1例不可分期压力性损伤患者的延续护理  

Continuity care of an un-stageable pressure injury patient: a case report

作　　者：肖文霞[1] 刘艳[2] 朱开梅[3] 杨淑红[1] 张银萍[2] 李珍珍[2] 朱郭婷[4] 

机构地区：[1]武汉大学人民医院伤口造口门诊,武汉市430060 [2]武汉大学人民医院神经内科ICU,武汉市430060 [3]武汉大学人民医院胃肠外科,武汉市430060 [4]武汉大学人民医院神经外3科,武汉市430060

出　　处：《中国护理管理》2017年第12期1714-1717,共4页Chinese Nursing Management

摘　　要：目的 :总结1例不可分期压力性损伤患者的延续性护理体会。方法 :按照延续性护理服务流程,通过综合评估将该患者纳入延续性护理服务中,开展居家护理。主要包括全面评估患者的整体情况和伤口局部情况,分析影响伤口愈合的因素,以患者为中心制定护理方案,运用湿性愈合理念对伤口进行有效的管理,强调采用知识、态度、行为(KAP)模式进行基于主要照顾者的健康教育,提高家庭自我照护能力。结果 :该患者家庭自我照护能力得到提高,营养状况得到改善,压力性损伤伤口痊愈。结论 :开展延续性伤口护理,使患者受益。压力性损伤伤口的愈合关键在于积极正确的创面处理、家庭自我护理能力的提高、患者营养状况的改善和有效的康复训练,另外人文关怀与多学科合作也不可忽略。Objective： The purpose of this case report is to present experience of continuity care of an un-stageable pressure injury patient. Methods： The patient received a comprehensive assessment of overall condition and the wound. The factors that would influence wound healing were identified, and the patient-centered nursing program was developed based on moist wound healing theory. Caregivers＇ family self-care skills were improved by health education, focused on knowledge, attitude and practice （KAP）. Results： The patient＇s nutritional status and family self-care ability were improved, and pressure injury healed. Conclusion： The continuity of wound care benefits patients. Nurses should take proper strategies to improve wound healing and nutrition, increase family self-care ability.

关 键 词：压力性损伤 居家失能 伤口护理 湿性愈合 

分 类 号：R47[医药卫生—护理学]