Application of IAPI assessment scale under closed-loop chain management in patients with advanced ovarian cancer
JIANG Yan
GUO Shanshan
MI Ying
LI Haining
Abstract：Objective To explore the application of the Intra-operative Acquired Pressure Injury(IAPI)risk evaluation scale in evaluating the nursing effect of IAPI in patients undergoing advanced ovarian cancer surgery under the multidisciplinary closed-loop chain nursing management model,and to summarize the management experience.Methods The clinical data of 40 patients with stage Ⅲ and Ⅳ ovarian cancer surgery from January 2021 to January 2022 were selected in General Hospital of Ningxia Medical University,and the conventional intraoperative pressure injury management mode and evaluation method were used in the control group(40 cases).The case data from February 2022 to August 2023 were collected as the study group(44 cases),and the intraoperative acquired pressure injury risk evaluation scale was used under the closed-loop chain nursing management model to analyze the incidence of IAPI,the standard rate of postural placement,the rate of IAPI,and the compliance rate of protective measures in the two groups.Results Compared with the scores of the intraoperative pressure injury risk evaluation scale,the CORN score in the study group was significantly lower than that in the control group,and the incidence of IAPI in the study group was significantly lower than that in the control group.The pre-and postoperative incidence of IAPI in the study group was significantly lower than that in the control group,and the accuracy of IAPI risk evaluation,the pass rate of protective measures,and the execution rate of skin standard handover orders were higher in the study group than those in the control group,and the differences were statistically significant(P<0.05).The preoperative and postoperative patient satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The multidisciplinary chain nursing management model promotes the closed-loop implementation of IAPI,and the risk evaluation scale for acquired pressure injury can more accurately predict the occurrence of IAPI,greatly reduce the incidence of IAPI in patients with advanced ovarian cancer surgery,and make its management more standardized and scientific,which is worthy of clinical promotion and application.
Keywords：intra-operative acquired pressure injurychain managementnursingovarian cancer
Publication Date：2024-02-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 54-58,63 )