Research on the role of posture nursing in preventing pressure injury of brain tumor patientsin operating room
体位护理在预防手术室脑肿瘤患者压力性损伤中的作用研究

摘要

目的评析、检验手术室脑肿瘤患者压力性损伤预防，将体位护理作为干预措施的临床意义。方法 2018年05月到2021年07月，纳入脑肿瘤患者，总计80例。抽签法将患者分至不同组别。其中40例选入参照组，以常规护理为干预方案。其余40例作为试验组研究对象，常规护理基础上，联合体位护理。检验指标即两组压力性损伤发生情况、护理满意度评分、干预前后心理状态评分、治疗依从性。结果 （1）压力性损伤发生情况分析显示，试验组总发生率比参照组低，P＜0.05。（2）护理满意度评分显示，试验组护理态度、护理效率、护理舒适度等评分均较参照组高，P＜0.05。（3）干预前后心理状态评分显示，干预前，两组SAS评分、SDS评分等分布较为均衡，P＞0.05。干预后，试验组各项心理状态评分下降，且较参照组低，P＜0.05。（4）治疗依从性指标显示，试验组总依从率比参照组高，P＜0.05。结论 预防手术室脑肿瘤患者压力性损伤预防中，采用体位护理方案，临床有效性值得肯定。一方面，患者压力性损伤发生概率下降，心理压力缓解。另一方面，患者治疗依从性提升，护理满意程度更高。

Abstract

Objective To evaluate and test the clinical significance of postural nursing as an intervention in the prevention of pressure injury in patients with brain tumor in operating room.
Methods From May 2018 to July 2021, a total of 80 patients with brain tumor were enrolled. Patients were divided into different groups by lottery. Among them, 40 cases were selected as the reference group, and routine nursing was used as the intervention program. The other 40 patients were treated as the experimental group, based on conventional nursing, combined nursing. The test indexes were the occurrence of stress injury, nursing satisfaction score, psychological state score before and after intervention, and treatment compliance.
Results (1)the total incidence of stress injury in experimental group was lower than that in reference group, P<0.05. (2)Nursing satisfaction score showed that nursing attitude, nursing efficiency and nursing comfort scores of the experimental group were higher than those of the reference group, P<0.05. (3)Psychological status score before and after intervention showed that SAS score and SDS score were evenly distributed in the two groups before intervention, P>0.05. After intervention, psychological state scores of experimental group decreased, and lower than that of the reference group, P<0.05. (4)Treatment compliance index showed that the total compliance rate of experimental group was higher than that of reference group, P<0.05.
Conclusion   In the prevention of pressure injury in patients with brain tumor in operating room, the clinical effectiveness of postural nursing program is worth affirming. On the one hand, the occurrence probability of patients' stress injury decreased, and psychological stress was relieved. On the other hand, patients' treatment compliance was improved and nursing satisfaction was higher.