住院肿瘤患者压疮评估与递进性预防干预应用效果
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摘要
目的探讨住院肿瘤患者压疮评估与递进性预防干预应用效果。方法选取2016年2月至2018年1月间首都医科大学大兴教学医院收治的100例住院肿瘤患者,采用随机数表法分为观察组和对照组,每组50例。观察组患者在压疮评估结果基础上采用递进性预防干预,对照组患者采用常规预防干预,比较两组患者压疮发生率。结果观察组2例患者入院时即患压疮,入院后有1例患者发生压疮,发生率为2. 1%。对照组3例患者入院时患压疮,入院后6例患者发生压疮,发生率为12. 8%,两组比较,差异有统计学意义(P <0. 05)。护理后,两组出现压疮的患者均得到完全治愈。结论住院肿瘤患者行压疮评估并采取递进性预防干预,可有效降低肿瘤患者压疮发生率,减轻痛苦和心理负担,提高患者依从性和生活质量。
Objective To explore the efficacy of pressure ulcer assessment and progressive preventive intervention in hospitalized cancer patients. Methods A total of 100 patients with cancer who received treatment at Daxing Teaching Hospital,Capital Medical University in February 2016 to January 2018 were selected as the research subjects. According to the random number table method,they were divided into an observation group and a control group,with 50 patients in each group,of which the observation group was given progressive preventive intervention on the basis of pressure ulcer evaluation and the control group was given routine preventive intervention. The incidence of pressure sores was observed and compared between the two groups. Results In the observation group,pressure ulcer was reported in 2 patients on admission,only 1 patient in the remaining was founded to have pressure ulcer,and the incidence was 2. 1%. For the control group,pressure ulcer was reported in 3 patients on admission,after admission,pressure ulcer occurred in 6 patients,and the incidence was 12. 8%( P < 0. 05). After nursing,patients with pressure ulcer were completely cured. Conclusion Pressure ulcer assessment and progressive preventive intervention can effectively reduce the incidence of pressure ulcer,relieve the pain and psychological burden,and improve compliance and quality of life in patients with cancer.
Objective To explore the efficacy of pressure ulcer assessment and progressive preventive intervention in hospitalized cancer patients. Methods A total of 100 patients with cancer who received treatment at Daxing Teaching Hospital,Capital Medical University in February 2016 to January 2018 were selected as the research subjects. According to the random number table method,they were divided into an observation group and a control group,with 50 patients in each group,of which the observation group was given progressive preventive intervention on the basis of pressure ulcer evaluation and the control group was given routine preventive intervention. The incidence of pressure sores was observed and compared between the two groups. Results In the observation group,pressure ulcer was reported in 2 patients on admission,only 1 patient in the remaining was founded to have pressure ulcer,and the incidence was 2. 1%. For the control group,pressure ulcer was reported in 3 patients on admission,after admission,pressure ulcer occurred in 6 patients,and the incidence was 12. 8%( P < 0. 05). After nursing,patients with pressure ulcer were completely cured. Conclusion Pressure ulcer assessment and progressive preventive intervention can effectively reduce the incidence of pressure ulcer,relieve the pain and psychological burden,and improve compliance and quality of life in patients with cancer.
引文
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[10]姚秀英,徐栩,陈霞,等.汉化版Cubbin&Jackson量表与Braden量表在ICU压疮风险评估中的应用比较[J].护理学杂志,2017,32:44-46.
[11]贾爱珍. Braden压疮风险评分表在手术室护理中的运用[J].江苏医药,2016,42:1530-1531.
[12]罗彩凤,贾静,柏素萍,等.围手术期患者压疮评估及评估工具使用现状的调查研究[J].中华护理杂志,2017,52:409-413.
[2]韦华.循证护理对脊柱转移癌患者压疮和负性情绪的影响分析[J].中国肿瘤临床与康复,2014,21:238-240.
[3]董秀丽,杜可爱,施晓勤.Ⅳ期压疮感染患者危险因素分析与干预措施[J].中华医院感染学杂志,2015,17:2106-2107.
[4]索仲,李克芳,张卫芬,等.压疮感染病原菌特征与耐药性分析及水胶体敷料的治疗效果研究[J].中华医院感染学杂志,2015,25:1863-1865.
[5]陈梦,沈向英,马红梅,等. 1例全身多处压疮合并感染高龄卧床患者的护理[J].护理学报,2015,14:71-72.
[6]李俊霞,王玉华,王兰平,等.目标管理对手术患者术中及术后压疮感染的影响[J].中华医院感染学杂志,2018,28:1904-1907.
[7]黄海燕,喻姣花,谭翠莲,等.循证护理干预方案在ICU压疮高危患者中的应用[J].中国实用护理杂志,2010,26:1-3.
[8]陈淼,谭惠仪,叶雪梅,等.专科巡查提高护理人员压疮风险评估能力的实践[J].中华护理杂志,2015,50:442-445.
[9]黄维健,曲华,丛超,等.手术相关压疮信息化管理系统的设计及临床应用[J].中华护理杂志,2016,51:1204-1207.
[10]姚秀英,徐栩,陈霞,等.汉化版Cubbin&Jackson量表与Braden量表在ICU压疮风险评估中的应用比较[J].护理学杂志,2017,32:44-46.
[11]贾爱珍. Braden压疮风险评分表在手术室护理中的运用[J].江苏医药,2016,42:1530-1531.
[12]罗彩凤,贾静,柏素萍,等.围手术期患者压疮评估及评估工具使用现状的调查研究[J].中华护理杂志,2017,52:409-413.