CAJ | 학술논문

目的：探讨循证护理在预防全麻脊柱后路手术中压疮发生的应用效果。方法将82例全麻脊柱俯卧位手术患者随机分为干预组和对照组各41例，对照组给予常规预防压疮的护理措施，干预组在常规护理措施的基础上应用循证护理方法进行体位摆放。采用Waterlow量表，观察两组评分情况和皮肤受损情况。结果干预组术后waterlow量表评分优于对照组，皮肤受损情况优于对照组，差异均有统计学意义（P＜0.05）。结论应用循证护理指导临床实践降低了术中压疮的发生率，取得了满意的效果。
목적：탐토순증호리재예방전마척주후로수술중압창발생적응용효과。방법장82례전마척주부와위수술환자수궤분위간예조화대조조각41례，대조조급여상규예방압창적호리조시，간예조재상규호리조시적기출상응용순증호리방법진행체위파방。채용Waterlow량표，관찰량조평분정황화피부수손정황。결과간예조술후waterlow량표평분우우대조조，피부수손정황우우대조조，차이균유통계학의의（P＜0.05）。결론응용순증호리지도림상실천강저료술중압창적발생솔，취득료만의적효과。
Objective To study the application of evidence-based Nursing (EBN) on decubitus prevention in posterior spinal surgery under general anesthesia. Methods 82 patients schedule for posterior spinal surgery with general anesthesia in a prone position were randomly divided into intervention group and control group, 41 cases respectively. The control group was given routine decubitus preventive measures, while the intervention group was given EBN on decubitus prevention on the basis of routine preventive measures of decubitus. Skin situation was evaluated by the Waterlow risk assessment scale and Waterlow risk assessment scores was recorded. Results To compared with control group, less postoperative Waterlow risk assessment scores was calculated and skin situation was better in intervention group, the differences were statistically significant (P<0.05). Conclusion The incidence of intraoperative decubitus can be decreased and satisfactory results have been achieved by the application of evidence-based nursing in clinical practice.