operating room and summarize the nursing and preventive measures. Methods Fifty patients with postoperative pressure ulcers from January to December 2025 (observation group) and 50 patients without pressure ulcers within the same time period (control group) were retrospectively included. Analyze all aspects of patient data, summarize patient risk factors for pressure ulcers, and summarize nursing and prevention strategies. Results Combined with the comparison of various perioperative information of the patients, the operation time, anesthesia method, body position, skin moisture, age, and nutritional status of the observation group were compared with those of the control group (P<0.05). It can be seen that operation time, anesthesia method, body position, skin moisture, age, and nutritional status are all risk factors for postoperative pressure ulcers in the operating room. Conclusion There are many risk factors that lead to postoperative pressure ulcers in the operating room, which will increase the risk of pressure ulcers in patients. Effective nursing measures need to be taken promptly to prevent postoperative pressure ulcers.
Key words: Operating room; Postoperative pressure ulcer; Risk factors; Nursing and prevention
参考文献 References
[1] 王瑜. 手术室护理工作程序表在下肢骨折患者中的应用及对术中低体温、压疮发生率的影响 [J]. 当代医药论丛, 2025, 23 (27): 160-162.
[2] 王恒. 比较手术室集束化预防压疮管理模式与传统预防压疮护理用于风湿性心脏病低温体外循环心脏瓣膜置换术中的效果 [J]. 河南外科学杂志, 2024, 30 (4): 185-188.
[3] 王巧丽,郑艳. 医护一体手术室综合护理预防老年股骨粗隆间骨折内固定术后压疮的效果分析 [J]. 贵州医药, 2023, 47 (11): 1832-1833.
[4] 刘文蕴. 基于三维质量结构模式构建预防手术室压疮护理质量评价指标体系的研究 [J]. 黑龙江医学, 2023, 47 (22): 2798-2800.
[5] 杜阳,刘敏,李苗. 综合护理对全麻俯卧位脊柱手术患者压疮发生的预防作用 [J]. 临床医学研究与实践, 2023, 8 (13): 143-145.
[6] 吕亮,马娟. 手术室改良体位护理结合保温护理对长时间侧卧位手术患者压疮及舒适度的影响 [J]. 临床医学研究与实践, 2023, 8 (9): 173-175.
[7] 洪素千,许晓燕. 心脏瓣膜置换术患者应用基于风险因素的手术室预警干预预防术后压疮的效果观察 [J]. 心血管病防治知识, 2022, 12 (33): 76-78+82.
[8] 卢静. 基于德尔菲法的手术室压疮预防护理方案的构建及应用 [J]. 当代护士, 2022, 29 (20): 9-14.
[9] 尤久梅,张虹. 以压疮护理单为指导的体位护理对手术室高危患者压力性损伤、心理、舒适度、生活质量的影响 [J]. 中外医疗, 2022, 41 (4): 154-157+162.
[10] 赵洁,吴彦,杨银玲,等. 术中获得性压疮安全管理的软件设计及应用研究 [J]. 全科护理, 2021, 19 (15): 2109-2111.