摘要
目的分析发生术中压力性损伤患者的围手术期特征。方法回顾性调查48398例手术患者,发生术中压力性损伤的219例患者作为病例组,匹配438例未发生压力性损伤的患者为对照组,比较两组患者的围手术期特征。结果回归分析结果显示,体质量较高(OR=1.086)、术前Braden评分<23分(OR=4.600)、术前白蛋白异常(OR=3.896)、麻醉时长延长(OR=1.009)是手术患者术中压力性损伤的危险因素。术中压力性损伤患者术后住院天数、总住院天数及术后并发症显著高于对照组(P<0.05,P<0.01)。结论护理人员应评估围手术期患者体质量、术前Braden评分、术前白蛋白及麻醉时长,积极预防术中压力性损伤,同时关注术中压力性损伤患者的术后并发症风险。
Objective To analyze the perioperative characteristics of patients who developed pressure ulcer during the surgery.Me-thods A retrospective study was conducted in 48398 surgical patients.Two hundred and nineteen patients who developed pressure injury in the surgery were treated as the case group and 438 matched patients without pressure injury were selected from the rest samples and served as the control group.The perioperative characteristics of the two groups were compared.Results Logistic regression analysis showed that high body weight(OR=1.086),preoperative Braden score less than 23(OR=4.600),abnormal albumin concentration before the surgery(OR=3.896)and extended duration of anesthesia(OR=1.009)were risk factors of intraoperatively acquired pressure ulcer.The case group had longer postoperative hospital stay and total hospitalization days,and higher incidence of postoperative complications compared with the control group(P<0.05,P<0.01).Conclusion Nurses should assess body weight,Braden score and serum albumin level before the surgery and also evaluate duration of anesthesia during the surgery to prevent intraoperative pressure injury.They also need to assess postoperative complication risk of patients with intraoperatively acquired pressure ulcer.
作者
高兴莲
熊璨
杨英
马琼
王曾妍
余文静
Gao Xinglian;Xiong Can;Yang Ying;Ma Qiong;Wang Zengyan;Yu Wenjing(Operating Room,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第3期42-45,共4页
Journal of Nursing Science
基金
2017年湖北省知识创新专项(自然科学基金)(2017CFB794)。
关键词
手术患者
压力性损伤
体质量
白蛋白
BRADEN评分
麻醉
术后并发症
surgical patient
pressure injury
body weight
serum albumin
Braden score
anesthesia
postoperative complication
