Volume 23 Issue 8
Aug.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(8): 1440-1444
WU Min, XIE Jingyi, LI Wenwen, LI Lanlan, DONG Zhou, CHENG Huimin. The application of a predictive nursing model based on evidence theory in preventing intraoperative acquired pressure injury in elderly patients with transforaminal lumbar interbody fusion[J]. Chinese Journal of General Practice, 2025, 23(8): 1440-1444. doi: 10.16766/j.cnki.issn.1674-4152.004151
Citation: WU Min, XIE Jingyi, LI Wenwen, LI Lanlan, DONG Zhou, CHENG Huimin. The application of a predictive nursing model based on evidence theory in preventing intraoperative acquired pressure injury in elderly patients with transforaminal lumbar interbody fusion[J]. Chinese Journal of General Practice, 2025, 23(8): 1440-1444. doi: 10.16766/j.cnki.issn.1674-4152.004151
shu

The application of a predictive nursing model based on evidence theory in preventing intraoperative acquired pressure injury in elderly patients with transforaminal lumbar interbody fusion

doi: 10.16766/j.cnki.issn.1674-4152.004151

  • Department of Operating Rooms, the First People' s Hospital of Hefei, Hefei, Anhui 230061, China

Funds:

 2022AH050768

  • Received Date: 2024-11-15
    Available Online: 2025-10-31
    Abstract
  •   Objective  To study the application effectiveness of a predictive nursing model based on evidence theory in preventing intraoperative acquired pressure injury (IAPI) in elderly patients with transforaminal lumbar interbody fusion (TLIF).  Methods  A total of 80 elderly patients who underwent TLIF treatment at the First People' s Hospital of Hefei from February 2021 to February 2024 were enrolled and randomly assigned to a control group (n=40, routine nursing intervention) and an observation group (n=40, predictive nursing model based on evidence theory on the basis of the control group) by random number table method. IAPI, complication rates, pain degree (visual analogue scale, VAS), and low back function (Oswestry disability indexes, ODI) were compared between the two groups.  Results  (1) At 72 h after operation, no significant difference in IAPI location was observed between the two groups (P>0.05), however, the incidence rate of IAPI, injury number, injury area, and complication rate in the observation group were lower than those in the control group (P < 0.05), respectively. (2) The proportion of IAPI classified as grade Ⅲ-Ⅳ in the observation group was lower than that in the other group (P < 0.05). (3) VAS scores decreased in both groups at 30 min, 3 d, and 1 week after surgery, with the observation group showing lower scores (P < 0.05). (4) ODI scores decreased in both groups after the intervention, with significantly lower scores observed in the observation group [pain, (3.31±0.59) points vs. (3.67±0.52) points; personal comprehensive function, (8.14±2.26) points vs. (10.05±2.03) points; single function, (9.28±1.84) points vs. (10.53±1.72) points, all P < 0.05].  Conclusion  The application of predictive nursing model based on evidence theory in elderly patients with TLIF can effectively prevent the occurrence, area, and severity of IAPI, and improve lower back function.

     

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