手术室及病房护士共同参与骨科手术患者皮肤管理的效果

发布时间：2018-05-16 09:48

  本文选题：手术室 + 脊柱骨科　； 参考：《护理学杂志》2016年16期

【摘要】：目的降低脊柱骨科手术患者手术压疮发生率。方法将2014年1~12月脊柱骨科术后返回病房时皮肤仍存在压之褪色的局限性红斑的40例患者分为常规组,2015年1~12月的患者46例为干预组。常规组按常规实施皮肤护理,手术结束患者离开手术室前,手术室护士与手术医生查看和记录患者皮肤完整情况,并与病房护士进行交接。干预组在常规护理基础上使用手术患者皮肤管理记录单记录患者术中及术后皮肤情况,与病房护士共同对手术患者进行皮肤管理。结果常规组术后6d内发生压疮6例,干预组未发生压疮,两组比较,差异有统计学意义(P0.05)。结论手术室与病房护士共同管理患者皮肤,有效防止交接遗漏,使手术室护理延伸至病房,可有效降低手术压疮的发生,提升手术室护理质量。
[Abstract]:Objective to reduce the incidence of pressure ulcer in patients undergoing spinal orthopedic surgery. Methods from January to December 2014, 40 patients with localized erythema with skin pressure fading were divided into routine group and intervention group from January to December 2015. Before the patients left the operating room, the nurses in the operating room and the surgeon checked and recorded the complete skin condition of the patients, and transferred them to the nurses in the ward. On the basis of routine nursing, the intervention group used the skin management record of operation patients to record the skin condition during and after operation, and carried out the skin management together with the nurses in the ward. Results there were 6 cases of pressure sore in the routine group and no pressure sore in the intervention group within 6 days after operation. The difference between the two groups was statistically significant (P 0.05). Conclusion the operation room and the ward nurse jointly manage the patient's skin, effectively prevent the omission of the transfer, make the operating room nursing extend to the ward, can effectively reduce the occurrence of the operation pressure sore and improve the nursing quality of the operating room.
【作者单位】： 南方医科大学南方医院手术室;
【分类号】：R472.3
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本文编号：1896377