ICU俯卧位通气患者压力性损伤发生的相关影响因素及预防护理对策  

Related Influencing Factors and Preventive Nurs ing Countermeasures of Pressure Injury in Patients with Prone Position Ventilation in ICU

作　　者：楚海涛 温文阳 陈玉环 景孟娟 CHU Haitao;WEN Wenyang;CHEN Yuhuan;JING Mengjuan(Department of Severe Medicine,Henan Provincial People's Hospital,Zhengzhou University People's Hospital,Zhengzhou Henan 450003,China)

机构地区：[1]河南省人民医院重症医学科,郑州大学人民医院,河南郑州450003

出　　处：《临床研究》2023年第10期171-173,共3页Clinical Research

摘　　要：目的研究重症监护病房俯卧位通气患者发生压力性损伤的相关影响因素和相应的预防护理措施。方法临床纳入2021年12月至2022年12月收治的重症监护病房患者96例,根据随机双盲法分组,分为对照组(48例)、研究组(48例),研究组予以预防压力性损伤的预见性护理措施,包括对俯卧位通气操作的护理流程、全面评估患者的状态、防止潮湿环境刺激等措施,对照组予以基础护理,两组护理时间均为2周,分析两组护理后发生压力性损伤概率、护理满意度等指标变化;对全部研究对象的临床资料进行回顾性分析,分析重症监护病房俯卧位通气患者发生压力性损伤的相关因素和相应的护理措施。结果与对照组相比,研究组护理后发生压力性损伤概率大幅度减低,而护理满意程度大幅度提升,差异有统计学意义(P<0.05);本研究中收治重症监护病房患者96例,发生压力性损伤13例(13.54%),发生压力性损伤与受压迫部位、导管压迫、俯卧位时间、潮湿刺激、患者年龄、护理经验等因素密切相关,差异有统计学意义(P<0.05)。结论重症监护病房俯卧位通气患者发生压力性损伤的相关因素包括受压迫部位、导管压迫、俯卧位时间、潮湿刺激、患者年龄、护理经验等因素密切相关,临床需要完善各项护理措施,减低压力性损伤的发生。Objective To study the related influencing factors and corresponding preventive nursing measures of pressure injury in patients with prone position ventilation in the intensive care unit(ICU).Methods A total of 96 patients admitted to the ICU from December 2021 to December 2022 were enrolled.According to the random double-blind method,they were divided into a control group(48 cases)and a study group(48 cases).The study group was given predictive nursing measures to prevent stress injury,including the nursing process of prone ventilation operation,comprehensive assessment of the patient's state,and prevention of humid environment stimulation,while the control group was given basic nursing,and the nursing time of both groups was 2 weeks.The probability of stress injury and nursing satisfaction were analyzed.The clinical data of all subjects were retrospectively analyzed,and the related factors and nursing measures of patients with press-induced injury in prone ventilation in the ICU were analyzed.Results Compared with the control group,the probability of stress injury after nursing in the study group was significantly reduced,and nursing satisfaction was significantly increased,the difference was statistically significant(P<0.05).In this study,96 patients in the intensive care unit were admitted,of which 13(13.54%)had stress injuries.The occurrence of stress injury was closely related to the affected site,catheter pressure,prone position time,moist stimulation,patient age,nursing experience,and other factors,with statistical significance(P<0.05).Conclusion The associated factors of pressure injury in prone ventilation patients in the intensive care unit include compression site,catheter compression,prone position time,damp stimulation,patient age,nursing experience,and other factors that are closely related.Clinical nursing measures should be improved to reduce the occurrence of pressure injury.

关 键 词：影响因素 护理措施 俯卧位通气 压力性损伤 重症监护病房 

分 类 号：R47[医药卫生—护理学]