The risk factors analysis on acute pressure ulcer during lateral thoracotomy and nursing strategy
10.3760/cma.j.issn.1674-2907.2012.07.008
- VernacularTitle:侧卧位开胸术患者术中压疮的危险因素分析与护理对策
- Author:
Lin ZHU
1
;
Qing-Ping DUAN
;
Ying-Zi LI
;
Yun-Yan TAO
;
Li LI
Author Information
1. 南方医科大学附属宝安医院
- Keywords:
Pressure ulcer;
Risk factors;
Nursing care;
Lateral thoracotomya
- From:
Chinese Journal of Modern Nursing
2012;18(7):768-771
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the high risk factors of acute pressure ulcer (APU) during lateral thoracotomy,and to put forward the corresponding nursing strategy.Methods The preoperative base data and intraoperative data of 124 patients with lateral thoracotomy were analyzed retrospectively.26 patients with APU during lateral thoracotomy were set into APU group,another 98 patients no APU were set into control group.The factors of age,quality index,serum total protein,hemoglobin,blood glucose,Braden score,duration of operation,intraoperative hypotension duration,low oxygen saturation duration,amount of intraoperative bleeding and transfusion amount in two groups were comparatively analyzed retrospectively.Results The APU incidence rate of APU 124 patients with lateral thoracotomy was 20.96％.The most common site of APU was subaxillary lateral chest wall (50.00％).Single factor analysis revealed that 10 factors (except age factor) were significantly related with the incidence of APU(t≥2.16,P＜0.05).Logistic regression analysis showed only the factors of operation duration,Braden score and the amount of intraoperative bleeding were the most important risk factors (P＜0.05).Conclusions The factors of operation duration,Braden score and the amount of intraoperative bleeding are the independent risk factors with the incidence of intraoperative APU.Formufating targeted nursing strategies could reduce the occurrence of APU during lateral thoracotomy.
