CAJ | 학술논문

目的：分析循证护理对心血管内科长期卧床老年患者压疮的预防效果。方法选择我院2011年1月-2013年1月心血管内科收治的长期卧床老年患者120例，将其随机分为观察组和对照组，各60例。两组患者均积极治疗原发病并行相应护理，观察组在此基础上增加循证护理干预项目预防压疮的发生。比较两组患者压疮发生率、Braden评分、治疗依从度、护理满意度和生活质量。结果观察组患者压疮发生率低于对照组，干预后患者感知能力、活动能力、移动能力、潮湿度及摩擦力5个维度得分高于对照组，治疗依从度、护理满意度和生活质量得分高于对照组（P﹤0.05）。结论循证护理可以有效降低心血管内科长期卧床老年患者压疮发生率，降低其发生压疮的风险，提高患者治疗依从度、护理满意度及生活质量。
목적：분석순증호리대심혈관내과장기와상노년환자압창적예방효과。방법선택아원2011년1월-2013년1월심혈관내과수치적장기와상노년환자120례，장기수궤분위관찰조화대조조，각60례。량조환자균적겁치료원발병병행상응호리，관찰조재차기출상증가순증호리간예항목예방압창적발생。비교량조환자압창발생솔、Braden평분、치료의종도、호리만의도화생활질량。결과관찰조환자압창발생솔저우대조조，간예후환자감지능력、활동능력、이동능력、조습도급마찰력5개유도득분고우대조조，치료의종도、호리만의도화생활질량득분고우대조조（P﹤0.05）。결론순증호리가이유효강저심혈관내과장기와상노년환자압창발생솔，강저기발생압창적풍험，제고환자치료의종도、호리만의도급생활질량。
Objective To analyze the preventive effect of evidence-based nursing on pressure ulcer in the old bedrid-den patients with cardiovascular disease. Methods Form January 2011 to January 2013,Department of Cardiovascular Medi-cine in our hospital,120 old bedridden patients were randomly divided into observation group and control group,each of 60 ca-ses. Both groups were given active treatment of the primary disease and appropriate care,while observation group given evidence-based nursing intervention to prevent the occurrence of pressure ulcer. The incidence of pressure ulcer,Braden score,treat-ment compliance,nursing satisfaction and quality of life between the two groups were compared. Results The incidence of pres-sure ulcer in observation group was lower than that of control group;after the intervention,the scores of perception,activity, mobility,moisture and friction were higher than those of control group;the scores of degree of treatment compliance,caring sat-isfaction and quality of life higher were higher than those of control group(P﹤0. 05). Conclusion Evidence-based nursing can effectively reduce the incidence of pressure ulcer in old bedridden patients with cardiovascular disease,reduce the risk of pressure ulcer,improve treatment compliance,nursing satisfaction and quality of life.