基于网络的区域辐射管理在居家老年压力性损伤高危患者中的应用  

Application of network-based regional infrared radiation management to home care of elderly patients at high risk of pressure ulcer

作　　者：娄敏 江雪霞 肖娜 徐振伟[4] 吴玉红[2] Lou Min;Jiang Xuexia;Xiao Na;Xu Zhenwei;Wu Yuhong(Department of Neurology,Pingdingshan First People′s Hospital,Pingdingshan 467000,China)

机构地区：[1]平顶山市第一人民医院神经内科,河南平顶山467000 [2]平顶山市第一人民医院护理部,河南平顶山467000 [3]平顶山市第一人民医院普外科,河南平顶山467000 [4]平顶山市第一人民医院骨外科,河南平顶山467000

出　　处：《护理学杂志》2020年第14期92-95,共4页Journal of Nursing Science

摘　　要：目的构建基于网络的区域辐射管理模式,并评价其在老年压力性损伤高危患者居家护理中的应用效果。方法采用便利抽样法选取85例老年压力性损伤高危居家患者为研究对象,随机分为对照组43例和观察组42例。对照组按照护理常规给予出院指导及随访,观察组采用基于网络的老年压力性损伤高危患者居家护理的区域辐射管理模式,并制定了评估、服务、会诊流程。干预4个月后比较两组患者的压力性损伤发生率、护理质量及患者满意度。结果干预后,观察组压力性损伤的发生率显著低于对照组,压力性损伤护理质量评分和患者满意度显著高于对照组(P<0.05,P<0.01)。结论老年压力性损伤高危患者居家护理区域辐射管理模式的建立,形成了科学规范的出院患者压力性损伤管理制度,提升了压力性损伤高危患者的居家护理质量及管理水平,提高了患者的满意度。Objective To construct a network-based regional infrared radiation management model,and to evaluate its effectiveness in home care of elderly patients at high risk of pressure ulcer.Methods By convenience sampling,85 home bound elderly patients at high risk of pressure ulcer were recruited and randomly divided into a control group(n=43),and an intervention group(n=42).The control group was given discharge guidance and follow-up according to the nursing routine,while the intervention group was treated with the network-based regional infrared radiation management model in which,workflows of assessment,service,and consultation service were specified.After 4 months,the incidence rate of pressure ulcer,quality of pressure ulcer care and patient satisfaction in the two groups were compared.Results The incidence rate of pressure ulcer was significantly lower,the quality of pressure ulcer care and patient satisfaction were significantly higher in the intervention than in the control group(P<0.05,P<0.01).Conclusion The establishment of network-based regional infrared radiation management in home care of elderly patients at high risk of pressure ulcer has formed a scientific and standardized management system for pressure ulcer of discharged patients,improved the quality of home care and management level of pressure ulcer,and improved patient satisfaction.

关 键 词：老年患者 压力性损伤 网络 区域辐射管理 居家护理 

分 类 号：R473.2[医药卫生—护理学]