家庭延续护理对老年脑胶质瘤患者术后压疮及护理满意度影响研究

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摘要目的探讨家庭延续护理对老年脑胶质瘤患者术后压疮及护理满意度的影响。方法选取2014年12月～2016年11月我院神经外科收治的老年脑胶质瘤术后患者164例，按随机数字表法分组对照组及研究组，各82例，对照组予以常规护理，研究组在对照组基础上予以家庭延续护理干预，比较两组照顾者照顾行为评分、患者Braden压疮危险因素评分、压疮总发生情况及护理满意度。结果与干预前比较，两组患者干预后翻身行为、皮肤护理、营养支持等照顾行为评分均有所升高，且研究组评分高于对照组，差异均有统计学意义（P＜0.01）。与干预前比较，两组患者干预后Braden评分均有所升高，且研究组评分高于对照组，差异均有统计学意义（P＜0.01）。研究组患者压疮发生率低于对照组，患者护理满意度高于对照组，差异有统计学意义（P＜0.05）。结论家庭延续护理能够有效改善老年脑胶质瘤术后患者照顾者的照顾行为，降低压疮危险因素，降低压疮发生率，提高护理满意度。

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	徐勤
	刘澍雨
	彭果
	谢小华

关键词 ：家庭延续护理, 老年患者, 术后压疮, 护理满意度

Abstract：ObjectiveTo explore the efficacy of family continuation nursing on postoperative pressure ulcer and nursing satisfaction in elderly patients with brain glioma.Methods164 elderly patients with brain glioma after surgery from the Department of Neurosurgery in our hospital from December 2014 to November 2016 were selected and divided into the experiment group and the control group,with 82 cases in each group.Patients in the control group were given conventional nursing,while patients in the experiment group were given family continuation nursing on the basis of the control group.The caregiver care behavior score,braden pressure ulcer risk factor score,the incidence of pressure ulcer and nursing satisfaction were conpared between two groups.ResultsAfter intervation,the scores of the turning behavior,skin care,nutritional support in two groups were all increased and were higher than those before intervention,and those in experiment group were higher than those in control group,and the differences were statistically significant(P＜0.01).After intervation,the scores of indexes in Braden were all increased and were higher than those before intervention,and those in experiment group were higher than those in control group,and the differences were statistically significant(P＜0.01). The incidence of pressure ulcer in experiment was lower than that in the experiment group and the nursing satisfaction in experiment was higher than that in the experiment group,the differences were statistically significant(P＜0.05).ConclusionThe family continuation nursing can effectively enhance care behavior of caregivers,reduce the risk factors and incidence of pressure ulcer and improve nursing satisfaction of eldly patients with brain glioma.

Key words： Family continuation nursing Elderly patient Postoperative pressure ulcer Nursing satisfaction

基金资助:广东省深圳市知识创新计划基础研究项目（JCYJ 20140414170821174）

引用本文:

徐勤;刘澍雨;彭果;谢小华. 家庭延续护理对老年脑胶质瘤患者术后压疮及护理满意度影响研究[J]. 中国当代医药, 2017, 24(13): 163-166.
XU Qin;LIU Shu-yu;PENG Guo;XIE Xiao-hua. Efficacy of family continuation nursing on postoperative pressure ulcer and nursing satisfaction in elderly patients with brain glioma. 中国当代医药, 2017, 24(13): 163-166.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I13/163

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