家庭参与型远程护理模式在急诊患者出院后压疮管理中的应用效果  

Effectiveness evaluation of family-based telenursing on the management of pressure sores

作　　者：陈红[1] 刘新[2] 曹李瑶[3] Chen Hong;Liu Xin;Cao Liyao(Emergency Department, Beijing Anzhen Hospital, Capital Medical University,Beijing 100029,China;Ward 33, Critical Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029,China;Emergency Department, Critical Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院急诊科,100029 [2]首都医科大学附属北京安贞医院危重症中心33病房,100029 [3]首都医科大学附属北京安贞医院危重症中心急诊科,100029

出　　处：《中华现代护理杂志》2019年第6期742-747,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨家庭参与型远程护理模式在急诊压疮患者出院后压疮管理中的应用效果。方法采用便利抽样法,选取2017 年1-12 月北京安贞医院急诊科抢救室收治的院外带入压疮患者及其居家主要照顾者共100 对(每例压疮患者配备1 名家庭主要照顾者)作为研究对象,随机分为观察组和对照组各50 对。对照组出院后实施常规随访模式指导压疮管理,观察组出院后实施家庭参与型远程护理模式进行压疮管理。比较两组患者出院时、出院后2 个月压疮护理情况、压疮疾病知识认知度、居家护理能力的差异及对压疮管理模式的满意程度。结果出院时两组各项指标比较差异均无统计学意义(P> 0.05)。出院2 个月后,观察组患者的压疮严重程度、危险度评分、压疮复发率均低于对照组,差异均有统计学意义(P< 0.05);观察组照顾者的压疮知识认知度优于对照组,差异有统计学意义(P< 0.05);观察组家庭护理评价总分及各维度得分均高于对照组,差异有统计学意义(P< 0.05)。观察组患者及照顾者对护理干预模式的满意度优于对照组(P < 0.05)。结论对急诊压疮出院患者实施家庭参与型远程护理模式能够提高患者及照顾者对压疮管理的认知,增强居家护理能力,有效控制压疮情况。Objective To investigate the effectiveness of family-based telenursing on the management of pressure sores in discharged emergency patients with pressure sores. Methods Using the convenient sampling method, we selected 100 dyads of pressure sores patients along with their main home caregiver( one caregiver per patient). The patients were admitted to the Emergency Department of Beijing Anzhen Hospital from January to December 2017, who were randomly divided into the observation group and control group( 50 dyads for each group). After the discharge of the control group, routine follow-ups were administered to guide the care of pressure sores. After the discharge of the observation group, the family-based telenursing was implemented for pressure sore management. The differences between the two groups of patients at the time of discharge, 2 months after discharge, nursing knowledge of pressure sore disease, differences in home care ability, and satisfaction with pressure sores management were analyzed. Results There were no significant differences between the two groups at the time of discharge( P > 0.05). After 2 months of discharge, the severity of pressure sores, risk score, and recurrence rate of pressure sores in the observation group were lower than those in the control group, and the differences were statistically significant( P < 0.05). The caregiver's knowledge of pressure sores in the observation group was better than the control group, and the difference was statistically significant (P< 0.05). The total scores and the dimension scores of the family nursing evaluation in the observation group were higher than those in the control group, and the differences were statistically significant( P<0.05). Patients and caregivers in the observation group were more satisfied with the nursing methods than the control group( P< 0.05). Conclusions Family-based telenursing can improve the knowledge of pressure sores, the nursing ability,and effectively manage pressure sores.

关 键 词：压力性溃疡 远程护理 家庭参与型 压疮管理 

分 类 号：R473[医药卫生—护理学]