长期卧床深度压疮患者VSD负压引流在临床护理路径中的应用  

Application of VSD Negative Pressure Drainage in Clinical Nursing Pathway for Patients with Deep Pressure Sore in Bed

作　　者：王昕 林燕 WANG Xin;LIN Yan(Department of General Surgery,Fuzhou First Hospital,Fujian Medical University,Fuzhou,Fujian Province,350009 China)

机构地区：[1]福建医科大学附属福州市第一医院普通外科,福建福州350009

出　　处：《中外医疗》2021年第6期124-126,130,共4页China & Foreign Medical Treatment

摘　　要：目的探讨长期卧床深度压疮患者VSD负压引流的护理。方法从2017年11月—2019年10月于该院进行治疗的长期卧床深度压疮患者中方便选取48例作为研究对象,用随机数表法分为对照组与研究组。对照组采用常规护理,给予研究组患者针对VSD负压引流临床路径护理干预。对比两组患者临床指标状况、护理满意度以及临床疗效。结果对照组患者疼痛评分、创面愈合时间、换药次数及换药间隔时间分别为(6.23±1.10)分、(48.69±1.24)d、(28.96±3.65)d、(1.51±1.22)次,研究组上述指标分别为(3.77±1.06)分、(30.25±1.12)d、(12.13±2.14)d、(2.95±1.06)次,研究组比对照组各指标状况更理想,差异有统计学意义(t=15.203、14.996、15.145、13.947,P<0.05);对照组对护理服务态度、病房环境、沟通完整、护理技能、病房巡查、健康宣教、病情讲解等7项的护理满意的总评分为(26.2±0.5)分,研究组护理满意度总评分为(34.1±0.1)分,研究组比对照组得分更高,差异有统计学意义(t=17.255,P<0.05);研究组患者治疗有效率为91.7%,对照组患者治疗有效率为66.7%,研究组高于对照组,差异有统计学意义(χ^(2)=4.547,P<0.05)。结论对长期卧床深度压疮患者进行VSD负压引流治疗过程中进行临床路径护理干预,可提升临床疗效,促进各临床指标恢复正常,还利于患者护理满意度的提升,应用效果良好。Objective To explore the nursing of VSD negative pressure drainage in patients with deep pressure ulcers in bed for a long time.Methods From November 2017 to October 2019,48 patients with long-term bedridden deep pressure ulcers who were admitted to the hospital for treatment were conveniently selected as the study objects and were divided into the control group and the study group by a random number table method.The control group was given routine nursing care,and the study group was given nursing intervention for the clinical pathway of VSD negative pressure drainage.The clinical index status of the two groups of patients,the satisfaction of the two groups of nursing care and the clinical efficacy of the two groups of patients were compared.Results The pain score,wound healing time,the number of dressing changes and interval time of dressing change of the control group were(6.23±1.10)points,(48.69±1.24)d,(28.96±3.65)d,and(1.51±1.22)times,respectively.The above indicators of the group were(3.77±1.06)points,(30.25±1.12)d,(12.13±2.14)d,(2.95±1.06)times,and the study group was in better condition than the control group,and the difference was statistically significant(t=15.203,14.996,15.145,13.947,P<0.05);the control group had a total score of(26.2±0.5)points for nursing service attitude,ward environment,complete communication,nursing skills,ward inspections,health education and condition explanation.The total satisfaction score was(34.1±0.1)points,the study group had a higher score than the control group,and the difference was statistically significant(t=17.255,P<0.05);the effective rate of treatment in the study group was 91.7%,the treatment effective rate of the control group was 66.7%,and the study group was higher than the control group,and the difference was statistically significant(χ^(2)=4.547,P<0.05).Conclusion Clinical pathway nursing intervention during the treatment of VSD negative pressure drainage for long-term bedridden patients with deep pressure ulcers can improve the clinical efficacy an

关 键 词：长期卧床 深度压疮 VSD负压引流 临床路径护理 

分 类 号：R4[医药卫生—临床医学]