Evidence-based nursing prevention of pressure ulcers in elderly surgical application.docVIP

 PAGE \* MERGEFORMAT 5 Evidence-based nursing prevention of pressure ulcers in elderly surgical application [Keywords:] evidence-based care; aged Surgery; pressure ulcer prevention Evidence-based care (evidence-based nursing, EBN), also known as evidence-based nursing is the nursing care in planning its activities, the careful, clear, judicious application of best scientific evidence, and make it with a wealth of clinical knowledge and combined experience, the light of the desire of patients to make in a particular area of nursing meet the needs of patients decision-making process [1]. I Section will be applied to old evidence-based surgical care and the prevention of pressure ulcers, the effect is satisfactory to achieve a “ 0 “pressure sore management. 1 Clinical data Our department from June 2008 -2009 on June 68 to 91 years old were treated 261 cases of elderly patients, the average hospital stay of 14 days, 126 patients received surgical treatment, including post-traumatic femoral neck fracture in 9 cases, the primary disease associated with diabetes 59 cases. 2 applications to carry out evidence-based nursing practice 2.1 The place to ask questions elderly surgical risk factors for pressure ulcers: the targets of elderly surgical treated simultaneously with two or more complications, poor health, low metabolism, perioperative bed for a long time. In addition, the elderly due to loose skin, dry, lack of flexibility, less subcutaneous fat, but also prone to pressure sores. 2.2 collect the evidence 2.2.1 the reasons for occurrence of pressure sores information, the occurrence of pressure ulcers reasons: (1) lead to local tissue pressure for too long the three main physical effects: vertical pressure, friction, shear force. (2) under the skin wet exciting. (3) systemic malnutrition. 2.2.2 Measures to prevent pressure sores through the system analysis and evaluation of the literature, focusing on prevention of pressure ulcer care obt