Wang Qiao-Zhi, Jia Wen-Cheng, Tian Yu-Quan
Department of Operation Room, Shandong Provincial Third Hospital, Shandong University, Jinan, Shandong Province, 250031, People's Republic of China.
J Multidiscip Healthc. 2025 Aug 18;18:5015-5023. doi: 10.2147/JMDH.S529708. eCollection 2025.
This prospective randomized controlled study aimed to evaluate the effect of Braden score-guided targeted nursing interventions on preventing intraoperative pressure ulcers in aortic dissection (AD) surgery.
A total of 120 patients who underwent AD surgery at the hospital between December 2023 and December 2024 were selected and randomly assigned to either the study group or the control group, with 60 patients in each group. The control group received routine nursing care, while the study group received targeted nursing interventions guided by the Braden score in addition to routine care. Statistical analyses were conducted to compare the results between the two groups.
Following the implementation of targeted nursing interventions guided by the Braden score, the total nursing behavior scores for pressure ulcer prevention (95.67±3.41 vs 83.95±5.16), including all individual dimension scores (preoperative care: 56.71±2.43 vs 48.53±4.91; intraoperative care: 22.39±1.68 vs 17.64±2.75; postoperative care: 13.65±2.49 vs 10.48±2.51), were significantly higher in the study group compared to the control group ( < 0.05). The incidence of intraoperative pressure ulcers was notably lower in the study group (2.5%) than in the control group (17.5%) ( < 0.05). Additionally, the pressure ulcer area was significantly smaller (2.11±0.36 vs 4.98±1.14 cm), and the duration of pressure ulcers was markedly shorter in the study group compared to the control group (2.73±1.24 vs 7.86±1.65 days) ( < 0.05). Nursing satisfaction levels were also significantly higher in the study group (97.5% vs 82.5%) (P < 0.05).
Targeted nursing interventions guided by the Braden score demonstrated effectiveness in identifying risks of intraoperative pressure ulcers. The designed interventions enhanced the quality of nursing care in the operating room, reduced the incidence of pressure ulcers, and improved patient satisfaction.
本前瞻性随机对照研究旨在评估Braden评分指导下的针对性护理干预对预防主动脉夹层（AD）手术术中压疮的效果。
选取2023年12月至2024年12月期间在该医院接受AD手术的120例患者，随机分为研究组和对照组，每组60例。对照组接受常规护理，研究组在常规护理基础上接受Braden评分指导下的针对性护理干预。进行统计分析以比较两组结果。
实施Braden评分指导下的针对性护理干预后，研究组预防压疮的总护理行为评分（95.67±3.41 vs 83.95±5.16），包括所有个体维度评分（术前护理：56.71±2.43 vs 48.53±4.91；术中护理：22.39±1.68 vs 17.64±2.75；术后护理：13.65±2.49 vs 10.48±2.51）均显著高于对照组（P<0.05）。研究组术中压疮发生率（2.5%）明显低于对照组（17.5%）（P<0.05）。此外，研究组压疮面积显著更小（2.11±0.36 vs 4.98±1.14 cm），压疮持续时间明显短于对照组（2.73±1.24 vs 7.86±1.65天）（P<0.05）。研究组的护理满意度也显著更高（97.5% vs 82.5%）（P<0.05）。
Braden评分指导下的针对性护理干预在识别术中压疮风险方面显示出有效性。所设计的干预提高了手术室护理质量，降低了压疮发生率，并提高了患者满意度。
