腹腔镜胃肠道患者手术中发生压力性损伤的影响因素分析

doi:10.3969/j.issn.1006-5253.2020.01.004

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Abstract Objective To explore the influencing factors of pressure injury in laparoscopic gastrointestinal surgery.Methods Totally 214 cases of patients who underwent laparoscopic gastrointestinal surgery in our hospital from October 2016 to May 2019 were enrolled in this study. Patients' clinical data were retrospectively analyzed, to investigate the incidence of stress injury, and to analyze the risk factors of pressure injury in laparoscopic gastrointestinal surgery with logistic regression analysis.Results Among the 214 patients who underwent laparoscopic gastrointestinal surgery, 26 cases of concurrent stress injury occurred during the operation, and the incidence rate was 12.15%, including 19 cases of stage 1 pressure injury, 2 cases of stage 2 pressure injury, and 5 cases of deep tissue injury. Univariate analysis showed that there was a correlation between the occurrence of pressure injury in laparoscopic gastrointestinal surgery and the movement of the body during surgery, breathing method, skin condition of the compression site, and operation time with significant statistical differences (P<0.05). There was no correlation between the occurrence of stress injury in laparoscopic gastrointestinal surgery and gender, age, BMI index, smoking history, and steroid use without significant statistical differences (P>0.05). Multivariate logistic regression analysis showed that the patients' intraoperative position shift (OR=1.594), breathing method (OR=2.765), skin abnormalities at the compression sites (OR=3.452), and one-hour operation time and above (OR=1.234) were independent risk factors for pressure injury in laparoscopic gastrointestinal surgery (P<0.05).Conclusion There is a certain risk of pressure injury in patients undergoing laparoscopic gastrointestinal -surgery. The movement of the body during the operation, breathing method, abnormal skin at the compression site, and one-hour operation time and above are independent risk factors for stress injury in laparoscopic gastrointestinal surgery. So it is necessary to further develop specific coping strategies to avoid the occurrence of stress injuries and ensure the health of patients.

Key words： laparoscopic gastrointestinal surgery stress injury risk factor preventive intervention

Received: 01 October 2019

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	Articles by authors
	Chen Shushu
	Cai Yujie
	Huang Yuechao.

Cite this article:

Chen Shushu,Cai Yujie,Huang Yuechao.. Analysis of influencing factors of pressure injury in laparoscopic gastrointestinal patients during operation[J]. journal1, 2020, 27(1): 28-31.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2020.01.004 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2020/V27/I1/28

［1］陈哲颖,吴晓蓉,吴梦媛.术中获得性压力性损伤发生的影响因素分析［J］.中国护理管理,2019,19(1):43-48.

［2］付丽明,邱小雪,陈玉蓓,等.预见性压力性损伤防范干预措施在神经外科手术中的应用效果［J］.包头医学院学报,2019,35(1): 80-81, 95.

［3］叶春丽,祝妍华,丌华云,等.护理专案在降低神经外科手术患者术中医疗器材相关压力性损伤发生率中的应用［J］.天津护理,2019, 27(3):346-348.
［4］DAEMEN T, HOMAN M B, FABER K N, et al. Hepatitis C virus core or NS3/4A protein expression preconditions hepatocytes against oxidative stress and endoplasmic reticulum stress［J］. Redox report, 2019, 24(1): 17-26.

［5］魏彦姝,武沛璋,刘晓华,等.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.

［6］丁洪瑞,钱晨,张治,等.控温联合减压对肿瘤手术患者压力性损伤的预防效果［J］.中国肿瘤外科杂志,2019,11(2):150-152.

［7］褚万立,郝岱峰.美国国家压疮咨询委员会2016年压力性损伤的定义和分期解读［J］.中华损伤与修复杂志, 2018, 13(1): 64-68.

［8］VANI J R, MOHAMMADI M T, FOROSHANI M S, et al. Evaluation of the neuroprotective and antioxidant effects of Dorema aucheri extract on cerebral ischaemiareperfusion injury in rats［J］. Pharmaceutical biology, 2019, 57(1): 255-262.

［9］葛涓,马辉斌.持续质量改进在预防术中压力性损伤护理中的应用研究［J］.实用临床护理学电子杂志,2019,4(6):64, 67.

［10］张诗怡,赵体玉,余云红,等.多学科团队合作预防脊柱后入路手术患者术中压力性损伤［J］.护理学杂志,2019,34(10):59-61.

［11］POURKHODADAD S, ORYAN S H, KAKA G, et al. Neuroprotective Effects of Combined Treatment with Minocycline and Olfactory Ensheathing Cells Transplantation against Inflammation and Oxidative Stress after Spinal Cord Injury［J］. Cell journal, 2019, 21(2): 220-228.

［12］陈沅,吴蓓雯,钱蒨健,等.心血管手术患者术中压力性损伤现状及相关因素研究［J］.上海护理,2019,19(2):18-24.

［13］李菊云,杨丽华,樊玲丽,等.226名护士对围术期患者压力性损伤的认知及预防行为现状［J］.护理学报,2017,24(18):48-52.

［14］姚丽娟,李红梅,钱卫琴,等.手术室护理干预在降低手术压力性损伤发生率中的应用［J］.全科护理,2019,17(15):1870-1872.

［15］徐晓玲,雷巧玲,岳肖肖,等.CRRT治疗期间压力性损伤风险管理的集束化护理策略［J］.全科护理,2019,17(10):1256-1258.

［16］DOHL J, GASIER H G, DEUSTER P A, et al. Astaxanthin but not quercetin preserves mitochondrial integrity and function, ameliorates oxidative stress, and reduces heatinduced skeletal muscle injury［J］.Journal of cellular physiology, 2019, 234(8): 13292-13302.

［17］胡洁虹,陆红蔚,张政芳,等.甘肃省手术患者皮肤压力性损伤高危因素评估量表制定［J］.甘肃医药,2018,37(12):1147-1148, 1152.

［18］闫凯凯,付秀荣,郝敏江,等.神经外科术中患者俯卧位压力性损伤产生的原因分析及对策探讨［J］.实用临床护理学电子杂志, 2018,3(5):70-71.

［19］袁航,王莺.神经外科患者手术室获得性压力性损伤的发生率及影响因素分析［J］.老年医学与保健,2018,24(6):605-607.

［20］张莹,王菲.行动研究在预防术中压力性损伤护理流程改进中的应用［J］.护理学报,2018,25(16):14-18.