CAJ | 학술논문

目的：探讨Ⅲ~Ⅳ度难治性褥疮的护理设计方法及临床护理效果。方法：Ⅲ~Ⅳ度褥疮患者23例，均按照手术前和手术后两个阶段进行分期护理，包括局部创面护理、全身状态护理及指导护理。结果：经实施上述护理，褥疮创面清洁，肉芽组织生长良好，低蛋白血症基本纠正，顺利接受手术治疗后，创面修复良好，最终均病愈出院。结论：对于褥疮患者的护理，在分期护理的前提下，以符合个性特征为指导原则，选择患者最适合的护理方法。同时护理人员应加强自身的业务水平及责任感，调动护理工作的积极性与主动性。
목적：탐토Ⅲ~Ⅳ도난치성욕창적호리설계방법급림상호리효과。방법：Ⅲ~Ⅳ도욕창환자23례，균안조수술전화수술후량개계단진행분기호리，포괄국부창면호리、전신상태호리급지도호리。결과：경실시상술호리，욕창창면청길，육아조직생장량호，저단백혈증기본규정，순리접수수술치료후，창면수복량호，최종균병유출원。결론：대우욕창환자적호리，재분기호리적전제하，이부합개성특정위지도원칙，선택환자최괄합적호리방법。동시호리인원응가강자신적업무수평급책임감，조동호리공작적적겁성여주동성。
Objective:To introduce the strategy and effectiveness of nursing care which we take inⅢ~Ⅳgrades severe pressure ulcer.Methods:A retrospective study of 23 patients withⅢ~Ⅳgrades pressure ulcer who were treated in our hospital.All patients nursing care divided into preoperative and postoperative stages, including local wound nursing care, nutritional support and guidance.Results:When all patients were dealt with the nurse we applied, we de-tected that the purulent secretion and necrotic tissue reduced obviously, granulation tissue formed, which provided a good condition for the surgery treatment. The pressure ulcer recovered satisfactorily when applied operation treatment. Conclusion:It is important to select the characteristic and befitting nurse technique for nursing severe pressure ulcer pa-tients. On the other hand, it is essential to enhance the personal working ability, responsibility, enthusiasm and initiative.