Application of intensive care led by specialist nurse to prevent medical adhesive-related skin injury after orthopedic surgery

LI Xiaoqun; REN Yanmei; YANG Yong; XU Yaqin; ZENG Yi; XIA Qi

doi:10.12173/j.issn.1004-5511.202405048

Abstract：Objective To explore the effect of intensive care led by specialist nurses on medical adhesive-related skin injury(MARSI)in postoperative orthopedic patients.Methods Patients admitted to the Orthopedic Department of the Medical Center Hospital of Qionglai City from June 2022 to December 2023 for scheduled or elective surgery were recruited and randomly divided into control group and intervention group.The control group received conventional care,while the intervention group received intensive care led by specialist nurse.The MARSI incidence of wound dressing and intravenous infusion channel dressing,rehabilitation outcomes(MARSI rehabilitation time,mobilization time,and hospitalization time),and nursing satisfaction between the two groups were compared.Results A total of 400 postoperative orthopedic patients were included,of which 200 in the control group and 200 in the intervention group.The MARSI incidences of postoperative wound dressing(9.50％vs.20.00％,P＜0.05)and intravenous infusion channel dressing(3.00％vs.13.50％,P＜0.05)in the intervention group were significantly lower than those in the control group.The MARSI rehabilitation time[(10.27±0.08)d vs.(15.42±1.21)d,P＜0.05],mobilization time[(1.40±0.26)d vs.(3.72±0.38)d,P＜0.05],and hospitalization time[(8.41±0.21)d vs.(12.18±1.48)d,P＜0.05]in the intervention group were significantly shorter than those in the control group.The nursing satisfaction rate of the intervention group(98.00％vs.82.50％,P＜0.05)was significantly higher than that of the control group.Conclusion Compared with routine nursing,the intensive care led by specialist nurses can considerably reduce the incidence of MARSI,promote the rehabilitation effect,and improve nursing satisfaction in postoperative orthopedic patients,which has certain clinical application value.