心脏术后患者皮肤撕裂伤预防及分级管理方案的构建与应用研究

doi:10.3761/j.issn.2096-7446.2025.12.004

Abstract

Abstract:

Objective To establish and implement a skin tear prevention and graded management plan for post-cardiac surgery patients. Methods Based on risk management theory and hierarchical nursing theory，an initial skin tear prevention and graded management plan for post-cardiac surgery patients was drafted through literature review and panel discussions，followed by finalization via an expert consensus meeting. Using a non-randomized controlled trial design，266 patients（September-November 2024） were allocated to the experimental group，while 254 patients（June-August 2024） were enrolled in the control group. The experimental group received a prevention and grading management plan，while the control group received routine skin care. A comparison was made between the two groups regarding skin tear incidence，severity，skincare costs，healing time，and nurses’ theoretical and practical assessment scores on skin tear management. Results The experimental group had significantly lower skin tear incidence，severity，healing time，and costs（P<0.05），while nurses achieved higher rates of timely/accurate risk assessment，intervention adherence，and test scores（P<0.05）. Conclusion The prevention and graded management plan for skin tears in postoperative cardiac patients is scientific and feasible. It can reduce the incidence and severity of skin tears，decrease nursing workload，lower skin care costs，and enhance nurses’ awareness and management capabilities regarding skin tears，achieving predictive risk-based nursing for skin tears.

Key words: Cardiac Surgery, Skin Tears, Prediction Model, Graded Management, Risk Management, Plan Application

GUAN Yan, ZHOU Dan, CHEN Chen, JIN Hua, SU Yunyan, WANG Yan, WANG Zheyun. Construction and application of a prevention and graded management plan for skin tears in post-cardiac surgery patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(12): 1437-1443.

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Construction and application of a prevention and graded management plan for skin tears in post-cardiac surgery patients

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