alexa A New Approach to Reduce Pressure Ulcers and Improve Health of Scoliosis Surgery Patients
ISSN: 2167-1168

Journal of Nursing & Care
Open Access

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Research Article

A New Approach to Reduce Pressure Ulcers and Improve Health of Scoliosis Surgery Patients

Shu Yan Xia1,2* Chuan Hua Yu2, TiYu Zhao1 and Hua Chang1

1Operating Rooms of Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

2School of Public Health, Wuhan University, Wuhan, China

Corresponding Author:
Shuyan Xia
Operating Rooms of Tongji Hospital Affiliated to Tongji Medical College
Huazhong University of Science and Technology
1095 Jiefang Avenue, Wuhan 430030, China
Tel: +86-027-8366-5438
E-mail: [email protected]

Received March 15, 2016; Accepted April 29, 2016; Published May 07, 2016

Citation: Yan Xia S, Hua Yu C, Zhao T, Chang H (2016) A New Approach to Reduce Pressure Ulcers and Improve Health of Scoliosis Surgery Patients. J Nurs Care 5:343. doi:10.4172/2167-1168.1000343

Copyright: © 2016 Xia S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Spinal fusion is the common form of corrective surgery for scoliosis, and it is often accompanied with the occurrence of pressure ulcer development. New research and approaches are needed to address the incidence of peptic ulcer in surgical patients.

Objectives: The study was designed to reduce/prevent the incidence of pressure sores and to improve the health of patients undergoing scoliosis surgery.

Methods: 130 patients with scoliosis surgery were randomly assigned into two groups: 65 patients in the training group and control group, respectively. The patients in the training group received a pre-surgery visit with adaptive training on prone position prior to their surgery, while the control group received no such training. Surgery preparation time and total time in the surgical room were recorded for all patients. The incidence and size of red skin and pressure sores due to scoliosis surgery were also measured and recorded upon surgeries.

Results: A comparative analysis showed that a pre-surgical visit to the surgical room has significantly reduced the preparation time prior to surgery by up to 15 minutes for patients in test group, which led to an ostensible reduction of the total time for the day-of-surgery. The implementation of a pre-set optimal prone position helped test patients to reduce the incidence of pressure sores significantly from over 33.8% (control group) to less than 14% (test group, p<0.05). In particular, the optimal setting of the prone position with soft gel pats and cushion has effectively protected patients from serious facial damage as a result of a lengthy surgical process.

Conclusion: A simple arrangement of a pre-surgical visit with adaptive training for optimal prone position to scoliosis patients could have important impacts on reducing the incidence of pressure sore and improving patients’ health condition.

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