Comparison of two placement methods for preventing heel pressure injury during pectus carinatum surgery in children

GUO Zheng; ZHOU Wanyun; YAO Xiaoyan

doi:10.7619/jcmp.20221208

Journal of Clinical Medicine in Practice > 2023 > 27(1): 108-110. > DOI: 10.7619/jcmp.20221208

GUO Zheng, ZHOU Wanyun, YAO Xiaoyan. Comparison of two placement methods for preventing heel pressure injury during pectus carinatum surgery in children[J]. Journal of Clinical Medicine in Practice, 2023, 27(1): 108-110. DOI: 10.7619/jcmp.20221208

Citation:

PDF (484 KB)

Comparison of two placement methods for preventing heel pressure injury during pectus carinatum surgery in children

Anhui Hospital of Pediatric Hospital Affiliated to Fudan University, Anhui Provincial Children's Hospital, Hefei, Anhui, 230051

More Information

Received Date: April 12, 2022
Available Online: February 01, 2023

Graphical Abstract

Abstract

Abstract

Objective
To investigate the application of different supine placement methods in preventing heel-acquired pressure injury in pectus carinatum surgery.
Methods
A total of 86 patients whounderwent pectus carinatum surgery were enrolled in the study, and were randomly divided into control group (46 cases) and observation group(40 cases) by random number table method. In the control group, a gel heel pad was placed on the heel to prevent acquired pressure injury of the heel, while a suitable height sponge pad was placed under the calf to completely decompress by increasing the heels to prevent the acquired pressure injury of the heel in the observation group. The effects of two placement methods in preventing heel-acquired pressure injury were compared.
Results
There was no acquired pressure injury of the heel in the observation group. There were 17 cases with stage 1 acquired pressure injury in the control group. The incidence of heel-acquired pressure injury in the observation group was significantly lower than that in the control group (P < 0.05).
Conclusion
The use of sponge pads on calves to completely decompress by increasing the heels in children who underwent pectus carinatum surgery can significantly reduce the incidence of intraoperative heel-acquired pressure injury.
- gel heel pad,
- sponge pad,
- children,
- acquired pressure injury,
- pectus carinatum surgery

FullText(HTML)

References (24)

References

[1]	KURU P, CAKIROGLU A, ER A, et al. Pectus excavatum and pectus carinatum: associated conditions, family history, and postoperative patient satisfaction[J]. Korean J Thorac Cardiovasc Surg, 2016, 49(1): 29-34. doi: 10.5090/kjtcs.2016.49.1.29
[2]	YUKSEL M, LACIN T, ERMERAK N O, et al. Minimally invasive repair of pectus carinatum[J]. Ann Thorac Surg, 2018, 105(3): 915-923. doi: 10.1016/j.athoracsur.2017.10.003
[3]	赵寅生, 张辉, 曲毅, 等. 漏斗胸微创矫正术钢板微创治疗鸡胸的效果及不良反应[J]. 海南医学, 2018, 29(6): 858-859. doi: 10.3969/j.issn.1003-6350.2018.06.039
[4]	COSKUN Z K, TURGUT H B, DEMIRSOY S, et al. The prevalence and effects of Pectus Excavatum and Pectus Carinatum on the respiratory function in children between 7-14 years old[J]. Indian J Pediatr, 2010, 77(9): 1017-1019. doi: 10.1007/s12098-010-0155-5
[5]	RAJABI-MASHHADI M T, EBRAHIMI M, MOBARHAN M G, et al. Prevalence of chest wall deformities in a large sample of Iranian children aged 7-14 years[J]. Iran J Pediatr, 2010, 20(2): 221-224.
[6]	WESTPHAL F L, LIMA L C, LIMA NETO J C, et al. Prevalence of pectus carinatum and pectus excavatum in students in the city of Manaus, Brazil[J]. J Bras Pneumol, 2009, 35(3): 221-226. doi: 10.1590/S1806-37132009000300005
[7]	李环, 江仕爽, 俞群, 等. 重症监护室患儿压力性损伤发生特征及影响因素分析[J]. 中华护理杂志, 2018, 53(3): 261-266. doi: 10.3761/j.issn.0254-1769.2018.03.001
[8]	郭莉, 高兴莲, 赵诗雨, 等. 手术患者术中获得性压力性损伤发生特征及危险因素的多中心研究[J]. 护理学杂志, 2021, 36(22): 31-34. doi: 10.3870/j.issn.1001-4152.2021.22.031
[9]	陈哲颖, 吴晓蓉, 吴梦媛. 术中获得性压力性损伤发生的影响因素分析[J]. 中国护理管理, 2019, 19(1): 43-48. doi: 10.3969/j.issn.1672-1756.2019.01.011
[10]	庞玉灵, 李贤, 陈紫叶, 等. 手术患者发生手术压疮相关危险因素的研究进展[J]. 中西医结合心血管病电子杂志, 2020, 8(6): 24-25. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH202006013.htm
[11]	唐延伟. 妇科截石位术压力性损伤发生情况及其影响因素分析[J]. 河北医科大学学报, 2021, 42(10): 1203-1209. doi: 10.3969/j.issn.1007-3205.2021.10.018
[12]	陈丽娟, 孙林利, 刘丽红, 等. 2019版《压疮/压力性损伤的预防和治疗: 临床实践指南》解读[J]. 护理学杂志, 2020, 35(13): 41-43, 51. doi: 10.3870/j.issn.1001-4152.2020.13.041
[13]	蒋艳. 手术室护理干预对手术压力性损伤的预防效果分析[J]. 现代养生, 2021, 21(24): 88-90. https://www.cnki.com.cn/Article/CJFDTOTAL-YSXD202124041.htm
[14]	陈静, 焦改梅. 术中获得性压力性损伤危险因素及预防措施的研究进展[J]. 疾病监测与控制, 2021, 15(6): 501-504. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJK202106027.htm
[15]	郭莉, 高兴莲, 赵诗雨, 等. 手术患者术中获得性压力性损伤发生特征及危险因素的多中心研究[J]. 护理学杂志, 2021, 36(22): 31-34. doi: 10.3870/j.issn.1001-4152.2021.22.031
[16]	王煜, 韩丁, 边寒雪, 等. 链式管理预防小儿神经外科手术压力性损伤的效果[J]. 中华全科医学, 2021, 19(11): 1964-1968. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202111044.htm
[17]	何凌霄, 袁震飞, 刘欢, 等. 急诊患者压力性损伤现状及预防的研究进展[J]. 解放军护理杂志, 2021, 38(10): 65-68. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202110023.htm
[18]	王琳, 梁培荣, 张素梅. 小儿骨科医疗器械相关压力性损伤的原因分析与预防对策[J]. 天津护理, 2021, 29(2): 189-191. https://www.cnki.com.cn/Article/CJFDTOTAL-TJFN202102016.htm
[19]	邱良枝, 李玲梁, 明娟, 等. 持续质量改进对降低住院患者院内压力性损伤的效果分析[J]. 护理实践与研究, 2021, 18(4): 589-593. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202104034.htm
[20]	瞿小龙, 黄慧, 李来娟, 等. 儿童压力性损伤风险评估工具和影响因素研究进展[J]. 中华现代护理杂志, 2020, 26(29): 4136-4139.
[21]	戴芳, 徐晓蕾, 刘舒. 手术室患者术中压力性损伤危险因素分析及护理对策[J]. 齐鲁护理杂志, 2021, 27(, 2): 93-95. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202102038.htm
[22]	张婷, 李朵朵, 李豹, 等. 医院获得性压力性损伤的发病因素分析[J]. 安徽医药, 2020, 24(9): 1783-1786. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYY202009023.htm
[23]	吴玉洁, 吕俊英, 宋霏, 等. 新生儿压力性损伤风险评估工具研究进展[J]. 护士进修杂志, 2020, 35(11): 992-995. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202011008.htm
[24]	王欢欢, 焦会芳, 王菲. 重症患儿发生压力性损伤风险的高危因素分析[J]. 临床荟萃. 2020, 35(5): 425-428. https://www.cnki.com.cn/Article/CJFDTOTAL-LCFC202005008.htm

[1]	PANG Ting, WU Weili, YANG Binjiao. Pathogen status, risk factors and prediction model construction for catheter-related infection in patients with maintenance hemodialysis[J]. Journal of Clinical Medicine in Practice, 2024, 28(21): 60-65. DOI: 10.7619/jcmp.20243000
[2]	WANG Lu, ZHAO Qimei, XIE He'nan, CHANG Lu, XIE Zheng. Status of medication deviation in hospital-home transition period in elderly patients with chronic heart failure and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2024, 28(9): 109-114. DOI: 10.7619/jcmp.20233715
[3]	WANG Daoxin, LIU Nan, SHI Zeyuan, CHEN Yan, GUAN Ningxiao, ZHAO Wenli. Status quo and risk factors of medical viscose-related skin injury in severe patients: a meta-analysis[J]. Journal of Clinical Medicine in Practice, 2022, 26(22): 1-6, 11. DOI: 10.7619/jcmp.20222806
[4]	CHEN Liping, FU Jiaozhu, YUAN Dan, LIN Miaochun. Effect of information-motivation-behavioral skills model on medication compliance of patients with chronic heart failure[J]. Journal of Clinical Medicine in Practice, 2018, (14): 8-10,15. DOI: 10.7619/jcmp.201814003
[5]	YU Daling, LIU Min, JIA Zhe. Application of hospital-home care model in the elderly discharged patients with diabetes[J]. Journal of Clinical Medicine in Practice, 2017, (12): 147-149. DOI: 10.7619/jcmp.201712046
[6]	CHEN Mo. Change of plasma Ghrelin level in patients with hyperthyroidism and its related factors[J]. Journal of Clinical Medicine in Practice, 2016, (5): 67-69. DOI: 10.7619/jcmp.201605020
[7]	MA Qunhua. Infection factors in emergency nursing of critically ill patients with trauma and its countermeasures[J]. Journal of Clinical Medicine in Practice, 2015, (14): 62-64. DOI: 10.7619/jcmp.201514020
[8]	SONG Juan, WANG Xuemei. Analysis on related factors of incontinence-associated dermatitis in hospitalized patients[J]. Journal of Clinical Medicine in Practice, 2014, (20): 77-80. DOI: 10.7619/jcmp.201420024
[9]	ZHU Mingrong, GAO Jie. Effect of behavioral therapy on medication compliance in recovery period for hospitalized psychopathic patients[J]. Journal of Clinical Medicine in Practice, 2014, (14): 48-50. DOI: 10.7619/jcmp.201414016
[10]	CHEN Yangxia. Related factors and preventive measures of patients with intraoperative acute pressure sores[J]. Journal of Clinical Medicine in Practice, 2014, (4): 92-94. DOI: 10.7619/jcmp.201404034

Cited By

Cited by

Periodical cited type(3)

1.	贾庶捷，张倩落，李燕平，任健，杨海敏. 血必净注射液联合连续性肾替代疗法、白蛋白治疗肾综合征出血热的效果及对炎性因子、相关蛋白表达的影响. 临床医学研究与实践. 2024(02): 58-61 .
2.	姜文娟，贺芬，任阳，张旭. 血清清蛋白联合动态动脉僵硬指数对急性缺血性脑卒中病人静脉溶栓后出血转化的预测价值. 中西医结合心脑血管病杂志. 2023(05): 908-912 .
3.	饶建锋，李珊. 流行性出血热患者血清CK-MB、IL-6、IL-10水平与病情程度、预后的关系研究. 中国医学创新. 2023(27): 137-141 .

Other cited types(1)

Get Citation

PDF

XML

Article views (144) PDF downloads (4) Cited by(4)

Turn off MathJax

Article Contents

Abstract

References

Comparison of two placement methods for preventing heel pressure injury during pectus carinatum surgery in children

Abstract

References

Related Articles

Cited by

Periodical cited type(3)

Other cited types(1)

Catalog

Comparison of two placement methods for preventing heel pressure injury during pectus carinatum surgery in children

Abstract

References

Related Articles

Cited by

Periodical cited type(3)

Other cited types(1)

Catalog

Export File

Citation

Format

Content