重症颅脑损伤患者应用不同翻身间隔时间对压疮的预防作用  

Prevention of Pressure Sore in Patients with Severe Craniocerebral Injury Using Different Time Intervals

作　　者：张晓辉[1] Zhang Xiaohui(Department of Intensive Medicine Surgery,No.1 Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000)

机构地区：[1]河南科技大学第一附属医院重症医学科外科,洛阳471000

出　　处：《数理医药学杂志》2018年第4期575-577,共3页Journal of Mathematical Medicine

摘　　要：目的:探讨重症颅脑损伤患者不同翻身间隔时间对压疮的预防效果。方法:选择某院2016年5月~2017年5月收治的60例老年重症颅脑损伤患者为研究对象,以随机数字表法分为A组与B组,每组30例,A组翻身间隔时间为2h,B组翻身间隔时间为4h,对两组患者压疮发生情况、Braden评分、压疮前期表现及患者舒适度进行观察。结果:两组患者均未发生压疮。A组患者干预8h、24h、48h、72h的压疮前期反应分别为33.33%、36.67%、46.67%、26.67%,B组分别为26.67%、33.33%、36.76%、23.33%,两组患者各时间段压疮前期反应发生率无明显差异(P>0.05)。干预前,两组患者Braden评分无明显差异(P>0.05),干预8h、24h、48h、72h时,两组患者Braden评分差异无统计学意义(P>0.05);A组患者舒适度为60.00%,明显低于B组83.33%,差异有统计学意义(P<0.05)。结论:在气垫床上将翻身间隔时间延长至4h可提高患者舒适度,且不增加压疮发生风险,值得推广。Objective:To investigate the effect of prevention of pressure sore in patients with severe craniocerebral injury using different time intervals.Methods:60 cases of elderly patients with severe craniocerebral injury patients treated in a hospital from May 2016 to May 2017 were selected as the research object and randomly divided into group A and group B,with 30 cases in each group.The turnover interval of group A was 2h,and the turnover interval of group B was 4h,then the braden score,pressure-sore appearance and comfort were observed in the two groups.Results:No pressure sore occurred in all two groups.In group A,the preemptive reaction of pressure sore after intervention for 8 h,24 h,48 h,72 h was 33.33%,36.67%,46.67%,and 26.67%respectively,and that of group B was 26.67%,33.33%,36.76%,and 23.33%respectively.There was no significant difference in the incidence of pressure ulcer in the two groups at different time points(P>0.05).Before intervention,there was no significant difference in Braden score between the two groups(P>0.05).There was no significant difference in Braden score between the two groups after 8h,24h,48h,72h of intervention(P>0.05).The degree of comfort in group A was 60.00%,which was significantly lower than that in group B(83.33%),the difference was statistically significant(P<0.05).Conclusion:Prolonging the interval of turning over to 4h in the air cushion bed can improve the patient's comfort and do not increase the risk of pressure sore,which is worth popularizing.

关 键 词：压疮 翻身时间 预防 舒适度 

分 类 号：R473.74[医药卫生—护理学]