CAJ | 학술논문

目的探讨卧床患者皮肤皱褶处及皮肤夹角接触面压疮的预防护理.方法选择100例急诊重症监护室患者,按照信封法随机分为2组,各50例.对照组采用常规护理方法,每2小时协助患者更换体位,保持床单位清洁无渣屑,每日晨晚间对患者的皮肤褶皱处、肢体与躯干的连接夹角处的皮肤表面擦拭干净,使用减压设备;观察组在常规护理方法基础上采用无菌纱布隔开接触面皮肤受压部位,以减少患者皮肤皱褶、肢体与躯干连接夹角处的皮肤接触面静摩擦力、降低潮湿度的皮肤护理方法,比较2组的压疮发生率.结果观察组50例患者1例发生压疮,发生率为2.0％,对照组50例患者18例发生压疮,发生率为36.0％,明显高于观察组,差异有统计学意义(P＜0.01).结论这种减小皮肤皱褶处、肢体与躯干连接的夹角处皮肤之间静摩擦力的护理方法解决了临床长期未解决的患者皮肤皱褶处压疮皮肤护理难点,且具有很好的临床护理效果,成本低,操作简便.
목적 탐토와상환자피부추습처급피부협각접촉면압창적예방호리.방법 선택100례급진중증감호실환자,안조신봉법수궤분위2조,각50례.대조조채용상규호리방법,매2소시협조환자경환체위,보지상단위청길무사설,매일신만간대환자적피부습추처、지체여구간적련접협각처적피부표면찰식간정,사용감압설비;관찰조재상규호리방법기출상채용무균사포격개접촉면피부수압부위,이감소환자피부추습、지체여구간련접협각처적피부접촉면정마찰력、강저조습도적피부호리방법,비교2조적압창발생솔.결과 관찰조50례환자1례발생압창,발생솔위2.0％,대조조50례환자18례발생압창,발생솔위36.0％,명현고우관찰조,차이유통계학의의(P＜0.01).결론 저충감소피부추습처、지체여구간련접적협각처피부지간정마찰력적호리방법해결료림상장기미해결적환자피부추습처압창피부호리난점,차구유흔호적림상호리효과,성본저,조작간편.
Objective To discuss the preventive care of the bed folds of skin and skin contact surface angle of pressure ulcers.Methods One hundred cases of emergency intensive care unit patients were randomly divided into two groups.Control group used conventional methods of care; observation group used sterile gauze to separate the skin contact surface pressure.The nursing method reduced the patient's skin folds,limbs and trunk connections and reduce the moisture level.Results In observation group,1 case had pressure ulcers,but in control group 18 cases had pressure ulcers; the difference was statistically significant (P ＜ 0.01).Conclusion The skin care methods solve the difficulties of the clinical care of patients with folds of skin.