{"title":"Effect of Braden Score-Guided Targeted Nursing Interventions on Preventing Intraoperative Pressure Ulcers in Aortic Dissection Surgery.","authors":"Qiao-Zhi Wang, Wen-Cheng Jia, Yu-Quan Tian","doi":"10.2147/JMDH.S529708","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This prospective randomized controlled study aimed to evaluate the effect of Braden score-guided targeted nursing interventions on preventing intraoperative pressure ulcers in aortic dissection (AD) surgery.</p><p><strong>Methods: </strong>A total of 120 patients who underwent AD surgery at the hospital between December 2023 and December 2024 were selected and randomly assigned to either the study group or the control group, with 60 patients in each group. The control group received routine nursing care, while the study group received targeted nursing interventions guided by the Braden score in addition to routine care. Statistical analyses were conducted to compare the results between the two groups.</p><p><strong>Results: </strong>Following the implementation of targeted nursing interventions guided by the Braden score, the total nursing behavior scores for pressure ulcer prevention (95.67±3.41 vs 83.95±5.16), including all individual dimension scores (preoperative care: 56.71±2.43 vs 48.53±4.91; intraoperative care: 22.39±1.68 vs 17.64±2.75; postoperative care: 13.65±2.49 vs 10.48±2.51), were significantly higher in the study group compared to the control group (<i>P</i> < 0.05). The incidence of intraoperative pressure ulcers was notably lower in the study group (2.5%) than in the control group (17.5%) (<i>P</i> < 0.05). Additionally, the pressure ulcer area was significantly smaller (2.11±0.36 vs 4.98±1.14 cm<sup>2</sup>), and the duration of pressure ulcers was markedly shorter in the study group compared to the control group (2.73±1.24 vs 7.86±1.65 days) (<i>P</i> < 0.05). Nursing satisfaction levels were also significantly higher in the study group (97.5% vs 82.5%) (P < 0.05).</p><p><strong>Conclusion: </strong>Targeted nursing interventions guided by the Braden score demonstrated effectiveness in identifying risks of intraoperative pressure ulcers. The designed interventions enhanced the quality of nursing care in the operating room, reduced the incidence of pressure ulcers, and improved patient satisfaction.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5015-5023"},"PeriodicalIF":2.4000,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372843/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S529708","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This prospective randomized controlled study aimed to evaluate the effect of Braden score-guided targeted nursing interventions on preventing intraoperative pressure ulcers in aortic dissection (AD) surgery.
Methods: A total of 120 patients who underwent AD surgery at the hospital between December 2023 and December 2024 were selected and randomly assigned to either the study group or the control group, with 60 patients in each group. The control group received routine nursing care, while the study group received targeted nursing interventions guided by the Braden score in addition to routine care. Statistical analyses were conducted to compare the results between the two groups.
Results: Following the implementation of targeted nursing interventions guided by the Braden score, the total nursing behavior scores for pressure ulcer prevention (95.67±3.41 vs 83.95±5.16), including all individual dimension scores (preoperative care: 56.71±2.43 vs 48.53±4.91; intraoperative care: 22.39±1.68 vs 17.64±2.75; postoperative care: 13.65±2.49 vs 10.48±2.51), were significantly higher in the study group compared to the control group (P < 0.05). The incidence of intraoperative pressure ulcers was notably lower in the study group (2.5%) than in the control group (17.5%) (P < 0.05). Additionally, the pressure ulcer area was significantly smaller (2.11±0.36 vs 4.98±1.14 cm2), and the duration of pressure ulcers was markedly shorter in the study group compared to the control group (2.73±1.24 vs 7.86±1.65 days) (P < 0.05). Nursing satisfaction levels were also significantly higher in the study group (97.5% vs 82.5%) (P < 0.05).
Conclusion: Targeted nursing interventions guided by the Braden score demonstrated effectiveness in identifying risks of intraoperative pressure ulcers. The designed interventions enhanced the quality of nursing care in the operating room, reduced the incidence of pressure ulcers, and improved patient satisfaction.
目的：本前瞻性随机对照研究旨在评价Braden评分指导下的针对性护理干预对预防主动脉夹层（AD）术中压疮的效果。方法：选择2023年12月至2024年12月在该院接受AD手术的患者120例，随机分为研究组和对照组，每组60例。对照组采用常规护理，研究组在常规护理的基础上，采用Braden评分指导有针对性的护理干预。对两组结果进行统计学分析比较。结果：实施以Braden评分为指导的针对性护理干预后，研究组预防压疮护理行为总分（95.67±3.41 vs 83.95±5.16），包括各个体维度得分（术前护理：56.71±2.43 vs 48.53±4.91；术中护理：22.39±1.68 vs 17.64±2.75；术后护理：13.65±2.49 vs 10.48±2.51）均显著高于对照组（P < 0.05）。研究组术中压疮发生率（2.5%）明显低于对照组（17.5%）（P < 0.05）。研究组压疮面积明显小于对照组（2.11±0.36 vs 4.98±1.14 cm2），压疮持续时间明显短于对照组（2.73±1.24 vs 7.86±1.65）（P < 0.05）。研究组护理满意度明显高于对照组（97.5% vs 82.5%） （P < 0.05）。结论：以Braden评分为指导的针对性护理干预在识别术中压疮风险方面是有效的。设计的干预措施提高了手术室的护理质量，减少了压疮的发生率，提高了患者的满意度。
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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