预见性护理结合曲线型仰卧护理对骨科术后卧床患者肺部感染、压疮发生率的影响  

Effect of Predictive Nursing Combined with Curve Supine Care on the Incidence of Pulmonary Infection and Pressure Sore

作　　者：范丽娟[1] 杜连心[1] 张俊娟[1] 范雷明[1] FAN Lijuan;DU Lianxin;ZHANG Junjuan;FAN Leiming(Department of Disease Prevention and Control,Henan Provincial People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院疾病预防控制科,河南郑州450000

出　　处：《河南医学研究》2025年第5期950-953,共4页Henan Medical Research

摘　　要：目的探讨预见性护理结合曲线型仰卧护理对骨科术后卧床患者的影响。方法选取2021年1月至2023年5月河南省人民医院收治的116例骨科术后长期卧床患者,按随机数字表法分为对照组和观察组,各58例,对照组应用预见性护理;观察组在其基础上另给予曲线型仰卧护理;护理干预后,对比两组术后并发症发生情况。结果观察组住院期间压疮发生率低于对照组,差异有统计学意义(P<0.05)。两组住院期间肺部感染率差异无统计学意义(P>0.05)。观察组身体骶尾部、足跟部的局部压强均低于对照组,小腿压强高于对照组(P<0.05);患者的生理、心理、社会文化及环境舒适性均高于对照组(P<0.05)。结论预见性护理结合曲线型仰卧护理可减少骨科术后长期卧床患者压疮、肺部感染的发生,提高患者体位安置舒适性,值得应用。Objective To study the effect of predictive nursing on bedridden patients after orthopedics.Methods The 116 postoperative orthopedic patients admitted to Henan Provincial People’s Hospital from January 2021 to May 2023,divided into 58 patients in control group,and the postoperative complications were compared between the two groups.Results The proportion of pressure sore in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in pulmonary infection rate between the two groups(P>0.05).In the observation group,the local pressure of sacral tail and heel were lower than the control group(P<0.05).The physical,psychological,social culture and environmental comfort were higher than the control group(P<0.05).Conclusion The predictive nursing combined with curve supine nursing can reduce the occurrence of pressure sore and lung infection in long-term bedridden patients after orthopedic surgery,and improve the comfort of patients,which is worth applying.

关 键 词：骨科 曲线型仰卧护理 预见性护理 长期卧床 

分 类 号：R473.6[医药卫生—护理学]