魏彦姝，武沛璋，刘晓华，王群灵，王泠

引用本文： 魏彦姝，武沛璋，刘晓华，王群灵，王泠.基于敏感风险指标的术中压力性损伤链式管理策略[J].护理研究,2019,33(6):966-969

摘要： ［目的］通过确定术中压力性损伤敏感风险指标，建立链式管理模式。［方法］回顾性分析2017年10月—2018年2月进行术前访视的1 436例病人，将发生手术中压力性损伤的108例病人设为病例组，未发生手术中压力性损伤的病人设为对照组,将风险因素进行二元Logistic回归分析。［结果］通过单因素分析，性别、体质指数(BMI)、手术时间、术中体温变化、术中血压变化和俯卧位对术中压力性损伤的发生有影响，经过多因素Logistic回归分析，只有性别、BMI、手术时间和术中血压变化进入了回归方程。［结论］术中压力性损伤的敏感风险指标有年龄、性别、BMI、手术时间，可进行分阶段评估，采取相应的预防措施，形成术中压力性损伤链式管理模式。

关键词： 压力性损伤；手术中；危险因素；敏感指标；评估

作者简介： 魏彦姝，主管护师，硕士，单位：100044，北京大学人民医院；武沛璋、刘晓华、王群灵、王泠单位：100044，北京大学人民医院。

WEI Yanshu,WU Peizhang,LIU Xiaohua,WANG Qunling,WANG Ling

Abstract Objective:To establish a chain management model by determining sensitive risk indicators of intraoperative pressure injuries.Methods:A retrospective analysis was performed on 1 438 patients who received preoperative visit from October 2017 to February 2018.A total of 108 patients with intraoperative acquired pressure injuries were treated as the case group,while those without intraoperative acquired pressure injuries were treated as the control group,and risk factors were analyzed by binary logistic regression.Results:According to univariate analysis,gender,body mass index（BMI）,operation time,intraoperative temperature change,intraoperative blood pressure change and prone position had an impact on the occurrence of intraoperative acquired pressure injuries.After multivariate logistic regression,only gender,BMI,operation time and intraoperative blood pressure change entered the regression equation.Conclusions:The sensitive risk indicators of intraoperative acquired pressure injuries include age,gender,BMI,time of surgery,which can be assessed in stages,and preventive measures can be taken accordingly to form a chain management model for intraoperative pressure acquired injuries.

Keywords pressure injuries;intraoperative;risk factors;sensitive indicators;assessment

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