2期压力性损伤循证护理实践方案的构建与应用  

Construction and application of an evidence-based nursing protocol for stage 2 pressure injury

作　　者：熊倩[1] 何琳[2] 陈飞 高丽 雷铖 Xiong Qian;He Lin;Chen Fei;Gao Li;Lei Cheng(The People's Hospital of Deyang City,1.Obstetrical Department;Nursing Department;Burn and Plastic Surgery,Deyang Sichuan 618000)

机构地区：[1]四川省德阳市人民医院产科,四川德阳618000 [2]四川省德阳市人民医院护理部,四川德阳618000 [3]四川省德阳市人民医院烧伤整形科,四川德阳618000

出　　处：《护士进修杂志》2020年第12期1080-1086,共7页Journal of Nurses Training

基　　金：四川省卫健委普及项目(编号:19PJ043)。

摘　　要：目的构建2期压力性损伤的的循证护理实践方案并评价效果。方法基于证据制定2期压力性损伤循证护理方案及临床实践处理流程。采用方便抽样法,选取我院住院的2期压力性损伤患者210例,按照随机数字表法分为观察组与对照组。对照组采用常规方法进行护理,观察组采用循证实践护理方案进行护理。结果观察组的痊愈率、治愈有效率均明显高于对照组,差异均有统计学意义(P<0.01)。观察组的痊愈时间较对照组显著缩短,差异具有统计学意义(P<0.05)。观察组在一周后及末次PUSH量表测评中得分均显著低于对照组,差异有统计学意义(P<0.01)。观察组的成本-效果比为4.88,对照组的成本-效果比为6.99。结论采用循证护理方案治疗2期压力性损伤可提高患者治疗痊愈率和有效率,缩短痊愈时间,降低PUSH量表评分,为临床提供了更高性价比的治疗方案,值得推广应用。Objective To construct and evaluate the evidence-based nursing protocol for patients with stage 2 pressure injury.Methods An evidence-based nursing protocol for patients with stage 2 pressure injury was developed and integrated into clinical practice based on evidence.Using convenient sampling,The 210 patients with stage 2 pressure injury in a graded three A tertiary hospital were chosen in accordance with the inclusive criteria.All the subjects were then randomly divided into experimental group and control group by random number table.The experimental group received evidence-based nursing protocol.The control group received conventional nursing care.Results The recovery rate and curative rate in experimental group were significantly higher than that in control group(P<0.01).Meanwhile,the healing time of the experimental group was markedly shorter than that of the control group(P<0.05).Our results suggested that the scores of PUSH scale in intervention group was remarkably lower than those in control group after the 1st week after enrollment and last evaluation.The cost-profit was 4.88/6.99 for the experimental group and control group.Conclusion The use of evidence-based nursing protocol for stage 2 pressure injury can effectively improve the recovery rate and curative rate,shorten the healing time,reduce the score of PUSH scale,and provide a cost-effective treatment plan for the clinic,which is worthy of popularization and application.

关 键 词：压力性损伤 循证护理 证据总结 护理实践方案 

分 类 号：R471[医药卫生—护理学]