Application of chain management mode in the prevention of perioperative pressure injury in elderly patients of spinal surgery
链式管理模式在预防脊柱外科老年患者围手术期压力性损伤的应用研究

摘要

目的 探究链式管理模式在预防脊柱外科老年患者围手术期压力性损伤的应用效果。方法 选择在我院脊柱外科接受手术的老年患者80例（2024年1月至2025年1月）组成研究组实施链式管理模式，另选往年接受常规护理的80例患者作为对照组，比较两组患者围手术期压力性损伤的发生概率。对比两组患者对管理模式的满意程度。比较两组患者负性情绪及生活质量。结果 研究组围手术期压力性损伤的发生概率低于对照组（P＜0.05）。研究组患者对管理模式的满意度高于对照组（P＜0.05）。研究组接受管理后SAS、SDS评分低于对照组（P＜0.05）。研究组接受管理后SF-36量表得分高于对照组（P＜0.05）。结论 链式管理模式可以预防脊柱外科老年患者围手术期压力性损伤，改善情绪，提高生活质量。

Abstract

Objective To investigate the application effect of chain management model in preventing perioperative pressure injuries in elderly patients undergoing spinal surgery.
Methods Eighty elderly patients who underwent surgery in our hospital's spinal surgery department (January 2024 to January 2025) were selected to form the study group and implemented the chain management model. Another 80 patients who received routine care in previous years were selected as the control group, comparing the incidence of perioperative pressure injuries between the two groups. The satisfaction with the management model was also compared between the two groups. Negative emotions and quality of life were also compared between the two groups.
Results The incidence of perioperative pressure injuries in the study group was lower than that in the control group (P<0.05). Patients in the study group had higher satisfaction with the management model than those in the control group (P<0.05). After receiving the management, the SAS and SDS scores of the study group were lower than those of the control group (P<0.05). After receiving the management, the SF-36 scale scores of the study group were higher than those of the control group (P<0.05).
Conclusion   The chain management model can prevent perioperative pressure injuries in elderly patients undergoing spinal surgery, improve mood, and enhance quality of life.