精细化护理模式在高危压疮患者中的护理效果研究
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摘要
目的探讨精细化护理模式在高危压疮患者中的护理效果及其对患者自护能力的影响。方法选取2016年9月至2017年9月,清华大学第一附属医院收治的高危压疮患者60例,随机分为观察组和对照组,每组30例。观察组给予精细化护理模式,对照组给予常规护理干预。比较两组患者的治愈时间、护理效果和自护能力等。结果与对照组比较,观察组患者治愈时间(t=10.139,P=0.000);换药间隔时间(t=7.247,P=0.000);换药次数(t=9.865,P=0.000)和治疗总有效率(χ~2=6.839,P=0.000)均优于对照组,差异有统计学意义。在患者自护能力方面比较,两组患者护理后健康状况评分、生活能力评分、社会活动评分、心理活动评分均高于护理前,差异有统计学意义(P=0.000)。结论精细化护理模式能够有效缩短压疮的治愈时间,改善治疗效果,提高患者的自护能力。
Objective To discuss the effect of refined nursing on pressure sores and self-care ability of patients with high-risk pressure ulcers. Methods 60 patients with high-risk pressure ulcers who were treated in The First Hospital of Tsinghua University from September 2016 to September 2017 were randomly divided into two groups.30 patients in the experimental group were given a refined nursing care, while 30 patients in the control group were given traditional nursing care.The healing time, nursing effect and self-care ability were compared. Results There were significant differences in the healing time(t=10.139, P=0.000), wound dressing interval(t=7.247, P=0.000), times of dressing changing(t=9.865, P=0.000), total therapeutic efficiency(χ~2=6.839, P=0.000) between the two groups.The scores of overall health, daily life ability, social activity, mental ability were all increased in two groups after the nursing(P=0.000). Conclusions The refined nursing mode can effectively shorten the healing time, improve the therapeutic effect as well as self-care ability of patients with high-risk of pressure ulcers.
Objective To discuss the effect of refined nursing on pressure sores and self-care ability of patients with high-risk pressure ulcers. Methods 60 patients with high-risk pressure ulcers who were treated in The First Hospital of Tsinghua University from September 2016 to September 2017 were randomly divided into two groups.30 patients in the experimental group were given a refined nursing care, while 30 patients in the control group were given traditional nursing care.The healing time, nursing effect and self-care ability were compared. Results There were significant differences in the healing time(t=10.139, P=0.000), wound dressing interval(t=7.247, P=0.000), times of dressing changing(t=9.865, P=0.000), total therapeutic efficiency(χ~2=6.839, P=0.000) between the two groups.The scores of overall health, daily life ability, social activity, mental ability were all increased in two groups after the nursing(P=0.000). Conclusions The refined nursing mode can effectively shorten the healing time, improve the therapeutic effect as well as self-care ability of patients with high-risk of pressure ulcers.
引文
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[10] 陈晓青,吴爱兰,朱玲.规范化管理在降低老年高危压疮患者发生率中的应用[J].护理实践与研究,2017,14(1):125-126.
[11] Ayello EA,Cordero GM,Sibbald RG.Survey results from Canada and some Latin American countries:2016 National Pressure Ulcer Advisory Panel changes in terminology and definitions[J].Adv Skin Wound Care,2017,30(2):71-76.
[12] Lovegrove J,Fulbrook P,Miles S,et al.Prescription of pressure injury preventative interventions following risk assessment:an exploratory,descriptive study[J].Int Wound J,2018,15(6):985-992.
[13] 曹萍.延续性护理干预对降低老年高危压疮患者压疮发生率的效果评价[J].实用临床护理学电子杂志,2017,2(5):95-96.
[14] 张小茹.为高危压疮患者提供术中压疮护理对压疮发生的效果分析[J].中外医学研究,2017,15(23):83-85.
[15] 龚丽娜,刘小芳,丁四清,等.压疮动态评估对提高高危患者检出率及降低住院患者压疮新发率的效果观察[J].当代护士(下旬刊),2017(9):5-7.
[16] 相松飞,陈秀芳.压疮护理团队管理模式在神经内科高危压疮护理质量管理中的应用[J].中国医院统计,2016,23(3):212-214.
[2] 毛娟娟.精细化护理模式在深度压疮患者负压封闭引流术后的应用效果[J].中国医药导报,2016,13(1):168-171.
[3] 张素容,陈育珊,陈育珠,等.精细化护理在提高深度压疮患者负压封闭引流术后的治疗效果及生活质量中的作用[J].中国医药科学,2018,8(2):113-116.
[4] 魏兰涛,魏万宏,崔嬿嬿,等.品管圈活动在降低呼吸与重症监护病房监护高危患者压疮发生率中的作用[J].中国实用医药,2015,10(2):256-257.
[5] Le Fort M,Espagnacq M,Albert T.et al.Risk of pressure ulcers in tetraplegic people:a French survey crossing regional experience with a long-term follow-up[J].Eur J Public Health,2018,28(6):993-999.
[6] 陈淼,谭惠仪,叶雪梅,等.应用负反馈闭环控制管理理论提高护理人员高危压疮防范能力的效果[J].护理研究,2015,29(18):2249-2251.
[7] 龚丽娜,刘小芳.综合护理干预对降低ICU高危压疮患者压疮发生率的效果研究[J].当代护士(上旬刊),2016(5):52-54.
[8] 张秀平,张兰梅,任杰平.术中压疮护理单在手术室压疮高危病人护理中的应用[J].护理研究,2013,27(21):2237-2238.
[9] 李颖.延续性护理降低老年高危压疮患者发生压疮的研究[J].中国继续医学教育,2017,9(1):209-210.
[10] 陈晓青,吴爱兰,朱玲.规范化管理在降低老年高危压疮患者发生率中的应用[J].护理实践与研究,2017,14(1):125-126.
[11] Ayello EA,Cordero GM,Sibbald RG.Survey results from Canada and some Latin American countries:2016 National Pressure Ulcer Advisory Panel changes in terminology and definitions[J].Adv Skin Wound Care,2017,30(2):71-76.
[12] Lovegrove J,Fulbrook P,Miles S,et al.Prescription of pressure injury preventative interventions following risk assessment:an exploratory,descriptive study[J].Int Wound J,2018,15(6):985-992.
[13] 曹萍.延续性护理干预对降低老年高危压疮患者压疮发生率的效果评价[J].实用临床护理学电子杂志,2017,2(5):95-96.
[14] 张小茹.为高危压疮患者提供术中压疮护理对压疮发生的效果分析[J].中外医学研究,2017,15(23):83-85.
[15] 龚丽娜,刘小芳,丁四清,等.压疮动态评估对提高高危患者检出率及降低住院患者压疮新发率的效果观察[J].当代护士(下旬刊),2017(9):5-7.
[16] 相松飞,陈秀芳.压疮护理团队管理模式在神经内科高危压疮护理质量管理中的应用[J].中国医院统计,2016,23(3):212-214.