頭頸部腫瘤病人術後發生壓瘡之相關因素探討

李 瑞婷, 楊 麗秋, 林 秋子, Woung-Ru Tang

Research output: Contribution to journalJournal Article peer-review

Abstract

此研究目的在了解頭頸部腫瘤手術病人壓瘡的發生率及個人特質和手術特質對壓瘡之影響。本研究採橫斷式調查法以方便取樣方式於北部某醫學中心手術室進行收案,研究工具?該院的壓瘡品質監測提報表與自擬頭頸部腫瘤手術病人壓瘡品質評估表。自2004年1月至6月止共計收案260名。結果發現頭頸部腫瘤手術病人發生壓瘡之盛行率?13.85%,個人特質與有無壓瘡達統計上之顯著意義之變項有:年齡、生活習慣、過去病史、排尿功能(尿管留置)及情緒壓力;在疾病分類與手術特質中有腫瘤大小、手術時間、手術使用輔助物、手術中溫毯溫度、術前高血壓、術中舒張壓<60mmHg的持續時間、術後血紅素值及手術中有無移動病人;經由羅吉斯迴歸分析發現發生壓瘡之預測因素包含病患有吸菸、喝酒及吃檳榔之生活習慣、術前有情緒壓力、尿管留置、術中溫毯溫度41度以上及術前高血壓(>140/80mmHg)等,此研究結果可提供手術室全期護理之參考,進而提昇病人最佳照護品質。
The purpose of this study is to evaluate the effects of individual characteristics and surgical implications in the incidence of pressure sores in patients undergoing head and neck tumor surgeries. A cross-sectional study with convenience sample was used to conduct this study at one medical center in northern Taiwan. The instruments used included quality control reports of pressure sores and reports of self assessment of pressure sores. From January to June in 2004, there were 260 subjects enrolled in this study. The results showed that 13.85% of subjects undergoing head and neck tumor surgery developed pressure sore. The significant variables of individual characteristics in the incidence of pressure sores are: the age, the life-style, the physical history, the urination method (foley catheter dwelling) and the mood distress. The significant variables of disease categories and surgical implications are the size of the tumor, the duration of surgery, the surgical supplement, the temperature of the surgical blanket, the pre-operation high blood pressure, the duration of diastolic pressure less than 60mmHg, the postoperative red blood cell count and the frequency of moving patient during surgery. According to the logistic regression, the important predictors of pressure sores in patients undergoing head and neck tumor surgery are the life-style of smoking, drinking alcohol, and eating betel nuts, pre-operation mood distress, foley catheter dwelling, the surgical blanket with more than 41 degree Centigrade, and preoperative high blood pressure (>140/80mmHg), etc. The above findings provide the prevention of pressure sore during the process of perioperative care in order to increase the quality of patient care.
Original languageChinese (Traditional)
Pages (from-to)31-41
Journal腫瘤護理雜誌
Volume6
Issue number2
StatePublished - 2006

Cite this