临床医药实践2025,Vol.34Issue(1) :55-58.

基于护理结局分类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的临床研究

Clinical study on multidimensional intervention based on nursing outcome classification system to re-duce pressure injury in patients undergoing long-term lateral spinal surgery

张琼梅 邓莉 陈红
临床医药实践2025,Vol.34Issue(1) :55-58.

基于护理结局分类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的临床研究

Clinical study on multidimensional intervention based on nursing outcome classification system to re-duce pressure injury in patients undergoing long-term lateral spinal surgery

张琼梅 1邓莉 1陈红2
扫码查看

作者信息

  • 1. 武汉中西医结合骨科医院,武汉体育学院附属医院,湖北 武汉 430000
  • 2. 华中科技大学同济医学院附属协和医院,湖北 武汉 430000
  • 折叠

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 6h,12h,1 d,2d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.

Abstract

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 select-ed 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-dimen-sional 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 signif-icantly lower than that in the control group(P<0.05).There was a significant difference in the staging of pressure in-jury 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-di-mensional 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.

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

Key words

nursing outcome classification system/long term lateral spinal surgery/pressure injury/comfort level

引用本文复制引用

出版年

2025
临床医药实践
山西医科大学第二医院

临床医药实践

影响因子:0.735
ISSN:1671-8631
段落导航相关论文