基于循证理论的预防策略结合改良式体位垫对重症脑卒中患者压力性损伤发生率及舒适度的影响  

Effects of prevention strategy based on evidence-based theory combined with modified body position pad on the incidence of pressure injury and comfort in patients with severe stroke

作　　者：阴玥 栾成艳 YIN Yue;LUAN Chengyan(Ankang Central Hospital,Ankang 725000,China)

机构地区：[1]安康市中心医院,陕西安康725000

出　　处：《临床医学研究与实践》2024年第13期158-161,共4页Clinical Research and Practice

摘　　要：目的探究基于循证理论的预防策略结合改良式体位垫在重症脑卒中患者中的应用效果。方法选择2019年7月至2021年12月我院收治的108例重症脑卒中患者作为研究对象,根据入院时间将其分为对照组(2019年7月至2020年8月)和观察组(2020年9月至2021年12月),每组54例。对照组接受常规护理,观察组在对照组基础上给予基于循证理论的预防策略结合改良式体位垫。比较两组的干预效果。结果观察组的压力性损伤(PI)总发生率低于对照组(P<0.05)。干预后,观察组的Kolcaba舒适状况量表(GCQ)各维度评分均显著高于对照组(P<0.05)。干预后,观察组的D-二聚体(D-D)、纤维蛋白原(FIB)水平均低于对照组(P<0.05)。结论基于循证理论的预防策略结合改良式体位垫用于重症脑卒中患者护理中可改善机体凝血功能,降低PI发生率,提高临床舒适度。Objective To explore the application effect of prevention strategy based on evidence-based theory combined with modified body position pad in patients with severe stroke.Methods A total of 108 patients with severe stroke admitted in our hospital from July 2019 to December 2021 were selected as the research objects,and the patients were divided into control group(July 2019 to August 2020)and observation group(September 2020 to December 2021)according to admission time,with 54 cases in each group.The control group received routine nursing,and the observation group was given prevention strategy based on evidence-based theory combined with modified body position pad on the basis of the control group.The intervention effects of the two groups were compared.Results The total incidence of pressure injury(PI)in the observation group was lower than that in the control group(P<0.05).After intervention,the scores of each dimension of Kolcaba General Comfort Questionnaire(GCQ)in the observation group were significantly higher than those in the control group(P<0.05).After intervention,the levels of D-dimer(D-D)and fibrinogen(FIB)in the observation group were lower than those in the control group(P<0.05).Conclusion The prevention strategy based on evidence-based theory combined with modified body position pad can improve the coagulation function,reduce the incidence of PI and improve clinical comfort in the nursing of patients with severe stroke.

关 键 词：基于循证理论的预防策略 改良式体位垫 重症脑卒中 压力性损伤 舒适度 

分 类 号：R473[医药卫生—护理学]