摘要
目的调查手术患者不同阶段压疮风险评估方法及评估工具使用情况。方法使用自行设计的调查问卷,对江苏省7所医院外科和手术室护士共210名进行调查。结果 7所医院手术室护士使用不同的压疮风险评估表进行手术压疮风险评估,手术不同阶段使用同一张评估表评估,评估频次(1~3次)和评估时间(术前访视到术后病房交接)各不相同;外科护士均使用Braden评估表评估患者压疮风险,认为术后评估需考虑术中因素,目前使用的评估表缺少针对性评估内容。结论目前围手术期患者压疮风险评估的频次、时间点不规范,评估内容局限且缺少针对性,整个围手术期压疮评估无连续性和动态性,缺乏术前、术中、术后专用的压疮风险评估表。
Objective To investigate how surgical patients are assessed regarding pressure ulcer risks and the usage of evaluation tools in different stages during perioperative period. Methods Totally 210 nurses from operating rooms and surgical wards in 7 tertiary hospitals of Jiangsu Province were investigated with self-designed ques- tionnaire. Results Operating room nurses of 7 hospitals used different kinds of scales for pressure ulcer risk as- sessment,the same scale document was used during the different stages of operation,the frequency and time for pressure ulcer risk assessment varied from one to three times,preoperative visit to handover in surgical ward were different;the Braden scale was used by surgical nurses to evaluate pressure ulcer risk after operation,while most surgical nurses believed that the existing scale lacked specificity and intraoperative risk factors that should he con- sidered when assessing postoperative patients. Conclusion The frequency and time of pressure ulcer risk assess- ment of patients during perioperative period are not standardized,the content of scale is limited and lacks specificity,the assessment of pressure ulcer risk during pcrioperative period is discontinuous and non-dynamic. There are no specific risk assessment scales targeting preoperative,intraoperative and postoperative pressure ulcer risk assessment.
出处
《中华护理杂志》
CSCD
北大核心
2017年第4期409-413,共5页
Chinese Journal of Nursing
基金
江苏省2014年度研究生教育教学改革研究与实践课题(JGLX14_088)
江苏省2016年普通高校专业学位研究生实践创新计划项目(SJZZ16_0201)
