预防脑卒中患者压疮合适翻身方案的探讨  

Study of a suitable turn over nursing program for preventing pressure sores in stroke patients

作　　者：周萍[1] 刘华华[1] 黄胜燕[1] 谢美玲[1] 

机构地区：[1]复旦大学附属华山医院护理部,上海200040

出　　处：《中国实用护理杂志》2011年第11期23-25,共3页Chinese Journal of Practical Nursing

基　　金：基金项目：复旦大学护理科研基金资助项目（200616）

摘　　要：目的改进翻身体位和延长翻身间隔时间，探讨有效预防急性期脑卒中患者发生压疮更合适的翻身方案。方法以常规2．0h间隔翻身作为常规组，对急性期脑卒中患者采用不同延长翻身间隔时间（2．5，3．0，3．5h）进行护理干预；记录患者住院期间压疮、营养状况、便秘、肺部感染等并发症的发生情况。结果与常规护理2．0h翻身组一样，延长翻身间隔时间的2．5h组、3．0h组及3．5h组均无压疮发生。4组患者的营养状况及其他并发症的发生也无明显差异。结论采取30。侧卧位，延长翻身间隔至2．5，3．0，3．5h，左右侧卧位交替，均能有效预防部分急性期脑卒中患者压疮的发生。Objective To observe the preventing effect of optimal programs （improving turn over postures and elongating the turn over intervals）in preventing pressure sore occurrence in patients with acute stroke. Methods Acute stage stroke patients （time from on-set less than or equal to one week） were selected and divided randomly into 4 groups, one group adopted 2.0 hours turn over intervals as the routine group, others adopted 2.5 hours, 3.0 hours, 3.5 hours turn over intervals as the study groups. The incidence of pressure sores and complications were recorded. Results None of the groups （2.0 h, 2.5 h, 3.0 h, 3.5 h）suffered from pressure sores. The incidence of complications including malnutrition, pulmonary infections and constipations was not increased in the study groups either. Conclusions Optimal turn over nursing programs including elongating turn over intervals to 2.5h, 3.0h, 3.5h and adopting 30 degree lateral posture can effectively prevent occurrence of pressure sores in acute stroke patients.

关 键 词：脑卒中 压疮 翻身体位 翻身时间 

分 类 号：R473.6[医药卫生—护理学]