老年难免性压疮患者的循证护理  

Evidence-based nursing of inevitable pressure sore in elderly patients

作　　者：邢华英[1] 张英[1] 李光洁[1] 叶爱武[1] 

机构地区：[1]南京医科大学第一附属医院老年医学科,210029

出　　处：《江苏医药》2010年第14期1642-1644,共3页Jiangsu Medical Journal

摘　　要：目的探讨老年住院患者难免压疮的护理方法 。方法 用Norton评分法评估,筛选出老年高危压疮患者331例,运用循证护理方法 和步骤,提出问题,查找应用证据,并根据患者不同的个体状况,制定压疮预防和治疗的护理措施,实施个体化的护理。结果 331例患者中,难免性压疮发生率为17.52%,其中Ⅰ度压疮发生率为14.20%,Ⅱ度压疮发生率为3.32%。压疮患者的创面经个体化的治疗和护理后,329例愈合(愈合率99.4%)。结论应用循证护理,高危老年患者的难免性压疮能有效得到预防和治疗。Objective To explore the best nursing care of elderly patients with inevitable pressure sore.Methods A total of 331 elderly high-risk patients with pressure sore was evaluated using the assessment table of Norton.The problems and evidences were collected according to the method and process of evidence-based nursing and the individualized nursing plan was established and practiced.Results Of 331 patients,the incidence rate of pressure sore was 17.52% （14.20% in the patients with gradeⅠand 3.32% in the patients with gradeⅡ）.The pressure sores were cured in 329 cases with a healing rate of 99.4%.Conclusion The inevitable pressure sore can be prevented and cured effectively in elderly patients at high-risk as long as the evidence-based nursing is taken properly.

关 键 词：难免压疮 循证护理 老年 

分 类 号：R473[医药卫生—护理学]