手术室预防性护理对老年手术患者压力性损伤的影响分析

Abstract: Objective To explore the effect of preventive nursing interventions in the operating room on pressure injuries in elderly surgical patients. Methods A total of 80 elderly surgical patients from our hospital were randomly divided into two groups: 40 patients received preventive nursing intervention in the operating room (observation group), and 40 patients received conventional nursing care (control group). Indicators including pressure injury incidence and skin-related parameters were recorded to analyze differences between the groups, providing more reliable evidence for optimizing clinical nursing intervention strategies. Results The incidence of pressure injuries was 2.50% in the observation group versus 25.00% in the control group, and the difference was statistically significant (P＜0.05). Regarding skin-related indicators, postoperative skin integrity scores were (91.23±0.37) points in the observation group compared to (82.02±0.41) points in the control group. The change in Braden Scale for Predicting Pressure Score Risk (Braden) scores from pre- to postoperative was (-0.41±0.26) points in the observation group versus (-1.82±0.28) points in the control group. Postoperative local skin temperature change was (-0.81±0.36)℃ in the observation group versus (-3.41±0.41) ℃ in the control group. The difference was statistically significant (P＜0.05). The intraoperative body position adjustment frequency was (2.85±0.37) times per patient in the observation group versus (1.14±0.44) times in the control group; nurse response time for position adjustments was (4.01±0.28) minutes versus (8.29±0.31) minutes, respectively, and the difference was statistically significant (P＜0.05). Postoperative complication rates were 5.00% in the observation group versus 20.00% in the control group. Average surgery duration was (145.02±0.33) minutes in the observation group compared to (158.96±0.27) minutes in the control group (P＜0.05). Nursing satisfaction rates were 97.50% in the observation group and 75.00% in the control group (P＜0.05). Conclusion Preventive nursing in the operating room, as a systematic and proactive nursing intervention model, not only optimizes the intraoperative experience of elderly surgical patients but also enhances risk awareness and response efficiency. This nursing model is highly practical in clinical settings, effectively reduces the incidence of pressure injuries, and contributes to improving perioperative nursing safety. Therefore, it is worthy of wider application in elderly surgical nursing.