体外循环手术患者术中急性压疮的对因循证护理

Effect of evidence-based nursing targeting to risk factors on acute pressure ulcer in patients during cardiopulmonary bypass surgery

  • 摘要:
      目的  探讨对因循证护理对体外循环手术患者术中急性压疮的预防效果。
      方法  选取240例行体外循环手术的患者,随机分为观察组和对照组,各120例。对照组采用常规护理,观察组在对照组的基础上采用对因循证护理预防术中压疮,比较2组皮肤状况及压疮的发生情况。
      结果  观察组术后6 d的皮肤潮湿程度评分低于对照组(P < 0.05); 观察组术后6 d内压疮发生率低于对照组(P < 0.05), 压疮平均面积小于对照组(P < 0.05)。
      结论  对因循证护理能够改善体外循环手术患者皮肤状况,减少术后压疮的发生。

     

    Abstract:
      Objective  To explore the preventive effect of evidence-based nursing targeting to risk factors on acute pressure ulcer in patients during cardiopulmonary bypass surgery.
      Methods  A total of 240 patients who underwent cardiopulmonary bypass surgery in our department were divided into observation group and control group, 120 cases in each group. The control group was given routine nursing, while the observation group was given evidence-based nursing targeting to risk factors to prevent intraoperative pressure ulcers on the basis of the control group. The skin condition and the occurrence of pressure ulcers were compared between the two groups.
      Results  The skin humidity score at 6 d after operation of the observation group was lower than that of the control group(P < 0.05). The incidence of pressure ulcer within 6 days after operation in the observation group was lower, and the average area of pressure ulcer was smaller than that in the control group, the differences were statistically significant (P < 0.05).
      Conclusion  Evidence-based nursing targeting to risk factors can improve the skin condition of patients undergoing cardiopulmonary bypass surgery and reduce the occurrence of pressure ulcers after operation.

     

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