Detection of the credibility and effectiveness of the risk of perioperative position injury by classification of nursing outcomes
10.3760/cma.j.cn211501-20190909-02565
- VernacularTitle:护理结局分类对围手术期体位损伤风险可信度及有效性的检测
- Author:
Mengshan CUI
1
Author Information
1. 中国医科大学附属第一医院手术室，沈阳 110001
- From:
Chinese Journal of Practical Nursing
2020;36(15):1153-1157
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the credibility and effectiveness of nursing outcome classification for risk assessment of perioperative position injury.Methods:A total of 94 patients who underwent surgery at the First Affiliated Hospital of China Medical University from August 2017 to August 2018 were evaluated as "risk of perioperative positional injury" . Demographic variables, clinical variables, and intraoperative data were recorded for each patient. Eight clinical outcomes of 8 outcomes in the Nursing Outcome Classification (NOC) were evaluated at different time points and compared, and the reliability and validity of each indicator were also made.Results:Pressure ulcer condition score, blood loss severity score, circulation condition score, tissue perfusion (center) score, tissue perfusion (peripheral) score, temperature regulation score, peripheral nerve state score, skin tissue mucosal integrity score at each time point showed statistical differences ( F value was 8.45-12.67, P < 0.05). The factor load of the 8 results in NOC all passed the validity test. Among them, the pressure ulcers increased at T3-T5, the systolic pressure increased during the circulation, and the diastolic pressure increased. Tissue perfusion (central) pain at T3-T4 time point, paleness in tissue perfusion (periphery) at all time points, hypothermia at T2-T4 time point, muscle tension and limb paresthesia in peripheral nerve state At all time points, skin tissue and mucosal integrity, skin temperature, tissue perfusion at all time points, skin damage, and erythema at T2-T5 time point factors passed the reliability and validity of the perioperative position risk. Conclusion:A total of 8 outcomes and 13 clinical indicators in the classification of nursing outcomes can be used to assess the risk of perioperative postural injury through Likert scores.
