中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
13期
1512-1514
,共3页
王学红%吴情%袁静秋%王雪山%朱华青
王學紅%吳情%袁靜鞦%王雪山%硃華青
왕학홍%오정%원정추%왕설산%주화청
压力性溃疡%高危患者%斜侧体位%R型垫
壓力性潰瘍%高危患者%斜側體位%R型墊
압력성궤양%고위환자%사측체위%R형점
Pressure ulcer%High risk patients%Obliquely lateral position%R type cushion
目的 观察R型垫用于压疮高危患者30°斜侧体位更换中的临床效果.方法 将患者随机分为观察组(33例)和对照组(34例),观察组使用R型垫;对照组使用软枕,比较两组间在患者30°斜侧体位保持和压疮预防效果中的差异.结果 干预后观察组患者Braden评分(11.81±1.51)分;对照组(9.21±1.55)分,差异有统计学意义(t=5.28,P<0.01).观察组体位移动1例、器具变型1例、压疮发生2例;对照组体位移动21例、器具变型29例、压疮发生6例,差异有统计学意义(X2值分为26.195,45.831,6.211;P<0.05).护士每天矫正垫子位置次数:观察组(5.58±1.79),对照组(24.09 ±4.56),差异有统计学意义(=21.99,P<0.05);满意度观察组为99%,对照组81%,差异有统计学意义(P<0.05).结论 使用压疮预防专用减压器具之R型垫,替代以往的软枕用于300斜侧体位的更换,可提高专科护理工作质量,增加患者的舒适度,为患者背臀部压疮的预防及护理提供实用的指导和帮助,同时可改善患者的生活质量及预后,减少社会资源的消耗.
目的 觀察R型墊用于壓瘡高危患者30°斜側體位更換中的臨床效果.方法 將患者隨機分為觀察組(33例)和對照組(34例),觀察組使用R型墊;對照組使用軟枕,比較兩組間在患者30°斜側體位保持和壓瘡預防效果中的差異.結果 榦預後觀察組患者Braden評分(11.81±1.51)分;對照組(9.21±1.55)分,差異有統計學意義(t=5.28,P<0.01).觀察組體位移動1例、器具變型1例、壓瘡髮生2例;對照組體位移動21例、器具變型29例、壓瘡髮生6例,差異有統計學意義(X2值分為26.195,45.831,6.211;P<0.05).護士每天矯正墊子位置次數:觀察組(5.58±1.79),對照組(24.09 ±4.56),差異有統計學意義(=21.99,P<0.05);滿意度觀察組為99%,對照組81%,差異有統計學意義(P<0.05).結論 使用壓瘡預防專用減壓器具之R型墊,替代以往的軟枕用于300斜側體位的更換,可提高專科護理工作質量,增加患者的舒適度,為患者揹臀部壓瘡的預防及護理提供實用的指導和幫助,同時可改善患者的生活質量及預後,減少社會資源的消耗.
목적 관찰R형점용우압창고위환자30°사측체위경환중적림상효과.방법 장환자수궤분위관찰조(33례)화대조조(34례),관찰조사용R형점;대조조사용연침,비교량조간재환자30°사측체위보지화압창예방효과중적차이.결과 간예후관찰조환자Braden평분(11.81±1.51)분;대조조(9.21±1.55)분,차이유통계학의의(t=5.28,P<0.01).관찰조체위이동1례、기구변형1례、압창발생2례;대조조체위이동21례、기구변형29례、압창발생6례,차이유통계학의의(X2치분위26.195,45.831,6.211;P<0.05).호사매천교정점자위치차수:관찰조(5.58±1.79),대조조(24.09 ±4.56),차이유통계학의의(=21.99,P<0.05);만의도관찰조위99%,대조조81%,차이유통계학의의(P<0.05).결론 사용압창예방전용감압기구지R형점,체대이왕적연침용우300사측체위적경환,가제고전과호리공작질량,증가환자적서괄도,위환자배둔부압창적예방급호리제공실용적지도화방조,동시가개선환자적생활질량급예후,감소사회자원적소모.
Objective To observe the clinical effects of the R type cushion on the pressure ulcer prevention for the high risk patients.Methods Totals of 67 cases were randomly divided into the observation group (n =33 ) and control group (n =34),observation group were adopted the R type cushions,while control group were used the soft cushions.To compare the difference in maintaining the 30°lateral body position and the pressure ulcer prevention between two groups.Results The average score of Braden of observation group( 11.81 ±1.51 ) was significantly higher than that of control group (9.21 ± 1.55 ) ( t =5.28,P < 0.01 ).There was one cases removed,one case appliance deformation,two cases had pressure ulcer in observation group,and that in control group was 21cases,26 cases,29cases respectivdy,and the difference was statistically significant (X2 =26.195,45.831,6.211,respectively ;P < 0.05).The average times of cushion adjustment of observation group (5.58 ± 1.79) was significantly lower than that of control group (24.09 ± 4.56) ( t =21.99,P < 0.05 ),and the satisfaction of observation group was 99%,significantly higher than 81% of control group ( P < 0.05 ).Conclusions The R type cushion application can improves special nursing quality,reduces the nursing quantity,enhances the patient satisfaction,provides practical instructions and helps in preventing the dorsal hip pressure ulcer of patients,replaces the formerly soft cushion in maintaining the 30°lateral body position.It can improves the life quality and the prognosis of patients,reduces the consumption of social resources.