延续性护理对居家卧床老人压力性损伤预防的效果观察  

Effect of extended nursing care on prevention of pressure injury in bedridden elderly

作　　者：蒋文珍[1] 庄悦红 刘浪 王晓娟[1] 李红[1] 

机构地区：[1]上海市浦东新区北蔡社区卫生服务中心,上海201204 [2]上海市浦东新区卫生发展研究院,上海200129 [3]同济大学附属东方医院,上海200120

出　　处：《上海护理》2018年第1期16-19,共4页Shanghai Nursing

基　　金：浦东新区卫生和计划生育委员会卫生科技项目(PW2015C-1);上海市卫生和计划生育委员会科研课题(201440473)

摘　　要：目的探讨延伸护理在居家卧床老人压力性损伤预防中的效果。方法选取2015年12月1日—2016年12月1日上海市浦东新区北蔡社区卫生服务中心管辖的居家长期卧床老人120例,按随机数字表法分为观察组和对照组各60例。对照组给予照护者集中健康教育并发放指导手册,观察组实施延伸护理综合管理方案,比较两组卧床老人压力性损伤发生情况及照护者的护理能力、生活质量、对护理服务的满意度。结果入组6个月后,观察组卧床老人压力性损伤发生率明显低于对照组(P<0.05);比较照护者预防压力性损伤认知和技能知识,观察组各维度得分均优于对照组(P<0.01);患者及照护者对护理工作的整体满意度为96.4%。结论通过采用延伸护理综合管理方案,能明显降低居家卧床老人压力性损伤的发生,提高照护者的照护能力、生活质量和满意度。Objective To investigate the effect of extended nursing care on the prevention of pressure injury in the bedridden elderly. Methods A total of 120 long-term bedridden elderly persons in Beicai Community Health Service Center were chosen from December 2015 to December 2016. They were randomly and equally divided into the intervention group and control group according to the random number table method. In the control group, the earegivers were given centralized health education, and the intervention group was given comprehensive extended nursing management program. The pressure injury rate, cognitive competence and nursing ability of the caregivers, satisfaction of the patients and caregivers on health services were compared between the two groups. Results The incidence of pressure injury was significantly lower in the intervention group than that in the control group 6 months later （ P 〈 0.05 ）. The earegivers in the intervention group had better prevention knowledge of pressure injury and nursing ability than those in the control group （ P 〈 0. O1 ）. The overall satisfaction rate of patients and caregivers was 96.4%. Conclusion Comprehensive extended nursing management program can greatly reduce the incidence of pressure injuries, improve the cognitive competence and nursing ability of caregivers, and improve the quality of life and satisfaction of patients and caregivers.

关 键 词：延续性护理 卧床老人 居家照护 压力性损伤 

分 类 号：R47[医药卫生—护理学]