Lv Ai-Hua, Zhang Xi, Sun Xiu-Ling, Liu Xiu-Lan, Qi Jun-Qing, Li Hui-Na
Department of Neurosurgery, The First Affiliated Hospital of Xinxiang Medical College, Xinxiang, China.
Department of Neurology, The First Affiliated Hospital of Xinxiang Medical College, Xinxiang, China.
Front Public Health. 2025 Jun 10;13:1576633. doi: 10.3389/fpubh.2025.1576633. eCollection 2025.
Pressure ulcers are a common and serious complication in neurosurgical patients, primarily due to prolonged immobility. Effective prevention is essential to improving patient outcomes. This study aimed to evaluate the clinical effectiveness of bundled care interventions in reducing the incidence of pressure ulcers and improving quality of life and nursing satisfaction in neurosurgical patients.
This retrospective study included 316 neurosurgical patients, divided into two groups: the study group ( = 158) received bundled care interventions, while the control group ( = 158) received conventional care, which involved standard post-operative interventions such as regular repositioning, pressure-relieving devices, health education, and psychological support. Bundled care included pre-operative risk assessment using the Waterlow Scale, targeted preventive measures, health education, nutritional support, and post-operative monitoring. Data were collected on pressure ulcer incidence, quality of life (assessed by the Short Form Health Survey), nursing satisfaction, and length of hospital stay. Statistical analysis was performed using SPSS Version 27.0, applying independent sample -tests and chi-square tests where appropriate.
The study group demonstrated a significantly lower incidence of pressure ulcers (11.39%) compared to the control group (19.62%, = 4.08, < 0.05). The study group also exhibited significantly improved quality of life outcomes across all domains, including physical, physiological, emotional, and social functioning ( < 0.001 for all). In physical functioning, the study group scored 83.33 ± 2.12, while the control group scored 77.20 ± 1.89. Emotional functioning also improved significantly, with the study group scoring 85.32 ± 2.05 compared to 76.41 ± 2.12 in the control group. Nursing satisfaction was higher in the study group, with an overall satisfaction rate of 96.20%, compared to 88.61% in the control group ( = 6.49, < 0.05). The study group reported a significantly lower proportion of dissatisfied patients and a higher proportion of those who were highly satisfied.
Bundled care interventions significantly reduce pressure ulcer incidence and improve quality of life and nursing satisfaction in neurosurgical patients. This multidisciplinary approach effectively addresses both physical and psychological aspects of post-operative care, contributing to better patient outcomes and overall satisfaction.
压疮是神经外科患者常见且严重的并发症，主要原因是长期卧床不动。有效的预防对于改善患者预后至关重要。本研究旨在评估集束化护理干预措施在降低神经外科患者压疮发生率、提高生活质量和护理满意度方面的临床效果。
本回顾性研究纳入316例神经外科患者，分为两组：研究组（n = 158）接受集束化护理干预，而对照组（n = 158）接受常规护理，常规护理包括标准的术后干预措施，如定期翻身、减压装置、健康教育和心理支持。集束化护理包括使用Waterlow量表进行术前风险评估、针对性预防措施、健康教育、营养支持和术后监测。收集了压疮发生率、生活质量（通过简短健康调查问卷评估）、护理满意度和住院时间的数据。使用SPSS 27.0版进行统计分析，在适当情况下应用独立样本t检验和卡方检验。
研究组压疮发生率（11.39%）显著低于对照组（19.62%，t = 4.08，P < 0.05）。研究组在所有领域的生活质量结果也显著改善，包括身体、生理、情感和社会功能（所有P < 0.001）。在身体功能方面，研究组得分为83.33 ± 2.12，而对照组得分为77.20 ± 1.89。情感功能也显著改善，研究组得分为85.32 ± 2.05，而对照组为76.41 ± 2.12。研究组的护理满意度更高，总体满意率为96.20%，而对照组为88.61%（χ² = 6.49，P < 0.05）。研究组报告不满意患者的比例显著更低，高度满意患者的比例更高。
集束化护理干预措施显著降低神经外科患者的压疮发生率，提高生活质量和护理满意度。这种多学科方法有效解决了术后护理的身体和心理方面问题，有助于改善患者预后和总体满意度。
