Department of General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Department of Neurology, Qilu Hospital of Shandong University, Jinan, China.
Int Wound J. 2024 Apr;21(4):e14855. doi: 10.1111/iwj.14855.
To explore the role of nutritional support in nursing practice on postoperative surgical site wound healing in patients undergoing surgery at risk for pressure ulcers. This study adopted a retrospective experimental design and included a total of 60 patients at risk of pressure ulcers, divided into a nutritional support group and a control group, with 30 people in each group. The nutritional support group implemented specific nutritional support measures after surgery, while the control group received standard postoperative care. Outcome measures included redness and swelling scores, edema scores, anxiety assessments, pain scores, bleeding volume, recovery time and incidence of pressure ulcers. The result indicates that patients who received nutritional support exhibited lower postoperative wound redness and swelling scores compared to the control group (3.11 ± 0.45 vs. 4.85 ± 0.74, p < 0.05). Additionally, the nutritional support group showed significantly lower edema scores (2.75 ± 0.37 vs. 3.53 ± 0.62, p < 0.05). Anxiety levels, as measured by the anxiety assessment scale (SAS), were also lower in the nutritional support group (6.52 ± 1.19 vs. 7.60 ± 1.62, p < 0.05). Moreover, the average healing time was shorter for the nutritional support group (7.27 ± 1.36 days) compared to the control group (9.71 ± 1.84 days, p < 0.05). Postoperative pain scores were lower in the nutritional support group (4.13 ± 0.72 vs. 5.43 ± 0.62, p < 0.05), and patient satisfaction scores were higher (9.42 ± 0.76 vs. 7.25 ± 0.81, p < 0.05). Nutritional support has a positive effect on postoperative wound healing at surgical sites in patients at risk of pressure ulcers in nursing practice. It can significantly reduce redness, swelling, edema, anxiety, and pain scores, reduce bleeding, shorten recovery time, and reduce pressure ulcers. incidence rate.
探讨营养支持在有压疮风险的手术患者术后外科部位伤口愈合护理实践中的作用。本研究采用回顾性实验设计,共纳入 60 例有压疮风险的患者,分为营养支持组和对照组,每组 30 例。营养支持组在术后实施了具体的营养支持措施,而对照组则接受了标准的术后护理。观察指标包括红肿评分、水肿评分、焦虑评估、疼痛评分、出血量、恢复时间和压疮发生率。结果显示,营养支持组患者术后伤口红肿评分明显低于对照组(3.11±0.45 比 4.85±0.74,p<0.05)。此外,营养支持组水肿评分也显著低于对照组(2.75±0.37 比 3.53±0.62,p<0.05)。焦虑评估量表(SAS)评估的焦虑水平也较低,营养支持组为 6.52±1.19,对照组为 7.60±1.62(p<0.05)。此外,营养支持组的平均愈合时间更短(7.27±1.36 天),对照组为 9.71±1.84 天(p<0.05)。术后疼痛评分也较低,营养支持组为 4.13±0.72,对照组为 5.43±0.62(p<0.05),患者满意度评分也较高,营养支持组为 9.42±0.76,对照组为 7.25±0.81(p<0.05)。营养支持对有压疮风险的手术患者术后外科部位伤口愈合具有积极影响。它可以显著降低红肿、肿胀、水肿、焦虑和疼痛评分,减少出血,缩短恢复时间,并降低压疮的发生率。