摘要
目的分析全身浸浴护理在预防大面积深度烧伤后期残余创面感染的作用。方法随机选取2017年1月—2019年12月80例大面积深度烧伤患者为研究对象,随机数字表法分为两组,对照组40例接受常规创面换药护理,观察组40例实施全身浸浴护理,比较护理效果。结果观察组护理2周后残余创面愈合优良率为82.50%,高于对照组创面愈合优良率62.50%,差异有统计学意义(χ^(2)=4.013,P<0.05)。观察组护理3、7、10、14 d后残余创面VAS评分分别为(5.43±1.08)分、(4.01±1.22)分、(2.86±1.04)分、(0.94±0.62)分,均低于对照组(6.29±1.12)分、(5.34±1.29)分、(3.79±1.02)分、(1.84±1.01)分,差异有统计学意义(t=3.496、4.738、4.038、4.803,P<0.05)。观察组创面平均愈合用时(13.56±5.86)d,短于对照组创面平均愈合用时(20.37±7.41)d,差异有统计学意义(P<0.05);观察组创面感染率为5.00%,创面愈合后瘢痕形成率为15.00%,低于对照组创面感染率20.00%、瘢痕形成率35.00%,差异有统计学意义(χ^(2)=4.114、4.267,P<0.05)。结论对大面积深度烧伤患者实施全身浸浴护理可降低后期残余创面感染发生率,更有效减轻创面疼痛,加快创面愈合,且能减少瘢痕形成,提升外观美观度,患者接受度更高。
Objective To analyze the role of body bath nursing in preventing large-area deep burns from infection of residual wounds at the later stage.Methods From January 2017 to December 2019,80 patients with extensive deep burns were randomly selected and divided into two groups by random number table.40 patients in the control group received routine wound dressing care,and 40 patients in the observation group received full body bathing nursing,compared the effects of nursing.Results The good rate of residual wound healing in the observation group after 2 weeks of nursing was 82.50%,which was higher than the good rate of 62.50%in the control group,the difference was statistically significant(χ^(2)=4.013,P<0.05).The residual wound VAS scores of the observation group after 3,7,10,and 14 d of nursing were(5.43±1.08)points,(4.01±1.22)points,(2.86±1.04)points,and(0.94±0.62)points,respectively,which were lower than those of the control group(6.29±1.12)points,(5.34±1.29)points,(3.79±1.02)points,(1.84±1.01)points,the difference was statistically significant(t=3.496,4.738,4.038,4.803,P<0.05).The average wound healing time in the observation group was(13.56±5.86)d,which was shorter than the average wound healing time in the control group(20.37±7.41)d,the difference was statistically significant(P<0.05);the wound infection rate in the observation group was 5.00%,and the scar formation rate after wound healing was 15.00%,lower than the control group's wound infection rate of 20.00%and scar formation rate of 35.00%,the difference was statistically significant(χ^(2)=4.114,4.267,P<0.05).Conclusion Implementing whole body bath nursing for patients with extensive deep burns can reduce the incidence of residual wound infection in the later stage,more effectively reduce wound pain,accelerate wound healing,reduce scar formation,improve appearance and aesthetics,and have a higher patient acceptance.
作者
胡育群
HU Yuqun(Hospital of Sichuan Armed Police Corps Hospital,Leshan,Sichuan Province,614000 China)
出处
《中外医疗》
2021年第9期174-177,共4页
China & Foreign Medical Treatment
作者简介
胡育群(1973-),女,本科,副主任护师,研究方向为医院感染预防与控制。
