摘要目的 探讨预见性护理在预防长期卧床所致压疮中的效果。方法 选取本院2014年8月1日～2016年7月31日收治的98例长期卧床患者作为研究对象，采取抽签分组法将其随机分成A、B组，每组49例。A组实施预见性护理，B组实施常规护理。比较两组患者的压疮形成时间及发生率、大便次数、皮损情况。结果 A组的压疮形成时间为（10.21±1.05）d，长于 B 组的（4.36±1.14）d，每周大便次数为（2.86±1.04）次，多于 B 组的（1.02±0.38）次，皮损程度评分为（1.12±0.37）分、皮损面积评分为（1.51±0.48）分、压疮发生率（6.12%）均低于 B 组的（3.54±0.89）分、（3.66±0.74）分、20.41%，差异有统计学意义（P＜0.05）。结论 对长期卧床患者实施预见性护理有利于预防压疮，同时还可通便，在缩小皮损面积、减轻皮损程度等方面的效果较理想。
Abstract：Objective To explore the effect of predictive care in preventing pressure sore caused by long-term bed.Methods 98 long-term bed patients treated in our hospital from August 1,2014 to July 31,2016 were selected as study object,and they were randomly divided into group A(n=49)and group B(n=49)using the lottery grouping method.Group A was given predictive care,while group B was given routine care.The formation time and incidence of pressure sores,frequency of defecation and skin lesions situation in patients between the two groups were compared.Results The formation time of pressure sore in group A was(10.21±1.05)days,and it was longer than that in group B [(4.36±1.14)days],and frequency of defecation per week was(2.86± 1.04)times in group A and it was more than that of group B[(1.02±0.38)times],and the score of skin lesions degree was(1.12±0.37)points,the score of skin lesions score was(1.51±0.48)points and the incidence of pressure ulcer was 6.12%,and it was lower than that of group B [(3.54±0.89)points,(3.66±0.74)points and 20.41%),and the difference was statistically significant(P＜0.05).Conclusion The implementation of predictive care for long-term bed patients is beneficial to the prevention of pressure sore,and it can relaxing the bowels,and the effect of reducing the lesion area and reducing the degree of skin lesions is more ideal.
黄坚. 预见性护理在预防长期卧床所致压疮中的效果[J]. 中国当代医药, 2017, 24(27): 166-168.
HUANG Jian. The effect of predictive care in preventing pressure sore caused by longterm bed. 中国当代医药, 2017, 24(27): 166-168.
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