| 汪涤菲,沈文军.心脏外科ICU压疮预防护理中实施“无缝隙”管理的效果研究[J].上海护理,2019,19(S1): |
| 心脏外科ICU压疮预防护理中实施“无缝隙”管理的效果研究 |
| Study on the effect of seamless management in cardiac surger ICU pressure ulcer (PU) prevention care |
| DOI： |
| 中文关键词: 压疮 无缝隙管理 心脏外科ICU |
| 英文关键词:seamless management cardiac surgery ICU pressure ulcers, |
| 基金项目: |
|
| 摘要点击次数: 1222 |
| 全文下载次数: 0 |
| 中文摘要: |
| 【摘要】目的 探讨在心脏外科ICU患者压疮预防护理中实施“无缝隙”管理的效果。方法 采用随机分组对照研究，选取2016 年1-6月的376例心脏手术患者为对照组，采用术后常规压疮预防管理；选取2017 年 1～6月的399例患者为干预组，实施包括循证术前评估、术中预防性保护、术后早期预防的全程“无缝隙”压疮预防管理。比较两组患者术后早期的压疮发生率、压疮高发部位压红的改善率等。结果1.两组病例基线资料比较，干预组在年龄、病情危重度等方面均大于对照组。2.对照组压疮发生率为7.18%，干预组为1.25%，（P ＜0．01）；3.比较两组术后早期压疮高发部位压红的改善率，对照组术后尾骶压红改善率仅为33.3%，足部及背部的压红不仅无改善，反而有增加；干预组尾骶压红改善率81.5%，足部和背部压红的改善率为100%（P ＜0．01）。结论 心脏手术后患者压疮风险很高，其中尾骶部、足跟部、背部是早期压疮的高发部位。采用无缝隙管理，可有效降低心脏术后患者压疮的发生率。 |
| 英文摘要: |
| 【Abstract】Objectives: To explore the effect of "seamless" management in the prevention and treatment of pressure ulcers in ICU patients with cardiac surgery.Methods: From Jan to June 2016, 376 patients admitted to our cardiac ICU received standard procedures for preventing pressure ulcers were taken as the control group, while 399 patients admitted from Jan to June 2017 were taken as intervention group with “seamless” nursing management implemented with Evidence based preoperative assessment, Analyze the problems in the prevention management of pressure ulcer, and propose the "seamless" nursing quality management mode, including: establish the three-level quality control system, intraoperative preventive protection and postoperative pressure ulcer precautions..Result: The baseline data of the two groups were compared in table 1.Although the intervention group had more surgical complications, the incidence of pressure ulcers of the control group and of intervention group was 7.18% and 1.25% respectively. (P < 0.01), There were significant differences among the groups. Due to the general characteristics of cardiac surgery, the sacral area, heel and back are the most frequent sites of early pressure ulcers. The rate of improvement was 29% in the control group.The rate of improvement was 86% in the observation group.. Conclusion: The implements of seamless management could effectively reduce the incidence of pressure ulcer in the early post-operative patients following cardiac surgery. |
| 查看/发表评论 下载PDF阅读器 全文HTML |
| 关闭 |
|
|
|
