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| Preventive effect of pressure-redistribution air pad for intraoperative acquired pressure injury in patients with aortic dissection surgery |
| ZHANG Yan1, HU Yaoyao1, WU Gaowei2, WU Qiaolin2, WANG Weijian2, SUN Caixia3 |
| 1.Surgical Room, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China; 2.Department of Anesthesiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China; 3.Department of Nursing, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China |
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| Cite this article: |
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ZHANG Yan,HU Yaoyao,WU Gaowei, et al. Preventive effect of pressure-redistribution air pad for intraoperative acquired pressure injury in patients with aortic dissection surgery[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2022, 52(7): 587-591.
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Abstract Objective: To evaluate the clinical effect of pressure-redistribution air pad for intraoperative acquired pressure injury in aortic dissection surgery. Methods: Tolly 119 aortic dissection patients who needed aortic arch replacement were selected as research subjects from March 2021 to February 2022 in the First
Affiliated Hospital of Wenzhou Medical University. They were randomly divided into two groups, 59 in the test group and 60 in the control group. The test group adopted pressure-redistribution device to prevent intraoperative acquired pressure injury, while the control group was given pressure protection nursing care with conventional gel pad and cotton pad. The difference in incidence of intraoperative acquired pressure injury, the relative temperature
difference in the sacrococcyx skin and the job satisfaction of nurse between the two groups were compared. Results: Compared with the control group, the test group had lower incidence of intraoperative acquired pressure injury (0 vs. 36.7%), higher job satisfaction of nurse (94.44% vs. 77.14%) and smaller relative temperature difference between sacrococcyx skin and circumference normal skin [0 (-0.1,0.1) vs. 0.3 (-0.3,0.5)], showing statistical difference between the two groups (P<0.05). Conclusion: The use of pressure-redistribution air pad during operation can better reduce the incidence of intraoperative acquired pressure injury in patients with aortic dissection, and produce less temperature difference between the caudal sacrum and surrounding normal tissue, which results in more job satisfaction of nurse. It is a preferable protective measure for intraoperative pressure injury.
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