[1]吴艳梅,董春叶,任翠萍,等.压疮风险预警护理对重症患者压疮的预防效果及对生活质量的影响[J].医学信息,2024,37(16):153-156.[doi:10.3969/j.issn.1006-1959.2024.16.036]
　WU Yan-mei,DONG Chun-ye,REN Cui-ping,et al.Preventive Effect of Pressure Ulcer Risk Early Warning Nursing of on Pressure Ulcerin Severe Patients and its Influence on Quality of Life[J].Journal of Medical Information,2024,37(16):153-156.[doi:10.3969/j.issn.1006-1959.2024.16.036]
点击复制

压疮风险预警护理对重症患者压疮的预防效果及对生活质量的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年16期
页码:
153-156
栏目:
护理研究
出版日期:
2024-08-15

文章信息/Info

Title:
Preventive Effect of Pressure Ulcer Risk Early Warning Nursing of on Pressure Ulcerin Severe Patients and its Influence on Quality of Life
文章编号:
1006-1959（2024）16-0153-04
作者:
吴艳梅; 董春叶; 任翠萍; 张叶斐; 李 娜
天津市滨海新区海滨人民医院重症医学科，天津 300280
Author(s):
WU Yan-mei; DONG Chun-ye; REN Cui-ping; ZHANG Ye-fei; LI Na
Intensive Care Unit,Haibin People’s Hospital of Tianjin Binhai New New Area,Tianjin 300280,China
关键词:
压疮; 风险预警护理; 重症患者; 生活质量
Keywords:
Pressure ulcer; Risk early warning nursing; Critical patients; Quality of life
分类号:
R473.75
DOI:
10.3969/j.issn.1006-1959.2024.16.036
文献标志码:
A
摘要:
目的 研究压疮风险预警护理对重症患者压疮的预防效果及对生活质量的影响。方法 选取2022年3月-2023年3月在我院诊治的68例重症患者为研究对象，采用随机数字表法分为对照组（n=34）和观察组（n=34）。对照组应用常规护理，观察组在对照组基础上给予压疮风险预警护理。比较两组患者压疮危险因素（Braden）评分、压疮发生率、家属压疮防护知识水平、并发症发生率，以及生活质量水平。结果 两组干预后Braden各维度评分均高于干预前，且观察组高于对照组（P＜0.05）；观察组压疮发生率为8.82%，低于对照组的20.59%（P＜0.05）；观察组家属压疮防护知识各维度评分均高于对照组（P＜0.05）；观察组并发症发生率为5.88%，低于对照组的14.71%（P＜0.05）；两组干预后生活质量评分均高于干预前，且观察组生活质量评分高于对照组（P＜0.05）。结论 压疮风险预警护理可有效重症患者压疮的发生，降低Braden评分，提高重症患者生活质量水平，预防并发症发生，增强家属压疮防护知识水平，具有显著的临床应用护理效果，值得临床加以应用。
Abstract:
Objective To study the preventive effect of pressure ulcer risk early warning nursing of on pressure ulcer in severe patients and its influence on quality of life.Methods A total of 68 critically ill patients diagnosed and treated in our hospital from March 2022 to March 2023 were selected as the research objects. They were divided into control group (n=34) and observation group (n=34) by random number table method. The control group was given routine nursing, and the observation group was given ressure ulcer riskearly warning nursing of p on the basis of the control group. The risk factors of pressure ulcer (Braden) score, the incidence of pressure ulcer, the level of pressure ulcer protection knowledge of family members, the incidence of complications and the quality of life were compared between the two groups.Results The scores of Braden dimensions in the two groups after intervention were higher than those before intervention, and those in the observation group were higher than those in the control group (P<0.05). The incidence of pressure ulcers in the observation group was 8.82%, which was lower than 20.59% in the control group (P<0.05). The scores of each dimension of pressure ulcer protection knowledge of family members in the observation group were higher than those in the control group (P<0.05). The incidence of complications in the observation group was 5.88%, which was lower than 14.71% in the control group (P<0.05). The quality of life scores of the two groups after intervention were higher than those before intervention, and those of the observation group were higher than those of the control group (P<0.05).Conclusion Pressure ulcer risk early warning nursing can effectively reduce the occurrence of pressure ulcers in critically ill patients, reduce Braden score, improve their quality of life, prevent complications, and enhance the level of pressure ulcer protection knowledge of family members. It has significant clinical application nursing effect and is worthy of clinical application.

参考文献/References:

[1]宋继红.预见性护理干预对重症监护室危重症患者压疮的预防效果分析[J].山西医药杂志,2020,49(6):730-731.[2]尤丽萍.ICU患者焦虑状态综合护理干预效果评价[J].医学理论与实践,2017,30(11):1700-1702.[3]肖明江.综合护理管理干预措施对预防ICU综合征的效果[J].中医药管理杂志,2018,24(16):56-57.[4]邓小红,王乔凤,李明珂,等.ICU住院患者发生院内获得性压疮的危险因素分析[J].中国护理管理,2018,16(6):836-839.[5]高家友,梁艳,陈红.预见性护理对ICU神经外科患者术后胃肠道功能恢复的影响[J].现代消化及介入诊疗,2018,23(3):413-415.[6]于宏丽,吕秀英,曹冬雪,等.重症患者发生压疮高危因素的系统评价[J].中国实用护理杂志,2017,33(23):1836-1840.[7]李茹,段晓侠,单文明,等.预见性压疮预防护理在ICU患者中应用效果[J].蚌埠医学院学报,2018,41(12):1688-1690.[8]McBride J,Richardson A.A critical care network pressure ulcer prevention quality improvement project[J].Nurs Crit Care,2016,21(6):343-350.[9]饶艳伟,姜鲨,吴洁怡,等.新型压疮防护系统对压疮高危风险病人的防护作用的研究[J].全科护理,2017,15(28):3482-3483.[10]Li D.The relationship among pressure ulcer risk factors, incidence and nursing documentation in hospital-acquired pressure ulcer patients in intensive care units[J].J Clin Nurs,2016,25(15-16):2336-2347.[11]李路生.情志护理在温度把控艾灸治疗压疮护理中的应用及对患者QOL评分的影响[J].国际护理学杂志,2021,40(16):2979-2982.[12]蔡明.骨科护士对预防骨折病人压疮护理体验的质性研究[J].全科护理,2020,18(24):3246-3429.[13]高悦,宋宇,鲍春,等.压疮风险预警护理在预防重症脑梗死住院患者压疮发生中的效果观察[J].实用临床医药杂志,2017,21(16):14-16,20.[14]王敏,徐燕华,袁阿珍.Waterlow量表和Braden量表对重症患者压疮预测价值的比较研究[J].泰州职业技术学院学报,2019,19(5):71-74.[15]赵慧,刘平,孙蕊.家庭参与联合微信App护理干预在压疮患者中的应用[J].齐鲁护理杂志,2021,27(11):144-146.[16]郑娜,柳晓梅,张萌萌.预警护理对神经外科重症患者出血及压疮发生率的影响[J].国际护理学杂志,2021,40(11):2077-2080.[17]李雯霞,曾华娇,胡泉.腹压预警标识相关动态护理对重症急性胰腺炎病人炎性因子水平、自我护理能力及生活质量的影响[J].全科护理,2021,19(33):4694-4698.[18]袁皓琪,杨英,张雯.压疮风险预警护理在预防重症脑梗死住院患者压疮发生中的效果观察[J].中外医学研究,2019,17(14):94-95.[19]白瑞敏.压疮风险预警护理用于老年住院患者压疮预防中的效果[J].山西医药杂志,2021,50(4):678-679.

相似文献/References:

[1]彭 靓,汪 虹,朱洪申.负压创面治疗技术应用于慢性难愈合创面的疗效分析[J].医学信息,2018,31(11):176.[doi:10.3969/j.issn.1006-1959.2018.11.059]
　PENG Liang,WANG Hong,ZHU Hong-shen.Therapeutic Effect of Negative Pressure Wound Therapy on Chronic Difficult Wound Healing[J].Journal of Medical Information,2018,31(16):176.[doi:10.3969/j.issn.1006-1959.2018.11.059]
[2]张会元.基于Triangle分层管理的预见性护理对ICU重症患者护理效果及质量的影响[J].医学信息,2020,33(11):179.[doi:10.3969/j.issn.1006-1959.2020.11.059]
　ZHANG Hui-yuan.The Effect of Predictive Nursing Based on Triangle Hierarchical Management on the Nursing Effect and Quality of ICU Critical Patients[J].Journal of Medical Information,2020,33(16):179.[doi:10.3969/j.issn.1006-1959.2020.11.059]
[3]李 静,高占红,徐文哲,等.国内压疮患者延续性护理研究的文献计量学分析[J].医学信息,2021,34(02):15.[doi:10.3969/j.issn.1006-1959.2021.02.005]
　LI Jing,GAO Zhan-hong,XU Wen-zhe,et al.A Bibliometric Analysis of the Research on Continuous Nursing for Patients with Pressure Ulcer[J].Journal of Medical Information,2021,34(16):15.[doi:10.3969/j.issn.1006-1959.2021.02.005]
[4]陈会娜,江佳隆,刘文秀,等.基于CiteSpace的压力性损伤相关文献研究的可视化分析[J].医学信息,2022,35(02):15.[doi:10.3969/j.issn.1006-1959.2022.02.004]
　CHEN Hui-na,JIANG Jia-long,LIU Wen-xiu,et al.Visualization Analysis of Related Literatures on Pressure Damage Based on CiteSpace[J].Journal of Medical Information,2022,35(16):15.[doi:10.3969/j.issn.1006-1959.2022.02.004]

更新日期/Last Update: 1900-01-01