Volume 19 Issue 11
Nov.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(11): 1964-1968
WANG Yu, HAN Ding, BIAN Han-xue, WU Xin-yan, CHEN Mei-li, PAN Shou-dong. Application of chain management to prevent pressure injury in paediatric neurosurgery[J]. Chinese Journal of General Practice, 2021, 19(11): 1964-1968. doi: 10.16766/j.cnki.issn.1674-4152.002212
Citation: WANG Yu, HAN Ding, BIAN Han-xue, WU Xin-yan, CHEN Mei-li, PAN Shou-dong. Application of chain management to prevent pressure injury in paediatric neurosurgery[J]. Chinese Journal of General Practice, 2021, 19(11): 1964-1968. doi: 10.16766/j.cnki.issn.1674-4152.002212
shu

Application of chain management to prevent pressure injury in paediatric neurosurgery

doi: 10.16766/j.cnki.issn.1674-4152.002212
  • 1.

    Department of Anesthesiology, Children's Hospital Affiliated to Capital Institute of Pediatrics, Beijing 100020, China

Funds:

 Z181100001718096

 QN-2019-22

  • Received Date: 2020-08-12
    Available Online: 2022-02-15
    Abstract
  •   Objective  To observe and analyse the effect of chain management to prevent pressure injury in paediatric neurosurgery.  Methods  A total of 120 neurosurgical children who met the inclusion criteria from March 2019 to January 2020 in our hospital were selected. According to the random number table generated by SPSS 22.0, the patients were divided into control group and experimental group with 60 cases in each group. The control group received routine nursing mode to prevent pressure injury. The observation group received chain management to prevent pressure injury. A multidisciplinary cooperative nursing group for pressure injury was formed in the ward, operating room, anaesthesia recovery room and intensive care unit, specific to the skin conditions to stress injury prevention measure. The closed-loop 'chain' management was applied. The score of pressure injury within 2 days after operation and satisfaction rate of medical staff and children were compared between the two groups.  Results  The incidences of perioperative pressure injury in the observation group and control group were 3.3% (2/60) and 11.7% (7/60), respectively, with no statistical difference (P>0.05). From immediately after surgery to 24-h post-surgery, the skin condition of the pressure site was better in the observation group than in the control group (P < 0.05). The satisfaction rates of parents and medical staff in the observation group were significantly higher than those in the control group (all P < 0.05).  Conclusion  As a multidisciplinary collaborative management mode, the use of chain management in paediatric neurosurgery is helpful to reduce the incidence of perioperative pressure injury, improve parents' and medical staff's satisfaction rates and promote team cooperation, which is worthy of clinical promotion.

     

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