医院-社区-家庭三元联动护理模式在压力性损伤患者居家护理中的应用  

Effect of hospital-community-family trinity linkage nursing model in home nursing of patients with pressure injury

作　　者：王巍[1] 张欣[2] 李越[3] 聂志红 张冬梅[4] Wang Wei;Zhang Xin;Li Yue;Nie Zhihong;Zhang Dongmei(Surgical Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Wound Treatment Center,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Nursing Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Beijing Dongcheng District Community Health Service Center,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京同仁医院外科,北京100730 [2]首都医科大学附属北京同仁医院伤口治疗中心,北京100730 [3]首都医科大学附属北京同仁医院护理部,北京100730 [4]北京市东城区社区卫生服务管理中心,北京100010

出　　处：《中华现代护理杂志》2022年第4期442-446,共5页Chinese Journal of Modern Nursing

基　　金：首都卫生发展科研专项(2020-3-1182)。

摘　　要：目的探讨医院-社区-家庭三元联动护理模式在居家压力性损伤患者中的应用效果。方法采用便利抽样法,选择2018年5月—2019年5月北京市东城区居家卧床的60例3~4期压力性损伤患者为研究对象,随机分为观察组和对照组,每组30例。观察组采用医院-社区-家庭三元联动护理模式,对照组则采用传统社区就医的常规化换药和护理管理模式。比较两组患者的压力性损伤治愈率及愈合时间。结果观察组患者的治愈率为96.67%(29/30),高于对照组的80.00%(24/30),差异有统计学意义(P<0.05)。观察组患者的治愈时间为(42.20±4.97)d,短于对照组的(50.13±4.83)d,差异有统计学意义(P<0.01)。结论医院-社区-家庭三元联动护理模式可以改善居家压力性损伤的治疗效果,能够为社区居家压力性损伤患者慢性伤口的康复提供实践依据。Objective To explore the effect of the hospital-community-family trinity linkage nursing model in patients with home pressure injury.Methods From May 2018 to May 2019,convenience sampling was used to select 60 bedridden patients with stage 3 to 4 pressure injury at home in Dongcheng District,Beijing,as the research object.The patients were randomly divided into the observation group and the control group,with 30 cases in each group.The observation group conducted a hospital-community-family trinity linkage nursing model,while the control group carried out a traditional community-based routine dressing change and nursing management model.The pressure injury healing rate and healing time of the two groups of patients were compared.Results The cure rate of patients in the observation group was 96.67%(29/30),which was higher than 80.00%(24/30)in the control group,and the difference was statistically significant(P<0.05).The cure time of patients in the observation group was(42.20±4.97)days,which was shorter than(50.13±4.83)days in the control group,and the difference was statistically significant(P<0.01).Conclusions The hospital-community-family trinity linkage nursing model can improve the treatment effect of home pressure injury,and can provide a practical basis for the rehabilitation of chronic wounds of patients with home pressure injury in the community.

关 键 词：压力性溃疡 医院 家庭 社区 慢性伤口 居家护理 

分 类 号：R473.6[医药卫生—护理学]