护士观察量表联合Braden压疮危险评估量表在精神心理科住院患者压疮风险中的评估价值
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摘要
目的探讨护士观察量表(NOSIE)联合Braden压疮危险评估量表在精神心理科住院患者压疮风险中的评估价值。方法选择2018年1～5月南方医科大学南方医院精神心理科新入院的患者90例,依据NOSIE评分情况分为轻度病情组(48例)和严重病情组(42例)。采用Braden压疮危险评估量表评估并比较两组病例并发压疮的风险情况,在采取相应护理措施干预后进一步比较两组病例实际发生压疮情况。结果严重病情组并发压疮的风险率高于轻度病情组,差异有统计学意义(P <0.05);经护理干预后两组病例压疮实际的发生率均明显低于其预测的风险率,差异有统计学意义(P <0.05),但两组之间差异无统计学意义(P> 0.05)。结论联合NOSIE和Braden压疮危险评估量表可以有效评估精神心理科住院患者并发压疮的风险,有利于针对病情采取适当的护理措施。
Objective To investigate the value of nurses′ observation scale for inpatient evaluation(NOSIE) combined with Braden scale in pressure ulcer risk of inpatients in Department of Psychiatry and Psychology. Methods From January to May 2018, in Department of Psychiatry and Psychology, Nanfang Hospital of Southern Medical University, 90 newly admitted patients were selected, according to the NOSIE score, they were divided into mild condition group(48 cases) and severe condition group(42 cases). The risk of pressure ulcer in two groups were evaluated and compared with Braden pressure ulcer risk assessment scale. After taking the corresponding nursing measures, the actual situation of pressure ulcer in two groups were compared. Results The risk rate of pressure ulcer in severe condition group was higher than mild condition group, the difference was statistically significant(P < 0.05). After nursing intervention, the incidence rate of pressure ulcer in two groups was significantly lower than the risk rate, the difference was statistically significant(P < 0.05), but there was no statistically significant difference in the incidence of pressure ulcer between two groups(P > 0.05). Conclusion Combined application of NOSIE and Braden scale can effectively assess the risk of pressure ulcer in inpatients of Department of Psychiatry and Psychology. It is benefit to take appropriate nursing measures for the patients with the disease.
Objective To investigate the value of nurses′ observation scale for inpatient evaluation(NOSIE) combined with Braden scale in pressure ulcer risk of inpatients in Department of Psychiatry and Psychology. Methods From January to May 2018, in Department of Psychiatry and Psychology, Nanfang Hospital of Southern Medical University, 90 newly admitted patients were selected, according to the NOSIE score, they were divided into mild condition group(48 cases) and severe condition group(42 cases). The risk of pressure ulcer in two groups were evaluated and compared with Braden pressure ulcer risk assessment scale. After taking the corresponding nursing measures, the actual situation of pressure ulcer in two groups were compared. Results The risk rate of pressure ulcer in severe condition group was higher than mild condition group, the difference was statistically significant(P < 0.05). After nursing intervention, the incidence rate of pressure ulcer in two groups was significantly lower than the risk rate, the difference was statistically significant(P < 0.05), but there was no statistically significant difference in the incidence of pressure ulcer between two groups(P > 0.05). Conclusion Combined application of NOSIE and Braden scale can effectively assess the risk of pressure ulcer in inpatients of Department of Psychiatry and Psychology. It is benefit to take appropriate nursing measures for the patients with the disease.
引文
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[14]廖庆萍,张漫,江智霞,等.综合医院住院患者压疮横断面调查与分析[J].重庆医学,2016,45(24):3446-3447.
[15] Morgan K,Bartrop R,Telfer J,et al. A controlled trial investigating the effect of music therapy during an acute psychotic episode[J]. Acta Psychiatr Scand,2011,124(5):363-371.
[16]李敏娇,吴为阁,李玲.护士观察量表在少儿精神病病人护理中的应用[J].护理研究,2014,28(4C):1431-1432.
[17]范宏振,邹义壮,谭淑平,等.住院病人护士观察量表的效度研究[J].护理研究,2012,26(9A):2389-2391.
[18]于彬彬,许红梅,陈晓琳,等.Braden量表对住院患者压疮危险预测效度的Meta分析[J].护理学杂志,2016,31(5):97-101.
[19] Chen HL,Cao YJ,Shen WQ,et al. Construct validity of the braden scale for pressure ulcer assessment in acute care:a structural equation modeling approach[J]. Ostomy Wound Manage,2017,63(2):38-41.
[20]赵琳,杨荣利,姜秋红,等.气垫床对ICU中度压疮危险患者翻身间隔时间的影响研究[J].护士进修杂志,2017,32(17):1626-1628.
[21]杨宏,李玉红,秦淼,等.综合医院压疮现患率调研及预防现状分析[J].护士进修杂志,2015,30(23):2181-2183.
[2]赵静,吴金凤,李菁,等.OH压疮评估表在老年患者压疮危险预测中的应用[J].中国护理管理,2017,17(11):1500-1503.
[3] Saghaleini SH,Dehghan K,Shadvar K,et al. Pressure ulcer and nutrition[J]. Indian J Crit Care Med,2018,22(4):283-289.
[4]朱芳,蒋婷,白倩,等.家庭跟进式健康教育应用于心力衰竭患者对其压疮预防以及情感状况的影响剖析[J].中国医药导报,2017,14(13):171-174.
[5]王华芬,孙红玲,许彩云,等.压疮管理软件在构建压疮标准化防护体系中的应用与评价[J].中华护理杂志,2013,48(12):1104-1107.
[6]徐敬.关于精神科住院患者护理风险评估与干预方法分析[J].实用临床护理学杂志,2017,2(51):22-23.
[7] Folke F,Hursti T,Kanter JW,et al. Exploring the relationship between activities and emotional experience using a diary in a mental health inpatient setting[J]. Int J Ment Health Nurs,2018,27(1):276-286.
[8] Podubinski T,Lee S,Hollander Y,et al. Patient characteristics associated with aggression in mental health units[J].Psychiatry Res,2017,250:141-145.
[9]徐美瑛.精神病科护理不良事件原因及对策分析[J].当代医学,2017,23(10):171-172.
[10] Rgn SC, Jane Nixon RN, Keen J,et al. A new pressure ulcer conceptual framework[J]. J Adv Nurs,2014,70(10):2222-2234.
[11]宁翠霞,毕越英.压疮的基础实验研究进展[J].现代中西医结合杂志,2017,26(27):3075-3078.
[12]张巧利,彭朝林.前瞻性护理对急诊危重患者ICU期间压疮形成的影响[J].国际护理学杂志,2014,33(7):1736-1738.
[13] Mcginnis E,Briggs M,Collinson M,et al. Pressure ulcer related pain in community populations:a prevalence survey[J]. BMC Nurs,2014,13:16.
[14]廖庆萍,张漫,江智霞,等.综合医院住院患者压疮横断面调查与分析[J].重庆医学,2016,45(24):3446-3447.
[15] Morgan K,Bartrop R,Telfer J,et al. A controlled trial investigating the effect of music therapy during an acute psychotic episode[J]. Acta Psychiatr Scand,2011,124(5):363-371.
[16]李敏娇,吴为阁,李玲.护士观察量表在少儿精神病病人护理中的应用[J].护理研究,2014,28(4C):1431-1432.
[17]范宏振,邹义壮,谭淑平,等.住院病人护士观察量表的效度研究[J].护理研究,2012,26(9A):2389-2391.
[18]于彬彬,许红梅,陈晓琳,等.Braden量表对住院患者压疮危险预测效度的Meta分析[J].护理学杂志,2016,31(5):97-101.
[19] Chen HL,Cao YJ,Shen WQ,et al. Construct validity of the braden scale for pressure ulcer assessment in acute care:a structural equation modeling approach[J]. Ostomy Wound Manage,2017,63(2):38-41.
[20]赵琳,杨荣利,姜秋红,等.气垫床对ICU中度压疮危险患者翻身间隔时间的影响研究[J].护士进修杂志,2017,32(17):1626-1628.
[21]杨宏,李玉红,秦淼,等.综合医院压疮现患率调研及预防现状分析[J].护士进修杂志,2015,30(23):2181-2183.