《中国康复理论与实践》

《中国康复理论与实践》

• 康复护理 • 上一篇    下一篇

伤口专科小组在患者术中压疮管理中的作用①

马海萍，章小庆，郭婷，方亮   

  1. 南昌大学第二附属医院护理部，江西南昌市330006。
  • 出版日期:2016-09-25 发布日期:2016-12-05

Effect ofWound Specialist Group on Management of Pressure Ulcer in Operation

MA Hai-ping, ZHANG Xiao-qing, GUO Ting, FANG Liang   

  1. The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, China
  • Published:2016-09-25 Online:2016-12-05

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摘要： 目的评价院内伤口专科小组干预对患者术中压疮管理的作用。方法回顾比较院内伤口专科小组术中压疮管理前后，手术室护士对压疮知识的知晓率、压疮危险因素评估率和正确率，以及术中压疮发生率。结果伤口专科小组干预后，手术室护士压疮理论知识考试合格率由58.23%上升至94.11% (χ2=29.63, P<0.001)，新型敷料粘贴合格率由56.96%上升至95.29% (χ2=33.80, P<0.001)，对压疮危险因素的评估率由56.38%上升至93.35% (χ2=5828.07, P<0.001)，压疮风险评估正确率由56.23%上升至96.78% (χ2=4674.89, P<0.001)；术中急性压疮发生率由1.5‰降至0.22‰ (χ2=17.59, P<0.001)。结论伤口专科小组的干预强化了手术室护士对压疮风险评估意识，术中预防压疮措施到位，能有效地降低术中压疮发生率。

关键词: 术中压疮, 伤口专科小组, 护理, 预防, 管理

Abstract: Objective To observe the effect of wound specialist group on preventing and managing pressure ulcer in operation. Methods The knowledge about pressure ulcer and ability of risk assessment for pressure ulcer of operating room nurses were tested and the incidences of pressure ulcer were compared before and after the intervention of the wound specialist group. Results After the intervention of the wound specialist group, the passing rate of nurses in operating room increased from 58.23% to 94.11% in pressure ulcer theory (χ2=29.63, P< 0.001) and from 56.96% to 95.29% in new type of dressings paste (χ2=33.80, P<0.001), and the rate of pressure ulcer risk factor assessment increased from 56.38% to 93.35% (χ2=5828.07, P<0.001), accuracy of assessment increased from 56.23% to 96.78% (χ2=4674.89, P<0.001). The incidence of intraoperative acute pressure ulcer decreased from 1.5‰ to 0.22‰ (χ2=17.59, P<0.001). Conclusion The intervention of wound specialist group may improve the awareness of assessing risk factors of pressure ulcer in the operation room and standardize the operation to prevent pressure ulcer, and reduce the incidence of pressure ulcer in operation.

Key words: pressure ulcer in operation, wound specialist group, nursing, prevention, management