Application of controlled pressure position pad combined with manometer in prevention of intraoperative acquired stress injury
Objective To observe the application effect of controlled pressure position pad in supine patients with intraoperative acquired stress injury(I API).Method A total of 120 patients operated on in the supine position with expected operation time＞3 h who were admitted to our hospital from January to October 2022 were selected as the research objects,and were then divided into observation group and control group according to the random number ta-ble method,with 60 cases in each group.In the control group,gel pad,cotton pad,and foam dressing were used,and local decompression of caudal-sacral part was given by traveling nurses during the operation.In the observation group,controlled pressure position pad was added with cotton pad and foam dressing,preoperative manometer was used to evaluate the aeration value required by caudal-sacral suspension of patients,and the position pad was inflated to the preset value every 2 h during the operation,the sacrococcygeal region was suspended for 30 min and then de-flated to return to the original position.The incidence of IAPI,doctors'and nurses'job satisfaction were compared be-tween the two groups.Results There were no IAPI in the observation group and 5 cases in the control group,the difference was statistically significant(P＜0.05);The satisfaction of doctors was 83.3％in the observation group and 16.7％in the control group,and the difference was statistically significant(P＜0.001);In the survey of nurses'job satisfaction,the satisfaction of the observation group was 80％and that of the control group was 41.7％,the difference was statistically significant(P＜0.001).Conclusion The application of controlled pressure position pad combined with manometer can improve the enthusiasm of circuit nurses to decompress the compressed parts of pa-tients during operation,reduce the incidence of I API in patients undergoing surgery in supine position,and improve the quality of care.
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NSTL
万方数据
维普
