摘要
目的:观察基于护理结局分类(NOC)系统的多维度干预降低长时间侧卧位脊柱手术患者压力性损伤发生的效果。方法:选择2022年1月—2023年12月进行长时间侧卧位脊柱手术的140例患者为研究对象,使用信封法随机分为对照组和观察组,每组70例。对照组进行常规护理,观察组在常规护理基础上行基于NOC系统的多维度干预,对比两组压力性损伤情况、压力性损伤分期、疼痛、舒适度。结果:观察组损伤发生率及损伤面积明显低于对照组,损伤部位数量明显少于对照组(P<0.05);两组压力性损伤分期存在明显差异,且观察组优于对照组(P<0.05);观察组术后6 h,12 h,1 d,2 d视觉模拟评分(VAS)均明显低于对照组,舒适度优于对照组(P<0.05)。结论:NOC系统的多维度干预在长时间侧卧位脊柱手术患者中的运用效果确切,能够降低压力性损伤发生的风险,缓解术后疼痛,且患者术中舒适感较佳。
Objective:To observe the effect of multidimensional intervention based on nursing outcome classification(NOC)system on reducing pressure injury in patients undergoing long-term lateral spinal surgery.Methods:All 140 patients who underwent long-term lateral spinal surgery in hospital from January 2022 to December 2023 were selected as the study subjects.They were evenly divided into a control group and an observation group.The grouping method used envelope method,with the control group receiving routine care and the observation group receiving multi-dimensional intervention based on the NOC system on the basis of routine care.The pressure injury situation,pressure injury staging,pain,and comfort of the two groups were compared.Results:The incidence of injury in the observation group and the area of injury were significantly lower than those in the control group,and the number of injury sites was significantly lower than that in the control group(P<0.05).There was a significant difference in the staging of pressure injury between the two groups,and the observation group was the best(P<0.05).The visual analogue scale(VAS)scores of the observation group were significantly lower than those of the control group at 6 hours,12 hours,1 day,and 2 days after surgery,and the comfort level was better than that of the control group(P<0.05).Conclusion:Multi-dimensional intervention of NOC system is effective in patients with long-term lateral spinal surgery,which can reduce the risk of stress injury,relieve postoperative pain,and provide patients with better intraoperative comfort.
作者
张琼梅
邓莉
陈红
ZHANG Qiongmei;DENG Li;CHEN Hong(Wuhan Integrated Traditional Chinese and Western Medicine Orthopedic Hospital,Affiliated Hospital of Wuhan Institute of Physical Education,Wuhan 430000,China;Union Hospital Affiliated to Tongji Medical College in Huazhong University of Science and Technology,Wuhan 430000,China)
出处
《临床医药实践》
2025年第1期55-58,共4页
Proceeding of Clinical Medicine
关键词
护理结局分类系统
长时间侧卧位脊柱手术
压力性损伤
舒适度
nursing outcome classification system
long term lateral spinal surgery
pressure injury
comfort level
