延续性护理干预对下肢静脉溃疡患者治疗依从性、伤口护理能力及愈合效果影响分析
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摘要
目的探讨对下肢静脉溃疡患者实施延续性护理干预对其治疗依从性、伤口护理能力及愈合效果的影响。方法方便选取该院2016年1月—2017年12月期间收治的128例下肢静脉溃疡患者作为研究对象,按随机数字表法分为干预组(65例)与对照组(63例),对照组给予常规护理干预,干预组在对照组基础上实施延续性护理干预,比较两组临床护理效果。结果两组患者出院后经随访3个月,干预组治疗依从率(95.38%)显著优于对照组(73.01%)(χ~2=12.142,P=0.000);干预前,两组伤口护理能力各项评分比较差异无统计学意义(t=0.061、0.964、0.081、0.238、0.365,P均>0.05);干预后,两组伤口护理能力各项评分较干预前明显提高,而干预组伤口护理能力各项评分显著高于对照组(t=7.007,12.691,3.425,9.142,8.411,P<0.05);干预组溃疡愈合总有效率(90.77%)显著高于对照组(71.43%)(χ~2=7.855,P=0.020)。结论对下肢静脉溃疡患者出院后实施延续性护理干预,对提高患者治疗依从性、伤口护理能力及溃疡愈合效果具有积极作用,因此值得临床推广实施。
Objective To investigate the effects of continuous nursing intervention on the compliance of treatment, wound care and healing of patients with venous leg ulcers. Methods A total of 128 patients with venous leg ulcers who were admitted to the hospital from January 2016 to December 2017 were convenient selected randomly divided into two groups: intervention group(65 cases) and control group(63 cases). In the routine nursing intervention, the intervention group implemented continuous nursing intervention on the basis of the control group, and compared the clinical nursing effects of the two groups. Results After two groups of patients were followed up for 3 months, the treatment compliance rate(95.38%) in the intervention group was significantly better than that in the control group(73.01%)(χ~2=12.142, P=0.000); before the intervention, the wound care ability of the two groups was different. There was no statistically significant difference in scores(t =0.061, 0.964, 0.081, 0.238, 0.365, P>0.05). After the intervention, the scores of wound care ability in the two groups were significantly higher than those before the intervention, and the wound care ability of the intervention group was different.The scores were significantly higher than those in the control group(t=7.007, 12.691, 3.425, 9.142, 8.411, P<0.05); the total effective rate of ulcer healing in the intervention group(90.77%) was significantly higher than that in the control group(71.43%)(χ~2=7.855, P=0.020). Conclusion Continuous nursing intervention after discharge from patients with venous leg ulcers has a positive effect on improving patient compliance, wound care ability, and ulcer healing effects, and is therefore worthy of clinical promotion.
Objective To investigate the effects of continuous nursing intervention on the compliance of treatment, wound care and healing of patients with venous leg ulcers. Methods A total of 128 patients with venous leg ulcers who were admitted to the hospital from January 2016 to December 2017 were convenient selected randomly divided into two groups: intervention group(65 cases) and control group(63 cases). In the routine nursing intervention, the intervention group implemented continuous nursing intervention on the basis of the control group, and compared the clinical nursing effects of the two groups. Results After two groups of patients were followed up for 3 months, the treatment compliance rate(95.38%) in the intervention group was significantly better than that in the control group(73.01%)(χ~2=12.142, P=0.000); before the intervention, the wound care ability of the two groups was different. There was no statistically significant difference in scores(t =0.061, 0.964, 0.081, 0.238, 0.365, P>0.05). After the intervention, the scores of wound care ability in the two groups were significantly higher than those before the intervention, and the wound care ability of the intervention group was different.The scores were significantly higher than those in the control group(t=7.007, 12.691, 3.425, 9.142, 8.411, P<0.05); the total effective rate of ulcer healing in the intervention group(90.77%) was significantly higher than that in the control group(71.43%)(χ~2=7.855, P=0.020). Conclusion Continuous nursing intervention after discharge from patients with venous leg ulcers has a positive effect on improving patient compliance, wound care ability, and ulcer healing effects, and is therefore worthy of clinical promotion.
引文
[1]李成叶,黄秀凤.护理干预对下肢静脉溃疡患者治疗效果及依从性的影响分析[J].中国伤残医学,2017,25(24):21-23.
[2]宋江艳,于卫华,王胜琴,等.下肢静脉溃疡伤口评估及护理干预研究现状[J].护理研究,2013,27(18):1807-1809.
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[4]余宏虹,黄晓华,石先凤,等.延续性护理模式在下肢静脉溃疡患者中的临床效果分析[J].医学理论与实践,2017,30(13):2017-2018.
[5]高素英.区域协同信息管理模式对下肢静脉性溃疡患者湿性愈合治疗的影响[J].中国实用护理杂志,2016,32(30):2349-2353.
[6]A Manorama,R Meyer,R Wiseman,et al.Quantifying the effects of external shear loads on arterial and venous blood flow:implications for pressure ulcer development[J].Clinical Biomechanics,2013,28(5):574-578.
[7]赵静,吴玲.压迫治疗在下肢静脉溃疡患者中的应用[J].中华护理杂志,2015,50(6):733-738.
[8]张艳红,谢绮雯,陆华群,等.两种健康教育方式对下肢静脉溃疡患者压力治疗依从性的影响[J].国际医药卫生导报,2016,22(14):2027-2029.
[9]戴薇薇.延续性护理在下肢静脉溃疡患者应用效果评价[D].长沙:中南大学,2014.
[2]宋江艳,于卫华,王胜琴,等.下肢静脉溃疡伤口评估及护理干预研究现状[J].护理研究,2013,27(18):1807-1809.
[3]罗桥芳,张艳红.个性化心理护理在下肢静脉性溃疡患者中的应用效果[J].中国烧伤创疡杂志,2017,29(3):197-199.
[4]余宏虹,黄晓华,石先凤,等.延续性护理模式在下肢静脉溃疡患者中的临床效果分析[J].医学理论与实践,2017,30(13):2017-2018.
[5]高素英.区域协同信息管理模式对下肢静脉性溃疡患者湿性愈合治疗的影响[J].中国实用护理杂志,2016,32(30):2349-2353.
[6]A Manorama,R Meyer,R Wiseman,et al.Quantifying the effects of external shear loads on arterial and venous blood flow:implications for pressure ulcer development[J].Clinical Biomechanics,2013,28(5):574-578.
[7]赵静,吴玲.压迫治疗在下肢静脉溃疡患者中的应用[J].中华护理杂志,2015,50(6):733-738.
[8]张艳红,谢绮雯,陆华群,等.两种健康教育方式对下肢静脉溃疡患者压力治疗依从性的影响[J].国际医药卫生导报,2016,22(14):2027-2029.
[9]戴薇薇.延续性护理在下肢静脉溃疡患者应用效果评价[D].长沙:中南大学,2014.