行动研究法在预防神经内科重症监护室患者发生压力性损伤护理中的应用效果观察  

Effect of action research method in care of patients with pressure injury in the neurology intensive care unit

作　　者：邓丽林 谭江红 陈英 陈姗 陈思宇 成沛玉 Deng Lilin;Tan Jianghong;Chen Ying;Chen Shan;Chen Siyu;Cheng Peiyu(Zhuzhou Central Hospital,Zhuzhou Hunan 412000,China;School of Nursing,University of South China,Hengyang Hunan 421001,China;The First People's Hospital of Xiangtan,Xiangtan Hunan 411100,China)

机构地区：[1]株洲市中心医院,湖南株洲412000 [2]南华大学护理学院,湖南衡阳421001 [3]湘潭市第一人民医院,湖南湘潭411100

出　　处：《保健医学研究与实践》2022年第8期93-96,共4页Health Medicine Research and Practice

基　　金：湘潭市科技局项目(SF-YB20201002)。

摘　　要：目的 探讨行动研究法在预防神经内科重症监护室患者发生压力性损伤(PI)护理中的应用效果,以期为临床相关研究与实践提供参考。方法 选取株洲市中心医院2020年7月-2021年6月收治于神经内科重症监护室治疗的360例患者为研究对象。将2020年7-12月入院的患者纳入对照组(n=180);2021年1-6月入院的患者纳入研究组(n=180)。对照组患者采用常规预防PI的护理方法;研究组患者采用行动研究法进行PI预防护理。比较2组患者PI的发生率;比较2组患者家属对神经内科重症监护室护士的满意度。结果 研究组患者PI发生率为10.00%,低于对照组的18.33%,差异有统计学意义(P<0.05)。研究组患者家属满意度评分为(13.43±1.36)分,高于对照组的(11.68±2.48)分,差异有统计学意义(P<0.05)。结论 应用行动研究法对神经内科重症监护室患者进行PI的预防护理,能有效降低患者PI发生率,提高患者家属的护理满意度,值得推广应用。Objective To explore the effect of the action research method in preventing pressure injury(PI)in patients in the neurology intensive care unit(NICU),in order to provide guidance for clinical research and practice.Methods A total of 360 patients admitted to the neurology intensive care unit of Zhuzhou Central Hospital from July 2020 to June 2021 were selected as the study subjects.Patients admitted from July to December 2020 were included in the control group(n=180);patients admitted from January to June 2021 were included in the experimental group(n=180).Patients in the control group received routine PI prevention care;patients in the experimental group received PI prevention care via the action research method.The incidence of PI was compared between the two groups;the satisfaction of family members with nurses in the NICU was compared between the two groups.Results The incidence of PI in the experimental group was 10.00%,which was lower than that in the control group(18.33%),with statistically significant differences(P<0.05).The family satisfaction score of the experimental group was(13.43±1.36)points,which was higher than that of the control group(11.68±2.48)points,and the difference was statistically significant(P<0.05).Conclusion The application of the action research method in the prevention and care of PI in the neurology intensive care unit patients can effectively reduce the incidence of PI and improve the nursing satisfaction of patients’families.These benefits hold promise for a wider application of this procedure in clinical practice.

关 键 词：行动研究 压力性损伤 神经内科重症监护室 

分 类 号：R473[医药卫生—护理学]