摘要
目的探讨肿瘤患者术中压力性皮肤损伤形成相关危险因素及护理对策。方法选取医院2020年5月至2022年5月收治的行手术治疗的压力性皮肤损伤患者100例。采用单因素分析与Logistic多因素回归分析,对压力性皮肤损伤形成中的潜在因素进行鉴别,并实施相应护理措施,结果确定发生压力性皮肤损伤的患者30例。对压力性皮肤损伤的形成有直接影响的不良因素可总结为年龄≥60岁、体质量指数≥25 kg/m^(2),手术时间≥2.5 h,执行气管内全麻、术中出血量≥80 mL/h;多因素分析结果证实,年龄较大、体质量指数过高、手术时间过长、气管内全麻、术中出血量过多均以独立危险因素的形式存在于压力性皮肤损伤的因素界定中。结论压力性皮肤损伤的形成风险与术中诸多因素相关,可执行相应的护理措施,对潜在风险因素进行早期筛查与预防,从而确保肿瘤患者手术的安全。
Objective To investigate the risk factors and nursing strategies for the formation of intraoperative pressure skin injury in tumor patients.Methods A total of 100 patients with pressure skin injury who underwent surgical treatment admitted to the hospital from May 2020 to May 2022 were selected.Single factor analysis and Logistic multiple factor regression analysis were used to identify potential factors in the formation of pressure skin injury,and corresponding nursing measures were implemented.Results A total of 30 patients with pressure skin injury were identified.The adverse factors that directly affect the formation of pressure skin injury were age≥60 years old,body mass index≥25 kg/m^(2),surgical time≥2.5 h,tracheal general anesthesia,intraoperative bleeding amount≥80 mL/h.The results of multivariate analysis confirmed that older age,higher body mass index,longer surgical time,tracheal general anesthesia,and excessive intraoperative bleeding amount were the independent risk factors of pressure skin injury.Conclusion The risk of pressure skin injury is related to many factors during surgery.We can implement corresponding nursing measures,screen and prevent potential risk factors in the early stage to ensure the safety of tumor patients undergoing surgery.
作者
曹阳
庞增粉
李宗艳
张丰
王小礼
CAO Yang;PANG Zengfen;LI Zongyan;ZHANG Feng;WANG Xiaoi(Cancer Hospital Affiliated to Shandong First Medical University,Jinan,Shandong,China 250000)
出处
《中国药业》
CAS
2023年第S01期165-168,共4页
China Pharmaceuticals
关键词
手术室
压力性皮肤损伤
相关危险因素分析
肿瘤
患者
operating room
pressure skin injury
analysis of relevant risk factors
tumor
patient
