对老年多器官功能衰竭患者压疮预见性护理的实践  被引量：5

PRACTICE OF PREVENTION CARE OF PRESSURE ULCERS IN MULTIPLE ORGANIC FAILURES IN THE ELDERLY</em> <p class='article-op'> <span id="bdshare" class="bdshare_t bds_tools get-codes-bdshare baidufx"><span><span class="bds_more" style="display: block; width: 62px; height: 29px; background: url(/images/share.gif) no-repeat!important; padding: 0;"></span></span></span> </p> <p class="article-source"> <a href ='/article/read.aspx?id=22930315' class='btnTitle btnIsView' target='_blank'><img alt='在线阅读' src='/images/btn-read.png'/></a><a class='btnTitle btnIsView' href="javascript:showdown('2vVetOsYykOiqEdUv3q4bFwBL7Rn+OX8GydoZisUPC4=')"><img alt="下载全文" src="/images/btn-down.png" /></a> <input id="hiddowninfo" type="hidden" value="2vVetOsYykOiqEdUv3q4bFwBL7Rn+OX8GydoZisUPC4="/> </p> <div class="collect" style="display: none"> <h5>我的收藏</h5> <div class="cnt"> <p> 名 称：<input type="text" name="collTitle" id="collSumTitle" /> </p> <p> 注 释：<input type="text" name="collRemark" id="collSumRemark" /> </p> <p style="text-align: center;"> <a href="javascript:void(0)" onclick="g_collectSumOk();"> <img width="65" height="17" src="/images_new/collect_ok.png" alt="完成" /></a> <a href="javascript:void(0)" onclick="g_collectSumCancel();"> <img width="65" height="17" src="/images_new/collect_no.png" alt="取消" /></a> </p> </div> </div> </div> <form name="wxTransfer" method="post"> <input type="hidden" name="lid" value="" /> <input type="hidden" name="sip" value="" /> <input type="hidden" name="date" value="" /> <input type="hidden" name="co" value="" /> <input type="hidden" name="Title_C" value="" /> <input type="hidden" name="Writers" value="" /> <input type="hidden" name="Name_C" value="" /> <input type="hidden" name="Num" value="" /> <input type="hidden" name="Years" value="" /> <input type="hidden" name="Volumn" value="" /> <input type="hidden" name="GCH" value="" /> <input type="hidden" name="Vol" value="" /> <input type="hidden" name="BookID" value="" /> <input type="hidden" name="SubjectNum" value="" /> <input type="hidden" name="SpecialNum" value="" /> <input type="hidden" name="mirrorName" value="" /> <input type="hidden" name="UserID" value="" /> <input type="hidden" name="UserName" value="" /> <input type="hidden" name="sourceID" value="" /> </form> <script type="text/javascript" src="/scripts/transfer.min.js"></script> <div class="article-detail"> <p class='author'><strong>作　　者：</strong><a href='/writer/article.aspx?id=100000011038700' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%be%90%e7%a6%b9%e9%9d%99%5d' title='徐禹静[1]'>徐禹静[1]</a> <a href='/writer/article.aspx?id=100000003758515' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%ae%8b%e4%b8%83%e4%bb%99%5d' title='宋七仙[1]'>宋七仙[1]</a> <a href='/writer/article.aspx?id=100000003251546' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e7%99%bd%e5%a7%a3%e5%a7%a3%5d' title='白姣姣[1]'>白姣姣[1]</a> <a href='/writer/article.aspx?id=100000029077790' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e8%92%8b%e9%a2%96%e5%8d%8e%5d' title='蒋颖华[1]'>蒋颖华[1]</a> <a href='/writer/article.aspx?id=100000030803172' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e4%b8%81%e8%95%99%e8%8e%b2%5d' title='丁蕙莲[1]'>丁蕙莲[1]</a> <a href='/writer/article.aspx?id=100000002293038' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e7%8e%8b%e5%b3%a5%5d' title='王峥[1]'>王峥[1]</a> <a href='/writer/article.aspx?id=100000010016110' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%a4%8f%e6%96%87%e5%85%b0%5d' title='夏文兰[1]'>夏文兰[1]</a> <em> </em></p><p class='organ'><strong>机构地区：</strong><a href='/organ/article.aspx?id=517&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e5%8d%8e%e4%b8%9c%e5%8c%bb%e9%99%a2' title='[1]华东医院,上海市200040'>[1]华东医院,上海市200040</a> <em> </em></p><p class='from'><strong>出　　处：</strong><a href='/journal/summary.aspx?gch=81670X' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=J%3d%5b%e8%80%81%e5%b9%b4%e5%8c%bb%e5%ad%a6%e4%b8%8e%e4%bf%9d%e5%81%a5%5d' title='老年医学与保健'>《老年医学与保健》</a>2006年第3期160-163,共4页<em>Geriatrics & Health Care</em></p><p class='fund'><strong>基　　金：</strong>上海市科学技术委员会科研计划项目(034119854)</p><p class='abstrack'><strong>摘　　要：</strong>目的探讨老年多脏器功能衰竭(MOFE)压疮预见护理的方法。方法对49例MOFE患者进行压疮风险评估,包括营养、皮肤及全身情况的评估。营养评估:积分在19～25分为43例,积分≤18分为6例;压疮危险因素评估:积分在27～24分为38例,积分≤23分为11例,均为压疮发生的高危人群。通过制定压疮早期干预计划任务单,从局部减压、肢体活动、营养支持、心理护理、局部使用保护膜、舒适护理及动态监测等几方面进行全面、整体的干预。结果49例患者发生皮肤完整性受损的为2例,经精心治疗后得以痊愈,其余47例均保持了皮肤的完整性。结论对MOFE患者进行全面、整体的皮肤早期干预,将营养学与压疮防范相结合、将新技术与常规方法相结合能够使压疮发生率降到最低,全面提高病人的护理质量。<em>Objective Purposes to explore the preventive care of pressure ulcers in multiple organic failures in the elderly （MOFE）. Methods Pressure ulcer risks were estimated in 49 MOFE patients, including nutritiou, skins and systemic conditions. The nutritional estimation scores were between 19 to 25 in 43 cases and≤ 18 in 6 cases. The pressure ulcer risk factors estimation scores were between 27 to 24 in 38 cases and ≤ 23 in 11 cases. After set up the early interference planning sheet comprehensively and integrally interferences were carried out by local decompression, limbs activity, nntritional support, psychological nursing, local use of protective membranes, gentle nursing and dynamic monitoring. Results Among 49 cases, the skin integrities were impaired in 2 cases and cured after careful management. And the skin integrities were maintained in the other 47 cases. Conclusions Comprehensively and integrally early skin interferences in MOFE patients, combining nutriology with protection of pressure ulcers and new technology with routine methods, may decrease the mobilily of pressure ulcers and improve the nursing qualities.</em></p><p class='subject'><strong>关 键 词：</strong><a href='/subject/article.aspx?id=5391286' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%80%81%e5%b9%b4%e4%ba%ba%5d' title='老年人'>老年人</a> <a href='/subject/article.aspx?id=522820' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e5%a4%9a%e5%99%a8%e5%ae%98%e5%8a%9f%e8%83%bd%e8%a1%b0%e7%ab%ad%5d' title='多器官功能衰竭'>多器官功能衰竭</a> <a href='/subject/article.aspx?id=1729429' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%a4%a5%e7%96%ae%5d' title='褥疮'>褥疮</a> <a href='/subject/article.aspx?id=5437079' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e6%8a%a4%e7%90%86%5d' title='护理'>护理</a> </p><p class='class'><strong>分 类 号：</strong><a href='/zk/search.aspx?key=C%3dR473' title='R473'>R473</a>[<a href = '/domain/article.aspx?id=486' >医药卫生—护理学</a>] </p> </div> <div id="content_wzxg" name="wzxg" class="article-graph"> <object width="695" height="250" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" id="FlashID"> <param value="../flash/relation.swf" name="movie"> <param value="high" name="quality"> <param value="opaque" name="wmode"> <param value="6.0.65.0" name="swfversion"> <param value="dataUrl=/ajax/articlerelativegraph.ashx?id=22930315" name="flashVars"> <embed width="695" height="250" src="../flash/relation.swf" type="application/x-shockwave-flash" quality="high" wmode="opaque" flashvars="dataUrl=/ajax/articlerelativegraph.ashx?id=22930315"> </embed> </object> </div> <div class="article-relate-list"> <div class="relate-list"> <p id="ckwx_br"> </p> <h2 name="ckwx" id="ckwx">参考文献：</h2> <div id="listckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jckwx_br"> </p> <h2 name="2jckwx" id="2jckwx">二级参考文献：</h2> <div id="list2jckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="ohwx_br"> </p> <h2 name="ohwx" id="ohwx">耦合文献：</h2> <div id="listohwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="yzwx_br"> </p> <h2 name="yzwx" id="yzwx">引证文献：</h2> <div id="listyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jyzwx_br"> </p> <h2 name="2jyzwx" id="2jyzwx">二级引证文献：</h2> <div id="list2jyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="tbywx_br"> </p> <h2 name="tbywx" id="tbywx">同被引文献：</h2> <div id="listtbywx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="xgqklw_br"> </p> <h2 name="xgqklw" id="xgqklw">相关期刊文献：</h2> <div id="listxgqklw"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> </div> </div> <div class="article-about"> <div class="about-box"> <h5 class="name">相关的主题<tt><a class="hide" href="#"></a></tt></h5> <div class="about-list"> </div> </div> <div class="about-box"> <h5 class="name">相关的作者对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> <div class="about-box"> <h5 class="name">相关的机构对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> </div> </div> </div> <script type="text/javascript" src="/scripts/articlerelation.min.js"></script> <script type="text/javascript" src="/scripts/articlerightrelation.min.js"></script> <script type="text/javascript" src="/scripts/articledown.min.js"></script> <div class="layer-box download" id="downloadlayer" style="display: none"> <div class="close"> <a onclick="closedown()" href="javascript:void(0)"> <img src="/images/layer-close.png" width="21" height="21" alt="" /> </a> </div> <h5 class="layer-title">下载全文</h5> <div id="downloadinfo"></div> </div> <div class="layer-box download" id="downloadlayer2" style="display:none;min-height:100px;width:500px;"> <p> <img src="/images/loading2.gif" width="64" height="64"> <span style="font-size:20px;vertical-align:middle;padding-bottom:50px;">正在链接到云南高校图书馆文献保障联盟下载...</span> </p> </div> <script id="bdshare_js" data="type=tools&uid=0" type="text/javascript"></script> <script type="text/javascript"> $(function () { var rd = GetQueryString("rd"); 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