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手术室医疗器械相关压力性损伤现状及其影响因素的调查分析

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目的 探讨手术室医疗器械相关压力性损伤(MDRPI)的影响因素及护理管理对策.方法 选取2021年1月—2022年6月医院外科手术治疗的1268例患者作为调查对象,收集患者一般人口学特征、手术信息、疾病治疗情况等,计算MDRPI的发生率,借助SPSS软件,筛选出MDRPI的影响因素,制订有效的预防护理措施.结果 单因素分析结果显示,不同手术时间、年龄、体质指数、术中出血量、手术体位、术中体温变化、注册手术室护士(CORN)评分、手术医疗器械种类、MDRPI发生时间段情况下发生MDRPI比较差异比较具有统计学意义(P<0.05);经多因素Logistic回归分析结果显示,年龄、手术时间、术中出血量、手术医疗器械种类、术中体温变化是MDRP I的影响因素(P<0.05),其中,年龄≥65岁、手术时间≥3 h、术中出血量≥100mL/h、手术医疗器械种类、术中体温变化>1 ℃的患者更容易发生MDRPI.结论 手术室MDRPI考虑多种因素的综合作用,年龄、手术时间、术中出血量、手术医疗器械种类、术中体温变化是MDRPI的影响因素,应针对上述因素,采取相应预防措施.
Investigation analysis of the current status of medical device-related press injuries in the operating room and the influencing factors
Objective To discuss the factors of medical device-related press injuries(MDRPI)in the operating room and nursing management countermeasures.Methods 1268 patients under surgical treatment in the hospital from January 2021 to June 2022 were selected as the survey object,to collect the general demographic characteristics,surgical information,and disease treatment etc.,calculate the incidence of MDRPI,and with the help of SPSS software,the influencing factors of MDRPI were screened out and effective preventive nursing measures were formulated.Results The results of univariate analysis showed that the difference in the occurrence of MDRPI in the case of different surgery time,age,body mass index,intraoperative bleeding,surgical position,intraoperative temperature change,Certified Operating Room Nurse(CORN)scores,types of surgical medical equipment,and time period of MDRPI occurrence was statistically significant(P<0.05).After multifactorial Logistic regression analysis,the results showed that age,operation time,intraoperative bleeding,type of surgical medical device,and intraoperative temperature change were the influencing factors of MDRPI(P<0.05),in which patients with age ≥ 65 years,operation time ≥ 3 h,intraoperative bleeding ≥ 100 mL/h,type of surgical medical device,and intraoperative temperature change>1 ℃ were more likely to happen MDRPI.Conclusion MDRPI in the operating room considers the combined effect of multiple factors,age,operation time,intraoperative bleeding,type of surgical medical device,and intraoperative temperature change are the influencing factors of MDRPI,and preventive measures should be taken accordingly for the above factors.

Operating roomMedical device-related press injuryInfluencing factorsNursing managementEffectiveness

孙媛、谭世宇、刘亮、冯馨莹、常志颖、王秀坤

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北京清华长庚医院(北京市,102218)

首都医科大学附属北京同仁医院放射科(北京市,100730)

手术室 医疗器械相关压力性损伤 影响因素 护理管理 效果

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(5)
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