PDF(Pubmed)
Abstract：
Pressure injuries are a significant concern for patients undergoing neurosurgical procedures due to prolonged immobility and the complexity of care. This study evaluates the efficacy of standardized pressure ulcer management protocols in preventing pressure injuries and enhancing patient care in a neurosurgical context. A comprehensive retrospective analysis was conducted at a single institution from December 2020 to December 2023, comparing 50 patients who received standardized pressure ulcer management (intervention group) with 50 patients who received conventional care (control group). The study assessed the incidence of pressure ulcers, patient comfort levels using the Kolcaba Comfort Scale and sleep quality using the Richards-Campbell Sleep Questionnaire (RCSQ). Statistical analysis was performed using SPSS software, version 27.0, applying t-tests and chi-square tests as appropriate. The intervention group exhibited a significantly lower incidence of pressure ulcers at all measured time points post-surgery compared to the control group. Patient comfort levels in the intervention group were consistently higher across psychological, environmental, physiological and socio-cultural domains. Sleep quality metrics, including sleep depth, latency to sleep onset and overall sleep quality, were significantly improved in the intervention group. The implementation of standardized pressure ulcer management protocols in neurosurgical care significantly reduces the incidence of pressure injuries, enhances patient comfort and improves sleep quality. These findings highlight the importance of adopting structured care protocols to improve postoperative outcomes and patient well-being in neurosurgical settings.
摘要：
由于长时间的不动和护理的复杂性，压力损伤对于接受神经外科手术的患者来说是一个重要的问题。这项研究评估了标准化压疮管理方案在预防神经外科手术中的压力伤害和加强患者护理方面的功效。方法于2020年12月至2023年12月在单个机构进行综合回顾性分析,比较50例接受规范化压疮管理的患者(干预组)和50例接受常规护理的患者(对照组)。这项研究评估了压疮的发生率，使用Kolcaba舒适量表的患者舒适度和使用Richards-Campbell睡眠问卷（RCSQ）的睡眠质量。采用SPSS软件进行统计学分析,版本27.0，适当时应用t检验和卡方检验。与对照组相比，干预组在术后所有测量时间点的压疮发生率均显着降低。干预组的患者舒适度在心理上始终较高，环境,生理和社会文化领域。睡眠质量指标，包括睡眠深度,睡眠开始潜伏期和整体睡眠质量，干预组有显著改善。在神经外科护理中实施规范化压疮管理方案,显著降低了压疮的发生率,增强患者舒适度，提高睡眠质量。这些发现强调了在神经外科环境中采用结构化护理方案以改善术后结果和患者福祉的重要性。
