直肠癌晚期患者应用压疮危险因素评估表为基础的分层护理效果  

Effect of Stratified Nursing Based on Pressure Ulcer Risk Factor Evaluation Table in Patients with Advanced Rectal Cancer

作　　者：王妃凤 蔡朋株 陈海婷 梁美霞 符小敏 雷长江 WANG Feifeng;CAI Pengzhu;CHEN Haiting;LIANG Meixia;FU Xiaomin;LEI Changjiang(Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China;不详)

机构地区：[1]广东医科大学附属医院,广东湛江524001 [2]武汉市第五医院

出　　处：《中外医学研究》2022年第21期109-113,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：湖北省自然科学基金面上项目(2020CFB508)。

摘　　要：目的:研究直肠癌晚期患者应用压疮危险因素评估表为基础的分层护理效果。方法:选取2019年1月-2021年6月广东医科大学附属医院直肠癌晚期患者96例为研究对象,随机分为两组,各48例。对照组采用常规护理。观察组采用基于压疮危险因素评估表下的分层护理方案。评估两组的压疮发生情况、Braden压疮评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分。结果:护理干预后,观察组压疮总发生率(16.67%)低于对照组(41.67%),差异有统计学意义(χ~2=7.261,P=0.007);观察组Ⅱ期、Ⅲ期压疮发生率低于对照组(P<0.05)。干预后,观察组与对照组的感知能力、活动能力、移动能力、营养摄取、潮湿程度、剪切力和摩擦力等指标,均明显改善(P<0.05),且观察组的改善程度优于对照组(P<0.05)。两组SAS、SDS评分均较干预前明显下降(P<0.05),且观察组的SAS、SDS评分低于对照组(P<0.05)。结论:将压疮危险因素评估表为基础的分层护理用于直肠癌晚期患者的压疮护理中,可以降低压疮发生风险,改善压疮状况,促进患者尽快康复,并减轻患者的焦虑感、抑郁症状。Objective:To study the effect of stratified nursing based on pressure ulcer risk factor evaluation table in patients with advanced rectal cancer.Method:A total of 96 patients with advanced rectal cancer in Affiliated Hospital of Guangdong Medical University from January 2019 to June 2021 were randomly divided into two groups with 48 cases in each group.The control group recived routine nursing.The observation group received stratified nursing scheme based on pressure ulcer risk factor evaluation table.The pressure ulcer,Braden pressure ulcer score,self rating anxiety scale(SAS)score and self rating depression scale(SDS)score were evaluated.Result:After nursing intervention,the total incidence of pressure ulcer in the observation group(16.67%)was lower than that in the control group(41.67%),with a statistically significant difference(χ~2=7.261,P=0.007).The incidence of stageⅡ,Ⅲpressure ulcer in the observation group were lower than those in the control group(P<0.05).The indexes such as perception,activity,mobility,nutrient intake,humidity,shear and friction of the observation group and the control group were significantly improved after the intervention(P<0.05),and the improvement of the observation group were better than those of the control group(P<0.05).The SAS and SDS scores of the two groups were significantly lower than those before intervention(P<0.05),and the SAS and SDS scores of the observation group were lower than those of the control group(P<0.05).Conclusion:The stratified nursing based on the pressure ulcer risk factor evaluation table used in the pressure ulcer nursing of patients with advanced rectal cancer,can reduce the risk of pressure ulcer,improve the condition of pressure ulcer,promote the patients to recover as soon as possible,and reduce the symptoms of anxiety and depression.

关 键 词：压疮危险因素 评估表 分层护理 直肠癌 干预效果 

分 类 号：R473.73[医药卫生—护理学]