自制负压引流联合安普贴换药对重度压疮患者的效果观察  

Effectiveness of Home-made Vacuum Drainage Combined with Algoplaque on Patients with Severe Pressure Sores

作　　者：胡碧花 何玉珍[1] 李慧[2] 危香莲 黄志红[2] 吴强[3] 罗冠雏[4] 

机构地区：[1]粤北人民医院护理部,广东韶关512026 [2]粤北人民医院老年病科,广东韶关512026 [3]粤北人民医院骨科四区,广东韶关512026 [4]粤北人民医院烧伤科,广东韶关512026

出　　处：《护理学报》2017年第5期52-55,共4页Journal of Nursing（China）

基　　金：2016年度广东省医学科研基金立项项目(B2016116);2016年韶关市科技计划(医学类)项目(2016WS005);2016年韶关市卫生计生科研项目立项课题项目(Y16048)

摘　　要：目的探讨自制负压引流联合安普贴换药在重度压疮患者治疗中的应用效果。方法选取我院重度压疮患者90例,采用随机数字表法将90例患者随机分为对照组、观察1组、观察2组各30例。对照组单纯采用安普贴治疗,观察1组采用自制负压引流联合安普贴治疗,观察2组单纯采用负压封闭引流技术治疗。观察比较3组患者压疮治疗创面愈合时间、换药次数、换药费用、疼痛评分及满意度。结果 3组患者创面愈合时间和换药次数比较差异有统计学意义(F=175.961,P<0.001;F=5017.527,P<0.001),创面愈合时间及换药次数均由少至多依次:观察1组、观察2组、对照组;3组患者换药费用比较差异有统计学意义(F=1029.377,P<0.001),换药费用由少至多依次:观察1组、对照组、观察2组;3组重度压疮患者疼痛评分比较差异有统计学意义(F=63.132,P<0.001),疼痛程度由低至高依次:观察1组、对照组、观察2组。3组重度压疮患者满意度评分比较差异有统计学意义(F=43.286,P<0.001),满意度由高至低依次:观察1组、对照组、观察2组。结论对重度压疮患者,采用自制负压引流联合安普贴换药,可缩短重度压疮患者创面愈合时间,减少换药次数及换药费用,可减轻患者疼痛程度,提高护理满意度,值得临床借鉴使用。Objective To explore the effect of home-made vacuum drainage combined with Algoplaque on patients with severe pressure sores. Methods Ninety patients with severe pressure ulcers were randomly divided into control group, observation group 1and group 2 with 30 cases in each group. The patients were treated with Algoplaque in control group, meanwhile a home-made vacuum drainage and Algoplaque in observation group 1 and VSD technology in observation group 2. The pain scores, dressing times,wound healing time, patients＇ satisfaction and the total cost in three groups were compared. Results Wound healing time and dressing times in three groups indicated statistical significance（F =175.961, P 0.001; F =5017.527, P 0.001）. There were shortest wound healing time and least dressing times in observation group 1, followed by observation group 2 and control group. The dressing cost in each group showed statistical significance（F=1029.377, P〈0.001）, with the least in observation group 1, followed by control group and observation group 2. The pain score and patients＇ satisfaction in three groups had statistical significance（F=63.132, P〈0.001;F=43.286, P〈0.001）. The pain score in observation group 1 was the lowest, followed by control group and observation group 2 and as to patients＇ satisfaction, observation group 1 ranked the top, followed by control group and observation 2. Conclusion Three different dressing methods are suitable for patients with severe pressure sores, but home-made suction drainage combined with Algoplaque is economic and comfortable for it is effective for reducing the pain of patients and improving the nursing quality.

关 键 词：自制负压引流 安普贴 重度压疮 

分 类 号：R472[医药卫生—护理学]