Effect of Self-Adhesive Soft Silicone Foam Dressing Combined with Clustered Nursing Strategy on Prevent Pressure Injury in Patients after Pancreaticoduodenal Surgery

Abstract

Background and purpose: Pancreaticoduodenectomy is a kind of abdominal surgery with large trauma, complicated operation and high incidence of postoperative complications especially for elderly patients. Pressure injury is one of its common complications.  This study explored the preventive effect of self-adhesive soft silicone foam dressing combined with clustered nursing strategy on patients with pressure injury after pancreaticoduodenal surgery. Methods: From November 2018 to November 2020, 120 elderly patients who underwent pancreaticoduodenectomy in the Department of Hepatobiliary Surgery of Hunan Provincial People's Hospital were selected and randomly divided into a control group and an observation group.  The control group was treated with routine care, and the observation group was treated with self-adhesive soft silicone foam dressing combined with clustered care. The pressure injury risk score, pressure injury incidence rate, skin complication rate, psychological concern score, and sense of trust score, comfort score, physiological problem score and nursing satisfaction score were compared between the two groups. Results: Compared with the control group, the pressure injury risk score, pressure injury incidence rate, and skin complications incidence rate of the observation group were lower (P＜0.05), while the psychological concern score, trust score, comfort score, the scores of physiological problems and nursing satisfaction were higher (P＜0.05).Conclusion: Self-adhesive soft silicone foam dressing combined with clustered nursing strategy can reduce the risk score and incidence of pressure injury in elderly patients after pancreaticoduodenal surgery, reduce the occurrence of complications, and improve nursing comfort and satisfaction. It is worthy of promotion.