Application of chain management of perioperative pressure injury in patients undergoing supine craniocerebral injury / 中国实用护理杂志

ABSTRACT

Objective:To investigate the value of chain management of perioperative pressure injury in patients undergoing supine craniocerebral injury, so as to provide reference for the prevention of pressure injury and the application of chain management.Methods:In this retrospective study, a total of 116 patients with craniocerebral injury who underwent supine surgery in Shanxi Cardiovascular Hospital from December 2019 to December 2020 were included in the control group, using traditional perioperative pressure injury management protocol. And 124 patients admitted from January 2021 to December 2021 were included in the observation group, and were managed by the pressure injury chain management scheme. The risk assessment/judgment rate of pressure ulcers, the risk assessment/judgment accuracy rate of pressure ulcers, the implementation rate of intervention measures, the qualified rate of intervention records and the reported rate of high-risk patients with pressure ulcers in the two groups were analyzed. The occurrence of stress injury and medical expenses of the two groups of patients were investigated.Results:The risk assessment/judgment rate of pressure ulcers, the risk assessment/judgment accuracy rate of pressure ulcers, the implementation rate of intervention measures, the qualified rate of intervention records and the reported rate of high-risk patients with pressure ulcers were 100.00%(124/124), 96.77%(120/124), 92.74%(115/124), 93.55%(116/124), 100.00%(29/29) in the observation group, which were 77.59%(90/116), 72.41%(84/116), 68.97%(80/116), 68.97%(80/116), 83.33%(30/36) in the control group, the difference was statistically significant ( χ2 values were 22.24-31.17, all P<0.05). The overall incidence of stress injury in the observation group and the control group was 15.52%(18/116) and 3.23%(4/124), respectively, and the difference between the two groups was statistically significant ( χ2=10.88, P<0.05). There was no significant difference in the total hospitalization cost between the two groups ( P>0.05). The cost of stress-related consumables was (144.94 ± 47.28) yuan in the observation group and (194.21 ± 55.76) yuan in the control group, and the difference was statistically significant ( t=7.40, P<0.05). Conclusions:Perioperative stress injury chain management can reduce the incidence of pressure injury in patients with craniocerebral injury, improve service quality, and reduce medical costs, with good clinical application value.