长期卧床老年患者的预见性护理干预效果探讨  

Exploration of the Effect of Anticipatory Nursing Interventions for Longterm Bedridden Elderly Patients

作　　者：邱雪梅 郑雪晶[1] 黄慧卿[1] QIU Xuemei;ZHENG Xuejing;HUANG Huiqing(Department of Geriatrics,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361003 China)

机构地区：[1]厦门大学附属第一医院老年医学科,福建厦门361003

出　　处：《中外医疗》2023年第31期120-123,128,共5页China & Foreign Medical Treatment

摘　　要：目的 探讨预见性护理对长期卧床老年患者的效果影响。方法 从2022年1—12月厦门大学附属第一医院收治的长期卧床老年患者中随机选取80例参与研究。按随机数表法分成两组,将采取常规护理的40例患者纳入对照组,在此条件上将增加预见性护理的40例患者纳入观察组。观察和比较两组患者的压力性损伤护理认知程度、压力性损伤风险评分、压力性损伤发生情况、护理满意度。结果 干预前两组患者压力性损伤护理认知评分接近,差异无统计学意义(P>0.05);干预后观察组评分为(83.42±8.21)分,高于对照组(71.29±7.16)分,差异有统计学意义(t=7.042,P<0.05)。干预前两组的压力性损伤风险评分数据接近,差异无统计学意义(P>0.05);干预后观察组评分为(14.32±0.51)分比对照组(13.11±0.43)分更高,差异有统计学意义(t=11.472,P<0.05)。观察组压力性损伤发生率为5.00%,比对照组22.50%更低,差异有统计学意义(χ~2=5.165,P<0.05)。观察组护理满意度为97.50%,比对照组的75.00%高,差异有统计学意义(χ~2=8.538,P<0.05)。结论 将预见性护理应用在长期卧床老年患者的护理工作中,对其压力性损伤认知程度的提升有积极意义,可降低患者压力性损伤发生风险。Objective To explore the effect of anticipatory nursing care on long-term bedridden elderly patients.Methods Eighty cases of long-term bedridden elderly patients admitted to the First Affiliated Hospital of Xiamen University from January to December 2022 were selected to participate in the study.They were divided into two groups according to a randomized numerical table,40 patients who took routine care were included in the control group,and 40patients who added anticipatory nursing care on this condition were included in the observation group.Observed and compared the degree of cognitive of stressful injury care,stressful injury risk score,occurrence of stressful injury,and nursing satisfaction of the two groups of patients.Results The cognitive score of stressful injury nursing of patients in the two groups before intervention was close,and the difference was not statistically significant(P>0.05).After the intervention,the score in the observation group was(83.42±8.21) points,which was higher than that in the control group(71.29±7.16) points,and the difference was statistically significant(t=7.042,P<0.05).The data of stress injury risk score in the two groups before intervention were close,and the difference was not statistically significant(P>0.05).After intervention,the score of the observation group was(14.32±0.51) points,higher than the control group(13.11±0.43) points,and the difference was statistically significant(t=11.472,P<0.05).The incidence of stress injury in the observation group was 5.00%,which was lower than that of the control group(30.00%),and the difference was statistically significant(χ~2=5.165,P<0.05).Satisfaction with nursing care in the observation group was 97.50%,which was higher than 75.00% in the control group,and the difference was statistically significant(χ~2=8.538,P<0.05).Conclusion The application of anticipatory nursing in the nursing care of long-term bedridden elderly patients has a positive significance on the improvement of their stress injury cognitive level,which can

关 键 词：长期卧床 老年 预见性护理 压力性损伤 护理满意度 

分 类 号：R473[医药卫生—护理学]