Risk Factors and Nursing Intervention of Pressure Sore in Surgical Patients
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Shumei Zheng, Yuexian Ma, Xiaofeng Yang and Chunmiao Xu
To explore the occurrence of pressure sore in surgical patients, analyze the risk factors, and formulate targeted nursing interventions. Method 1163 surgical patients were selected as the study object to understand the related factors of pressure sore. The independent risk factors of pressure sore in surgical patients were analyzed by multivariate logistic regression. Result There were 92 patients with pressure sores in all subjects, the incidence of pressure sores was 7.91%, there were 31 cases of general surgery, 23 cases of orthopedic surgery, 14 cases of gynecological surgery, 11 cases of Neurosurgery, 8 cases of thoracic surgery and 5 cases of urinary surgery. There was no significant difference in the incidence of pressure sores among the operation groups (P > 0.05); Logistic regression analysis showed that the independent risk factors of pressure sore in surgical patients included age ≥ 60 years old(OR=2.408，95%CI：1.274～4.554), have a history of diabetes(OR=1.978，95%CI：1.123～3.485), position of side and prone operation(OR=1.732，95%CI：1.090～2.750)and operation time ≥ 3 h(OR=2.026，95%CI：1.016～4.039)(all P<0.05). Conclusion The incidence of pressure sores is high in all kinds of operations, among them, age ≥ 60 years old, diabetes history, side and prone operation position and operation time ≥ 3 hours are independent risk factors of pressure sore in surgical patients. Medical institutions should give targeted nursing interventions for the above risk factors to effectively control the risk of pressure sore in surgical patients.
Operation; Pressure Sore; Risk Factors; Nursing Intervention