神经内科重症监护室376例高危压疮患者护理体会  

Nursing Experience of 376 High Risk of Pressure Ulcer Patients at Neurological Intensive Care Unit

作　　者：马艳华[1] 黎华[1] 

机构地区：[1]北京市顺义区医院神内监护室,北京101300

出　　处：《中国医药导刊》2012年第11期1993-1994,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨预防神经内科重症监护室高危压疮患者压疮发生的有效护理方法。方法:对神经内科重症监护室376例诺顿评分≤14分的患者进行观察并采取有效预防压疮发生的护理措施。结果:376例高危患者发生压疮35例55处,压疮好发髋部、肩胛部、足跟、耳廓。瘫痪、肥胖、大小便失禁、高血糖、低蛋白血症及长期使用透气性差用品者为压疮发生高危因素。结论:加强基础护理,转变护理观念,注重压疮发生经典因素与新发因素以及良好的家庭支持是减少高危压疮患者发生压疮的有力措施。Objective：To probe effective nursing methods for prevention occurrence of pressure ulcer in patients with high risk of pressure ulcer at neurological intensive care unit（NICU）.Methods：376 patients that the Norton score less than or equal to 14 were observed and taken effective care measures to prevent pressure ulcer at NICU.Results：35 patients（55 sites） took place pressure sores among 376 and hip,scapula,heel and ear were predilection sites.High risk factors included paralysis,obesity,high blood sugar,fecal and urinary incontinence,hypoproteinemia and long-term poor ventilation supplies.Conclusion：Strengthening basic care,changing care concepts,focusing on pressure ulcer classic and new risk factors and good family supports are the powerful measures to reduce occurrence of pressure ulcers in high risk patients.

关 键 词：压疮 护理 相关因素 

分 类 号：R473.5[医药卫生—护理学]