[1]董春叶,吴艳梅,张叶斐,等.4R危机管理护理方法在预防ICU危重患者失禁性皮炎中的应用及对压力性损伤的预防[J].医学信息,2023,36(13):159-162.[doi:10.3969/j.issn.1006-1959.2023.13.035]
　DONG Chun-ye,WU Yan-mei,ZHANG Ye-fei,et al.Application of 4R Crisis Management Nursing Method in the Prevention of Intensive Care Unit Patients with Incontinent Dermatitis and the Prevention of Stress Injury[J].Journal of Medical Information,2023,36(13):159-162.[doi:10.3969/j.issn.1006-1959.2023.13.035]
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4R危机管理护理方法在预防ICU危重患者失禁性皮炎中的应用及对压力性损伤的预防()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年13期
页码:
159-162
栏目:
护理研究
出版日期:
2023-07-01

文章信息/Info

Title:
Application of 4R Crisis Management Nursing Method in the Prevention of Intensive Care Unit Patients with Incontinent Dermatitis and the Prevention of Stress Injury
文章编号:
1006-1959（2023）13-0159-04
作者:
董春叶; 吴艳梅; 张叶斐; 等
（天津市滨海新区海滨人民医院重症医学科，天津 300280）
Author(s):
DONG Chun-ye; WU Yan-mei; ZHANG Ye-fei; et al.
(Department of Critical Medicine,Haibin People’s Hospital of Binhai New Area,Tianjin 300280,China)
关键词:
4R危机管理; ICU危重患者; 失禁性皮炎; 压力性损伤
Keywords:
4R crisis management; ICU critical patients; Incontinence dermatitis; Stress injury
分类号:
R472.2
DOI:
10.3969/j.issn.1006-1959.2023.13.035
文献标志码:
A
摘要:
目的 研究4R危机管理护理方法在预防ICU危重患者失禁性皮炎中的应用及对压力性损伤的预防效果。方法 选取2022年5月-2023年2月入住我院ICU的64例危重患者为研究对象，采用随机数字表法分为对照组（n=32）和观察组（n=32），对照组采用常规护理，观察组在对照组基础上采用4R危机管理护理方法。比较两组患者失禁性皮炎发生率、压力性损伤发生率、失禁性皮炎发生风险评分（PAT）、生活质量评分、护理满意度。结果 观察组失禁性皮炎发生率为9.38%，低于对照组的21.88%（P＜0.05）；观察组压力性损伤发生率为3.13%，低于对照组的15.63%（P＜0.05）；两组干预后PAT评分均低于干预前，且观察组低于对照组（P＜0.05）；两组干预后生活质量各维度评分均高于干预前，且观察组高于对照组（P＜0.05）；观察组护理满意度为93.75%，高于对照组的81.25%（P＜0.05）。结论 4R危机管理护理方法可有效预防ICU危重患者失禁性皮炎和压力性损伤，降低失禁性皮炎发生风险，改善ICU危重症患者生活质量水平，提高护理满意度，利于患者的康复。
Abstract:
Objective To study the application of 4R crisis management nursing in the prevention of Intensive Care Unit (ICU) patients with incontinent dermatitis and the prevention effect of stress injury.Methods A total of 64 critically ill patients admitted to ICU of our hospital from May 2022 to February 2023 were selected as the research objects. They were divided into control group (n=32)and observation group (n=32) by random number table method. The control group was given routine nursing, and the observation group was given 4R crisis management nursing method on the basis of the control group. The incidence of incontinence dermatitis, pressure injury, incontinence dermatitis risk score (PAT), quality of life score and nursing satisfaction were compared between the two groups.Results The incidence of incontinence dermatitis in the observation group was 9.38%, which was lower than 21.88% in the control group (P＜0.05). The incidence of pressure injury in the observation group was 3.13%, which was lower than 15.63% in the control group (P＜0.05). The PAT score of the two groups after intervention was lower than that before intervention, and that in the observation group was lower than that in the control group (P＜0.05). The scores of each dimension of quality of life 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 nursing satisfaction of the observation group was 93.75%, which was higher than 81.25% of the control group (P＜0.05).Conclusion 4R crisis management nursing method can effectively prevent incontinence dermatitis and stress injury of critically ill patients in ICU, reduce the risk of incontinence dermatitis, improve the quality of life, improve nursing satisfaction, and facilitate the rehabilitation of patients.

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更新日期/Last Update: 1900-01-01