主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2019, Vol. 19 ›› Issue (1): 43-48.doi: 10.3969/j.issn.1672-1756.2019.01.011

• 论 著 • 上一篇    下一篇

术中获得性压力性损伤发生的影响因素分析

陈哲颖 吴晓蓉 吴梦媛   

  1. 上海交通大学医学院附属仁济医院东院手术室,200127上海市(陈哲颖,吴梦媛);护理部(吴晓蓉)
  • 出版日期:2019-01-15 发布日期:2019-01-15
  • 通讯作者: 吴晓蓉,本科,副主任护师,护理部质量主管,E-mail:renji_wxr@126.com
  • 作者简介:陈哲颖,本科,副主任护师,护士长
  • 基金资助:
    上海交通大学医学院科技基金项目(Jyh1510)

The risk factors of patients with Intraoperative Acquired Pressure Injury

CHEN Zheying, WU Xiaorong, WU Mengyuan   

  1. Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200127, China
  • Online:2019-01-15 Published:2019-01-15
  • Contact: WU Xiaorong,E-mail:renji_wxr@126.com

摘要: 目的:分析术中获得性压力性损伤的影响因素,并提出临床专项应对措施。方法:选取2016年4月至2017年9月期间,按照斯卡特触发点评估表筛选出610例术中获得性压力性损伤(IAPI)高危患者。采用Logistic回归分析IAPI高危患者压力性损伤发生的危险因素。结果:610例IAPI高危患者中121例(19.8%)发生IAPI,其中89例(73.6%)为1期压力性损伤;8例(6.6%)为2期压力性损伤,24例(19.8%)为深部组织损伤。IAPI高危患者中压力性损伤发生率在不同手术时间、不同手术体位、体位是否移动、是否进行体外循环、是否使用变温毯的患者中具有统计学差异(P<0.001)。结论:手术时间长、特殊手术体位、术中调整过手术体位、进行体外循环与使用变温毯的IAPI高危患者,应作为IAPI监控的重点对象,并需要进一步研究制定专项应对措施,降低IAPI高危患者压力性损伤发生,保证患者安全,提高手术室护理质量。

关键词: 斯卡特触发点评估表;术中获得性压力性损伤;影响因素

Abstract: Objective: To explore the incidence and risk factors of patients with Intraoperative Acquired Pressure Injury (IAPI). Methods: Scott Triggers Preoperative Evaluation Scale was performed. Totally 610 patients were selected. Logistic regression analysis was used to analyze the risk factors of IAPI. Results: Totally 121 (19.8%) patients had intraoperative acquired pressure injury, among which 89 (73.6%) had stage 1 pressure injury, 8 (6.6%) had stage 2 pressure injury, and 24 (19.8%) had deep tissue injury. There were significant differences of IAPI between surgery time, different surgical position, intraoperative position movement, extracorporeal circulation, and use of heating blanket perspectively (P<0.001). Conclusion: Patients with high risk pressure injury and special surgical position should be monitored during and post operation. The preventive strategies of IAPI need to be applied for the high risk patients in order to reduce the incidence of pressure injury, ensure the safety of the patients and improve the quality of nursing in the operation room.

Key words: Scott Triggers preoperative evaluation scale; Intraoperative Acquired Pressure Injury ( IAPI); factors

中图分类号: 

  • R47