本文關(guān)鍵詞： 成人患者 開顱手術(shù) 手術(shù)壓瘡 皮膚護理　出處：《中國全科醫(yī)學(xué)》2015年11期 　論文類型：期刊論文

【摘要】：目的探討成人開顱手術(shù)壓瘡的風(fēng)險因素,為臨床護理工作者科學(xué)篩選手術(shù)壓瘡的高危人群,制定預(yù)防手術(shù)壓瘡的有效措施提供依據(jù)。方法選取2014-03-10至2014-05-10在北京武警總醫(yī)院神經(jīng)科學(xué)研究所住院并接受開顱手術(shù)的成人患者124例。采用臨床病例資料回顧性分析的方法,收集研究對象的年齡、性別、體質(zhì)指數(shù)、糖尿病史、術(shù)前血紅蛋白水平、術(shù)前意識狀況及肢體活動力、手術(shù)時間、術(shù)中體位、美國麻醉醫(yī)師協(xié)會(ASA)身體狀況分級、術(shù)中皮膚護理措施、是否急診手術(shù)、術(shù)后皮膚狀況等資料。根據(jù)患者出手術(shù)室時皮膚是否出現(xiàn)壓紅或壓瘡分為壓瘡組和對照組,對兩組上述指標(biāo)進行單因素及多因素Logistic回歸分析,得出手術(shù)壓瘡的風(fēng)險因素。結(jié)果壓瘡組56例,對照組68例。兩組患者年齡、體質(zhì)指數(shù)、術(shù)前血紅蛋白、性別、術(shù)中體位比較,差異均無統(tǒng)計學(xué)意義(P0.05);兩組手術(shù)時間、糖尿病史、意識狀況、肢體活動力、ASA分級、術(shù)中皮膚護理措施和急診手術(shù)比較,差異均有統(tǒng)計學(xué)意義(P0.05)。多因素Logistic回歸分析結(jié)果顯示,手術(shù)時間≥4.0 h、有糖尿病史是成人開顱手術(shù)壓瘡的危險因素(P0.05)。結(jié)論臨床護理工作中應(yīng)注重科學(xué)篩選手術(shù)壓瘡的高危人群,手術(shù)時間≥4.0 h、有糖尿病史是成人開顱手術(shù)壓瘡的危險因素,應(yīng)采取針對性干預(yù)措施,預(yù)防為主,防治結(jié)合,以提高手術(shù)壓瘡防控的護理質(zhì)量。
[Abstract]:Objective to explore the risk factors of pressure sore in adult craniotomy, and to screen the high risk population for clinical nursing workers. Methods 124 adult patients who were hospitalized and underwent craniotomy from 2014-03-10 to 2014-05-10 in the Institute of Neuroscience, Beijing Armed Police General Hospital, were analyzed retrospectively. Age, sex, body mass index (BMI), history of diabetes, preoperative hemoglobin level, preoperative consciousness and limb motility, operative time, intraoperative posture, and ASAs were collected. Intraoperative skin care measures, emergency surgery, postoperative skin conditions and other data. According to whether the patient out of the operating room skin pressure red or pressure sore is divided into pressure sore group and control group, Univariate and multivariate Logistic regression analysis was performed on the two groups, and the risk factors of surgical pressure sore were obtained. Results the age, BMI, preoperative hemoglobin, sex, position during operation were compared between the two groups in 56 cases in the pressure sore group and 68 cases in the control group. There was no significant difference between the two groups in terms of operation time, history of diabetes, consciousness status, classification of limb motility, intraoperative skin nursing measures and emergency operation. The results of multivariate Logistic regression analysis showed that there was no significant difference between the two groups. Operation time 鈮，

本文編號：1520886