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保护动机理论在预防全麻介入手术患者压力性损伤中的应用

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目的:探讨基于保护动机理论(PMT)的预防对全麻介入手术患者压力性损伤发生率的影响.方法:采用便利抽样法,抽取 2022 年 2 月—2023 年 2 月在东莞市滨海湾中心医院就诊的介入手术患者 145 例为研究对象.按照入组的时间顺序,将患者分为对照组和干预组,对照组 72 例,干预组73 例.对照组采用常规护理干预措施,干预组采用PMT的护理措施.比较两组术中压力性损伤的发生率、护士对患者压力性损伤风险评估的准确率、皮肤规范交接执行率、护士手术中压力性损伤预防行为得分.结果:干预组术中压力性损伤的发生率明显低于对照组,干预组护士的压力性损伤风险评估准确率较对照组有所提高,干预组护士的皮肤规范交接执行率较干预前有所提高(P<0.05).干预后,干预组护士的术中压力性损伤预防行为得分为(102.72±2.66)分,高于对照组的(86.38±3.92)分,差异均有统计学意义(P<0.05).结论:基于PMT的预防可以有效降低介入手术患者术中压力性损伤发生率,提高护士的压力性损伤风险评估准确率和皮肤规范交接执行率,改善护士的术中压力性损伤预防行为.
Application of Protective Motivation Theory in the Prevention of Stress Injury in Patients with Interventional Surgery General Anesthesia
Objective:To explore the effect of prevention based on protective motivation theory(PMT)on the incidence of stress injury in patients with interventional surgery general anesthesia.Method:A total of 145 patients undergoing interventional surgery in Dongguan Binhai Bay Central Hospital from February 2022 to February 2023 were selected by convenience sampling.According to the chronological order of enrollment,patients were divided into control group and intervention group,72 cases in control group and 73 cases in intervention group.The control group adopted conventional nursing interventions,and the intervention group adopted nursing measures with PMT.The incidence of intraoperative stress injury,the accuracy of nurses'risk assessment of patients'stress injury,the implementation rate of skin standards,and the score of nurses'stress injury prevention behavior during surgery were compared between the two groups.Result:The incidence of intraoperative pressure injury in the intervention group was significantly lower than that in the control group,the risk assessment accuracy of pressure injury in the intervention group was improved compared with the control group,and the implementation rate of skin standard handover in the intervention group was improved compared with that before intervention(P<0.05).After intervention,the intraoperative stress injury prevention behavior score of nurses in the intervention group was(102.72±2.66)points,higher than(86.38±3.92)points in the control group,the difference was statistically significant(P<0.05).Conclusion:Prevention based on PMT can effectively reduce the incidence of intraoperative pressure injury in patients undergoing interventional surgery,improve the accuracy of risk assessment of pressure injury and the implementation rate of skin norms,and improve the prevention behavior of intraoperative pressure injury of nurses.

Pressure injuryProtection motivation theoryPerioperative nursingInterventional surgery

潘君玲

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东莞市滨海湾中心医院介入科 广东 东莞 523900

压力性损伤 保护动机理论 围手术期护理 介入手术

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(8)
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