以ET主导多模式监督护理在重症昏迷患者头部压力性损伤防治中的应用效果  

Application effect of multi-mode supervised nursing led by ET in prevention and treatment of head pressure injuries in severe coma patients

作　　者：王海华[1] 王海丽 吴洵萍 蒋本鸾 钟娟[1] WANG Haihua;WANG Haili;WU Xunping;JIANG Benluan;ZHONG Juan(Emergency Intensive Care Unit,the First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi 530000,China)

机构地区：[1]广西医科大学第一附属医院急诊重症监护室,广西南宁530000

出　　处：《医药前沿》2025年第4期101-104,共4页Journal of Frontiers of Medicine

基　　金：广西壮族自治区卫生健康委自筹经费科研课题(Z-A20230509)。

摘　　要：目的分析以造口治疗师(ET)主导多模式监督护理在重症昏迷患者头部压力性损伤(PI)防治中的应用效果。方法选取2023年1月—2024年2月广西医科大学第一附属医院急诊重症监护室收治的180例重症昏迷患者,将2023年1—8月的90例患者设为对照组,将2023年9月—2024年2月的90例患者设为观察组。患者头部PI风险均在中度危险以上。对照组采取常规护理,观察组在对照组基础上给予以ET主导多模式监督护理。比较两组头部PI好转率、愈合率及好转时间、愈合时间,以及护理前后Braden评分等级结果。结果观察组头部PI好转率高于对照组,好转时间、愈合时间均短于对照组,差异有统计学意义(P<0.05);两组愈合率比较,差异无统计学意义(P>0.05)。护理前,两组Braden评分等级比较,差异无统计学意义(P>0.05);护理后,观察组Braden评分等级优于对照组,差异有统计学意义(P<0.05)。结论以ET主导多模式监督护理能够有效预防和管理重症昏迷患者头部PI,缩短伤口好转和愈合时间,提高其好转率。Objective To analyze the application effect of multi-mode supervised nursing led by enterostomal therapists(ET)in the prevention and treatment of head pressure injury(PI)in severe coma patients.Methods A total of 180 severe coma patients admitted to the Emergency Intensive Care Unit of the First Affiliated Hospital of Guangxi Medical University from January 2023 to February 2024 were selected,90 patients from January to August 2023 were set as the control group,and 90 patients from September 2023 to February 2024 were set as the observation group.The head PI risk of all patients was above moderate risk.The control group received routine nursing,and the observation group received multi-mode supervised nursing led by ET.Head PI improvement rate,healing rate,improvement time,healing time,and Braden score classification before and after nursing were compared between the two groups.Results The improvement rate of head PI in observation group was higher than that in control group,and the time for improvement and healing was shorter than that in control group,the differences were statistically significant(P<0.05).There was no significant difference in healing rate between the two groups(P>0.05).Before nursing,there was no significant difference in Braden score classification between the two groups(P>0.05).After nursing,the Braden score classification of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Multi-mode supervision nursing led by ET can effectively prevent and manage head PI in severe coma patients,shorten the time of wound improvement and healing,and improve the rate of improvement.

关 键 词：重症 昏迷 造口治疗师 多模式监督护理 压力性损伤 头部 

分 类 号：R473[医药卫生—护理学]