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| Effect of improved nursing measures on skin injury of patients after shoulder arthroscopy |
| NING Jing LIU Yan▲ GUO Xinyue |
| Department of Sporsts Medicine, Peking University Third Hospital, Beijing 100191, China |
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Abstract Objective To explore the causes of skin injury in patients undergoing shoulder arthroscopy, to research the measures to prevent skin injury, and to formulate effective nursing measures. Methods Using convenient sampling method, a random selection of 260 patients undergoing shoulder arthroscopy surgery in the Department of Sports Medicine of Peking University Third Hospital from January 2018 to June 2018 was selected and set as the control group. The skin lesions were observed and recorded immediately after patients returning to the ward until the discharge. The causes of skin lesions were analyzed in 56 patients with skin lesions after surgery, and the corresponding nursing measures were formulated. From September 2018 to February 2019, 231 patients undergoing shoulder arthroscopic surgery were randomly selected as the experimental group to receive improved nursing measures. The causes of skin lesions and the incidence of skin injury were compared in two groups. Results The incidence of skin injury in the control group was 21.53%, among which 15 cases (5.77%) were caused by iodine, 25 cases (9.62%) caused by medical adhesive, and 3 cases (1.15%) caused by burns during the surgery, 4 cases (1.54%) of skin damage caused by shoulder joint braces, 2 cases (0.77%) of skin injury caused by perfusion induced swelling of the affected limb during surgery, 7 cases (2.69%) of skin injury caused by allergic medical adhesive. The incidence of skin injury in the experimental group was 4.76%, of which 4 cases (1.73%) caused by iodine, 6 cases (2.60%) caused by medical adhesive, and 1 case (0.43%) caused by skin burns during the surgery. The incidence of skin injury in the experimental group were lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Improving the skin nursing measures of patients after shoulder arthroscopy can effectively improve the quality of nursing and increase the comfort of patients.
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