摘要
目的研究经后路胸腰椎切开内固定手术体位对减少术中发生压疮的影响效果。方法将本院48例经后路胸腰椎切开内固定手术患者平均分为对照组、研究组。对照组患者采取常规护理干预,研究组患者则在对照组基础上加用体位护理干预。观察记录2组患者对护理满意率、并发症发生率、住院时间、压疮发生率、术前术后疼痛VAS评分。结果研究组患者护理满意率高于对照组,住院时间短于对照组,压疮与并发症发生率均低于对照组(P<0.05);2组患者术前疼痛VAS评分差异无统计学意义(P>0.05),但术后研究组VAS评分低于对照组(P<0.05)。结论经后路胸腰椎切开内固定手术患者实施体位护理干预,不仅可以提高护理满意率,减少并发症发生,缩短住院时间,而且可以减少术中压疮发生率。
Objective To study the effect of operation position in reducing intraoperative pressure ulcer in 48 patients with posterior thoracolumbar incision internal fixation operation. Meth- ods A total of 48 posterior thoracolumbar incision internal fixation operation patients in our hospital were randomly divided into control group and study group, with 24 cases in each group, given routine nursing intervention and operation position nursing, respectively. Nursing satisfaction, incidence of complication rate, hospital stay, the incidence of pressure ulcers, and VAS pain score before and af- ter surgery of two groups were observed. Results The study group had higher nursing satisfaction, shorter hospital stay and lower incidences of pressure ulcer and complications than the control group （P 〈 0.05 ）; VAS pain score had no significant difference between the two groups before surgery （P 〉 0.05 ）, but study group had lower VAS score than the control group after surgery （P 〈 0.05 ）. Conclusion Postural nursing intervention not only can improve nursing satisfaction, reduce inci- dence of complications, shorten hospitalization time, but also can reduce the incidence of pressure ul- cers, so it is worthy of promotion.
出处
《实用临床医药杂志》
CAS
2018年第6期71-74,共4页
Journal of Clinical Medicine in Practice
关键词
经后路胸腰椎切开
内固定手术
体位护理干预
压疮
posterior thoracolumbar incision
internal fixation operation
postural nursing intervention
pressure ulcer
