頭頸部腫瘤病人術後發生壓瘡之相關因素探討

Factors Related to the Development of Postoperative Pressure Sores in Patients Undergoing Head and Neck Tumor Surgery

李瑞婷(Jui-Ting Lee) ； 楊麗秋(Li-Chiu Yang) ； 林秋子(Chau-Tzu Lin) ； 唐婉如(Woung-Ru Tang)

《腫瘤護理雜誌》 6卷2期 (2006/12) Pp. 31-41

https://doi.org/10.6880/TJON.200612_6(2).04

摘要

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.

關鍵字

頭頸部腫瘤 ； 壓瘡 ； 手術室全期護理

並列摘要

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.

並列關鍵字

head and neck tumor ； pressure sore ； perioperative care