摘要
目的了解预警干预预防普外科住院患者压疮的效果。方法将7782例患者按10B和10A病区分为观察组 (3912例)和对照组(3870例),均行诺顿评分,<14分为发生压疮高危患者。对照组高危患者行常规预防压疮护 理,观察组行预警程序护理,即在常规护理的基础上局部喷赛肤润,入手术室前骶尾部贴安普贴薄膜,行风险呈报、 健康教育及用具改革等。结果观察组压疮发生率及高危患者压疮发生率均显著低于对照组(均P<0.05)。结论 预警干预能有效降低普外科住院患者压疮发生率。
Objective To observe the effect of preventive intervention procedures on the prevention of decubitus in the surgical patients. Methods Seven thousand seven hundred and eighty-two patients were divided into an observation group (3 912 cases in the ward 10 B) and a control group (3 870 cases in the ward 10 A). There were high risk patients susceptible to decubitus whose Norton scale was below 14. The high risk patients in the control group received routine bedsore nursing care, while those in the observation group were subjected to preventive intervention procedures besides routine nursing care, including the local spraying of Sanyrene, application of Algopaplaque film on sacroccccygeal region before operation, the use of air-bed, reporting of risk, health education, etc.Results Incidence of decubitus and that in high risk patients in the observation group was higher than that in the control group ( P<0.05). Conclusion Preventive intervention procedure can effectively reduce the incidence of decubitus in the surgical patients.
关键词
压疮
预警干预
诺顿评分
程序护理
decubitus
preventive intervention procedure
Norton scale
programmed nursing care
