集束化护理对预防医疗器械相关性压力性损伤的效果探讨  

Discussion on the Effect of Clustered Nursing on the Prevention of Medical Device-related Pressure Injury

作　　者：谭艳芳[1] 黄艳君 梁雪芳[1] TAN Yanfang;HUANG Yanjun;LIANG Xuefang(First Department of Surgery,Kaiping Central Hospital,Jiangmen,Guangdong Province,529300 China)

机构地区：[1]开平市中心医院外一科,广东江门529300

出　　处：《中外医疗》2021年第34期139-142,147,共5页China & Foreign Medical Treatment

基　　金：江门市科技计划项目(2019J002);江门市卫生计生科学技术研究项目(19A098)。

摘　　要：目的研究集束化护理对于医疗器械相关性压力性损伤的预防效果。方法方便选取2019年1月—2020年12月于该院住院且有医疗器械相关性压力性损伤高风险的468例患者作为研究对象,用随机数表法将其分为两组,每组234例。对照组实施常规护理,观察组予以集束化护理,比较两种护理模式对于压力性损伤的预防效果。结果两组中的Ⅰ期压力性损伤发生率(2.14%、2.14%)比较差异无统计学意义(P>0.05),观察组的Ⅱ期(1.28%)、Ⅲ期(0.00%)和Ⅳ期(0.00%)压力性损伤发生率低于对照组,总发生率(3.42%)显著低于对照组(7.69%),差异有统计学意义(χ^(2)=4.072,P<0.05);评估患者的护理满意度,结果提示观察组的护理满意度98.29%与对照组92.74%相比相对较高,经对比差异有统计学意义(χ^(2)=8.426,P<0.05);通过对护理质量进行评估,发现观察组的护理质量评分与对照组相比相对较高,组间比较差异有统计学意义(P<0.05);经护理后两组患者的焦虑情绪和抑郁情绪均明显轻于护理前,且观察组护理后患者的负性情绪评分明显小于对照组,差异有统计学意义(P<0.05);经评估两组患者的生活质量,结果提示观察者患者经护理后其各项生活质量评分均显著高于对照组,差异有统计学意义(P<0.05)。结论集束化护理实施对于预防医疗器械相关性压力性损伤的发生有积极作用,同时可提高护理质量,缓解患者的不良情绪,获得患者的认可与满意,从而提高患者的生活质量,故值得在临床上进一步推广和应用。Objective To study the preventive effect of clustered care on medical device-related pressure injury.Methods Convenienctly selected 468 patients who were hospitalized in the hospital from January 2019 to December 2020 and were at high risk of medical device-related pressure injury as the main research subjects,and divided them into two groups using a random number table method,each with 234 cases.The control group was given routine nursing care,and the observation group was given clustered nursing care,and the effects of the two nursing modes on the prevention of pressure injury were compared.Results There was no statistically significant difference in the incidence of stageⅠpressure injury(2.14%,2.14%)between the two groups,while the observation group had low incidence of stageⅡ(1.28%),Ⅲ(0.00%)andⅣ(0.00%)pressure injury in the control group,the total incidence rate(3.42%)was significantly lower than that in the control group(7.69%),the difference was statistically significant(χ^(2)=4.072,P<0.05);after evaluating the patient’s nursing satisfaction,the results suggest that the observation group’s nursing satisfaction 98.29%compared with the control group 92.74%was relatively high,the difference was statistically significant(χ^(2)=8.426,P<0.05);through the evaluation of the quality of care,the observation group’s nursing quality score was relatively higher than that of the control group,the difference between the groups was statistically significant(P<0.05);the anxiety and depression of the two groups of patients after nursing were significantly lighter than before,and the negative emotion scores of the patients in the observation group after nursing were significantly lower than those of the control group,the difference was statistically significant(P<0.05);after assessing the quality of life of the two groups of patients,the results suggest that the observer patients'quality of life scores were significantly higher than those of the control group after nursing,the difference was statistically sign

关 键 词：集束化护理 医疗器械相关性压力性损伤 预防效果 

分 类 号：R4[医药卫生—临床医学]