关键词: 脊柱后入路手术, 压力性损伤, 手术室管理

Abstract: Objective To investigate the effect of risk management in the prevention of pressure injury during the operation of the posterior spine approach. Methods 117 patients who underwent posterior spinal approachsurgery from April 2019 to March 2020 were selected. The management to prevent pressure injury during the operation was to adopt the newly created nursing model based on the evidence-based risk management in this operating room. A risk management team was established and focused on the risk points of pressure injury during posterior spinal surgery by formulating personnel homogenization training mechanisms, standard posture placement procedures, detailed management during placement. The effects of the new model of care were observed and recorded the occurrence of stress injuries. In addition, this study investigated the occurrence of pressure injuries in patients undergoing posterior spinal approach surgery from March 2018 to March 2019 who did not implement the new care model （conventional care group）, and compared the differences between the two types of patients. Results Injuries occurred in 6 of the 88 patients in conventional care group （9 locations, the incidence rate was 6.82%）, while none of the 117 patients in the new care model occurred. The difference between the two groups was statistically significant （χ²=8.2178, P=0.0041）. The new nursing model did not affect the operating room time and reduce nursing compliance, and the overall satisfaction of doctors was higher than that of the conventional model （χ²=7.44, P=0.0064）. Conclusion The implementation of an evidence-based nursing program can enable nurses to receive homogenized training, and various risk management measures can provide patients with delicate nursing services, thereby effectively reducing the incidence of intraoperative pressure injuries in patients undergoing spine surgery

Key words: posterior spinal surgery, pressure injury, operating room management