压疮高危患者居家护理相关因素的调查分析  

Relative Factors Influencing Home Care for Patients at High Risk for Pressure Ulcers

作　　者：冷高平[1] 阎俊[1] 汤清华[1] 方意娟[1] 刘亚芳[1] 

机构地区：[1]南昌大学第一附属医院整形科,南昌330006

出　　处：《实用临床医学（江西）》2014年第2期126-128,136,共4页Practical Clinical Medicine

基　　金：江西省卫生厅课题(20133027)

摘　　要：目的调查压疮高危患者居家主要照顾者对压疮预防知识、态度及行为的现状,分析家庭护理不当的相关因素。方法采用问卷调查法对抽取的108例压疮高危患者主要照顾者进行调查(一般资料调查、采用自行设计的压疮知信行评估问卷进行测评)。结果压疮高危患者居家主要照顾者对压疮的相关知识的认知程度不高,且缺乏正规的学习渠道。在压疮相关知识认知方面:大专及以上者优于大专以下者、护工优于亲属、接受过培训的人员优于未接受过培训人员、有护理经历的人员优于没有护理经历的人员(均P<0.05)。在防护压疮的态度和行为方面:大专以下主要照顾者优于大专及以上者、护工优于亲属、接受过培训的人员优于未接受过培训人员、有护理经历的人员优于没有护理经历的人员(均P<0.05)。结论压疮高危患者居家主要照顾者预防压疮的意识薄弱,应加强压疮防护知识的健康教育,广泛开展多种形式的健康宣教,降低压疮高危患者压疮的发生率,提高其生活质量。Objective To investigate the current situation of prevention knowledge, attitudes and behaviors of principal caregivers of patients at high risk for pressure ulcers, and to analyze the relative factors influencing home care. Methods Principal caregivers of 108 patients at high risk for pressure ulcers were surveyed by self-designed questionnaire to determine the knowledge , attitudes and behaviors about pressure ulcers. Results The principal caregivers of patients at high risk for pressure ulcers had poor cognition for prevention knowledge and lacked formal learning channels. Persons with college degree or above, nursing workers, trained persons and persons with nursing experience had higher levels of cognition for pressure ulcer knowledge than persons without college degree, relatives, untrained persons and persons without nursing experience, respectively （all P〈0.05）. Conclusion The principal caregivers of patients at high risk for pressure ulcers had poor cognition for pressure ulcer prevention. Therefore, various forms of health education should be carried out to decrease the incidence of pressure ulcers and to improve the quality of life of patients with pressure ulcers.

关 键 词：压力性溃疡 照顾者 家庭防护 现状调查 

分 类 号：R473.2[医药卫生—护理学]