中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
15期
1800-1804
,共5页
健康教育%家属%压疮%院前压疮
健康教育%傢屬%壓瘡%院前壓瘡
건강교육%가속%압창%원전압창
Health education%Family%Pressure sores%Pre-hospital pressure sores
目的 探讨家属参与健康教育在院前压疮患者管理中的应用效果.方法 将110例院前压疮患者随机分为研究组与对照组各55例,对照组使用常规教育方法,对患者家属进行入院宣教、出院指导等；研究组在常规教育的基础上,采取家属直接参与护理过程及出院随访教育模式.干预时间均为3个月,观察两组患者干预前及干预3个月后患者及家属对压疮基本知识、护理技能掌握情况以及压疮再次发生情况.结果 干预3个月后,研究组患者家属压疮基本知识、定时翻身、皮肤护理方法、体位摆放、表面支撑物品使用、饮食护理知识掌握情况均优于对照组,两组比较差异具有统计学意义(u=5.6125,P ＜0.05).干预前,研究组发生Ⅰ,Ⅱ,Ⅲ,Ⅳ期压疮者分别为4,22,19,10例,对照组分别为6,24,16,9例,两组比较差异无统计学意义(u=0.7967,P＞0.05)；干预3个月后,研究组发生0,Ⅰ,Ⅱ,Ⅲ,Ⅳ期压疮者分别为45,4,5,1,0例,对照组分别为12,12,19,10,2例,两组比较差异有统计学意义(u=1.8526,P＜0.05).结论 家属直接参与护理过程及出院随访的教育方式更有利于家属及患者掌握压疮基本知识、预防压疮的护理技能,减少院前压疮复发.
目的 探討傢屬參與健康教育在院前壓瘡患者管理中的應用效果.方法 將110例院前壓瘡患者隨機分為研究組與對照組各55例,對照組使用常規教育方法,對患者傢屬進行入院宣教、齣院指導等；研究組在常規教育的基礎上,採取傢屬直接參與護理過程及齣院隨訪教育模式.榦預時間均為3箇月,觀察兩組患者榦預前及榦預3箇月後患者及傢屬對壓瘡基本知識、護理技能掌握情況以及壓瘡再次髮生情況.結果 榦預3箇月後,研究組患者傢屬壓瘡基本知識、定時翻身、皮膚護理方法、體位襬放、錶麵支撐物品使用、飲食護理知識掌握情況均優于對照組,兩組比較差異具有統計學意義(u=5.6125,P ＜0.05).榦預前,研究組髮生Ⅰ,Ⅱ,Ⅲ,Ⅳ期壓瘡者分彆為4,22,19,10例,對照組分彆為6,24,16,9例,兩組比較差異無統計學意義(u=0.7967,P＞0.05)；榦預3箇月後,研究組髮生0,Ⅰ,Ⅱ,Ⅲ,Ⅳ期壓瘡者分彆為45,4,5,1,0例,對照組分彆為12,12,19,10,2例,兩組比較差異有統計學意義(u=1.8526,P＜0.05).結論 傢屬直接參與護理過程及齣院隨訪的教育方式更有利于傢屬及患者掌握壓瘡基本知識、預防壓瘡的護理技能,減少院前壓瘡複髮.
목적 탐토가속삼여건강교육재원전압창환자관리중적응용효과.방법 장110례원전압창환자수궤분위연구조여대조조각55례,대조조사용상규교육방법,대환자가속진행입원선교、출원지도등；연구조재상규교육적기출상,채취가속직접삼여호리과정급출원수방교육모식.간예시간균위3개월,관찰량조환자간예전급간예3개월후환자급가속대압창기본지식、호리기능장악정황이급압창재차발생정황.결과 간예3개월후,연구조환자가속압창기본지식、정시번신、피부호리방법、체위파방、표면지탱물품사용、음식호리지식장악정황균우우대조조,량조비교차이구유통계학의의(u=5.6125,P ＜0.05).간예전,연구조발생Ⅰ,Ⅱ,Ⅲ,Ⅳ기압창자분별위4,22,19,10례,대조조분별위6,24,16,9례,량조비교차이무통계학의의(u=0.7967,P＞0.05)；간예3개월후,연구조발생0,Ⅰ,Ⅱ,Ⅲ,Ⅳ기압창자분별위45,4,5,1,0례,대조조분별위12,12,19,10,2례,량조비교차이유통계학의의(u=1.8526,P＜0.05).결론 가속직접삼여호리과정급출원수방적교육방식경유리우가속급환자장악압창기본지식、예방압창적호리기능,감소원전압창복발.
Objective To discuss the effect of the family-nurse health education on the management of patients with pre-hospital pressure sores.Methods A total of 110 pre-hospital pressure sores patients were randomly divided into control group (n =55) and treatment group (n =55).Families of the treatment group participated directly in the nursing processes and the follow-up health education on the basis of regular education,while patients of the control group received regular education and their families received admission education and discharge instructions etc.The intervention lasted for three months,and the changes of both the patients and their families' mastery of rudiments of pressure sore,their nursing skills and the re-occurrence of pressure sore were observed.Results No significant difference was found in the cases of different level of pressure sore before the intervention between treatment group and control group(Ⅰ:4 vs 6,Ⅱ:22 vs 24,Ⅲ:19vs 16,Ⅳ:10 vs 9;u =0.796 7,P ＞ 0.05).After the intervention,patients and their families' awareness rate of rudiments of pressure sore and of relevant nursing skills etc.in treatment group was better than that in control group,and the difference was statistically significant (u =5.612 5,P ＜ 0.05).The reoccurrence rate of pressure sore of the treatment group was significantly lower than that of the control group (no reoccurred:45 vs 12,Ⅰ:4vs12,Ⅱ:5vs19,Ⅲ:1vs10,Ⅳ:0vs2;u=1.8526,P＜0.05).Conclusions The family-nurse health education for the patients with pre-hospital pressure sore during the nursing process and follow-up education is more helpful for the families to grasp the rudiments of pressure sore and the nursing sills that can prevent the occurrence of pressure sore,thus lowering the reoccurrence rate of pressure sore.
