护理干预对ICU患者难免压疮的影响  

Influence of nursing intervention on pressure sore of ICU patients

作　　者：黄玉美[1] 吕旭英[1] 

机构地区：[1]江西省兴国县人民医院科教科,江西兴国342400

出　　处：《中国当代医药》2017年第24期154-156,共3页China Modern Medicine

基　　金：[基金项目]江西省赣州市指导性科技计划任务(GZ2016ZSF341)

摘　　要：目的探讨护理干预对重症监护室(ICU)患者难免压疮的影响。方法选取2014年2月~2016年7月我院ICU收治的86例有高危压疮患者为研究对象,共分为观察组(n=43)与对照组(n=43)。对照组接受临床常规干预,观察组接受护理干预。观察两组压疮发生率、干预前后生活质量评分变化、护理满意度。结果观察组与对照组分别有2例、3例死亡脱离本研究,观察组压疮发生率远低于对照组,差异有统计学意义(P<0.05);干预前两组各项生活质量评分比较差异无统计学意义(P>0.05),干预后两组各项评分均较干预前显著升高,差异有统计学意义(P<0.05),且干预后观察组各项生活质量评分远高于对照组,差异有统计学意义(P<0.05),观察组护理总满意度远高于对照组,差异有统计学意义(P<0.05)。结论在ICU难免压疮患者中实施护理干预不仅能够降低压疮发生率,还可改善其生活质量水平,提升患者的满意度。Objective To explore the influence of nursing intervention on the pressure sore of patients in intensive care unit（ICU）.Methods 86 patients with high-risk decubitus ulcerstreated with ICU from February 2014 to July 2016 were selected to carry out a control research,who were divided into observation group（n=43） and control group（n=43）.The control group was given routine clinical intervention,while the observation group was given nursing intervention.The observation indexes included the incidence of pressure sores,the changes of life quality scores before and after intervention and the degree of nursing satisfaction.SPSS 20.0 version software was used to examine the differences between the two groups.Results There were 2 cases in the observation group and 3 cases in the control group,respectively,because of the death from the study.The incidence of pressure sore in observation group was much lower than that in control group,the difference was statistically significant（P〈0.05）.Before intervention,there was no significant difference in quality of life scores between the observation group and the control group（P〈0.05）.After intervention,the scores of the two groups were significantly higher than those before intervention,the difference was statistically significant（P〈0.05）.After the intervention,the QOL scores in each dimension of the observation group were much higher than that of the control group,the difference was statistically significant（P〈0.05）.The satisfaction degree between the observation group and the control group was statistically significant（P〈0.05）.The total satisfaction of the observation group was much higher than that of the control group,the difference was statistically significant（P〈0.05）.Conclusion In ICU patients with inevitable pressure sores,nursing intervention can not only reduce the incidence of pressure sores,but also improve the quality of life and enhance the satisfaction of patients.

关 键 词：护理干预 重症监护室 难免压疮 

分 类 号：R473.74[医药卫生—护理学]