屏障技术在器械相关性压力损伤患者管理中的价值研究  

Study on the value of barrier technique in the management of patients with device-related pressure injury

作　　者：刘立天 郑肖林 贾汝福[3] 王冉 李玉[1] 张磊[1] 张飞飞[1] 李贤[1] LIU Li-tian;ZHENG Xiao-lin;JIA Ru-fu(Department of Cardiology Intervention,Hebei General Hospital,Shijiazhuang 050057,China;不详)

机构地区：[1]河北省人民医院心脏介入科,河北石家庄050057 [2]邢台市人民医院烧伤整形科,河北邢台054001 [3]沧州市中心医院院办室,河北沧州061014

出　　处：《中国医学装备》2022年第12期113-116,共4页China Medical Equipment

基　　金：河北省卫健委医学科学研究课题项目(20211046)“医疗器械相关压力性损伤发生因素及预防的研究”。

摘　　要：目的:探讨屏障技术用于器械相关性压力损伤管理中对压力损伤发生率及患者生活质量简式-36(SF-36)量表评分的价值。方法:选取医院住院治疗的88例医疗器械相关压力性损伤的患者,利用红绿双色球法将其分为对照组和观察组,每组44例,对照组采用常规护理,观察组采用屏障技术联合常规护理。对比分析两组患者的器械相关性压力损伤发生情况,参照SF-36从生理功能、社会功能及情感职能等维度进行评分,干预前后检测两组患者血清前白蛋白、血红蛋白及白蛋白含量,比较两组患者的生活质量及营养状态。结果:观察组经屏障技术干预后,器械相关性压力损伤的发生率显著低于对照组,差异有统计学意义(x^(2)=6.953,P<0.05),在生理功能、社会功能及情感职能评分上,观察组均高于对照组,差异有统计学意义(t=4.627,t=5.019,t=6.534;P<0.05),在血清前白蛋白、血红蛋白及白蛋白含量上,观察组显著高于对照组,差异有统计学意义(t=6.676,t=4.192,t=5.299;P<0.05)。结论:屏障技术对器械相关性压力损伤高危患者实施管理干预,能够减少压力损伤的发生,具有提高患者生活质量的促进作用。Objective:To explore the values of barrier technique on the incidence of pressure injury and the SF-36 score of patients in the management of device-related pressure injury.Methods:88 patients with device-related pressure injury who admitted to hospital were selected,and they were divided into control group and observation group according to red and green double-colored ball method,with 44 cases in each group.Control group adopted routine nursing and observation group adopted barrier technique+routine nursing.The occurrences of device-related pressure injury between two groups were compared and analyzed,and the quality of life scale(SF-36)was referred to perform score from a series of dimensionalities included physiological function,social function and emotional function.3mL elbow venous fasting blood of patients were extracted before and after intervention so as to detect the concentrations of serum pre-albumin,hemoglobin and albumin,and then,the quality of life and nutritional status of two groups of patients were compared.Results:After the intervention of barrier technique,the incidence of device-related pressure injury in the observation group was significantly lower than that in the control group(x^(2)=6.953,P<0.05).The scores of physiological function,social function and emotional function in the observation group were significantly higher than those in the control group(t=4.627,t=5.019,t=6.534,P<0.05),respectively.The contents of pre-albumin,hemoglobin and albumin in the observation group were significantly higher than those in the control group(t=6.676,t=4.192,t=5.299,P<0.05),respectively.Conclusion:After the intervention of barrier technique is implemented on high-risk patients with device-related pressure injury,it has the promotion in reducing pressure injury,which has clinical application value.

关 键 词：器械相关性压力损伤 屏障技术 生活质量 营养状态 患者管理 

分 类 号：R197.39[医药卫生—卫生事业管理]