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目的:分析程序护理法在压疮临床控制中的实施效果。方法:收集浙江省杭州市肿瘤医院肝胆外科住院高危压疮患者74例,按护理方式不同用随机数字表法将其分成对照组和观察组,考核两组护士干预前后护理成绩,比较两组患者住院时间、压疮发生率、SF-36生活质量表分值,调查两组护理后患者护理满意度。结果:干预后,观察组护士病情了解、理论知识、操作技能分值及护理考核总分均较对照组高。与对照组相比,观察组患者住院时间更短,生活质量分值更高,且压疮发生率2.70%,低于对照组的18.92%;观察组患者护理总满意率为94.59%,高于对照组的75.68%(P<0.05)。结论:程序化护理能有效降低肝胆外科患者压疮发生率,提高护理人员护理能力,促进患者康复,提高患者满意度。
Objective: To analyze the effect of procedural nursing in the clinical control of pressure ulcer. Methods: Totally 74 patients with high-risk pressure ulcer inpatients with hepatobiliary surgery in Hangzhou Tumor Hospital were enrolled and divided into control group and observation group by random number table according to different nursing methods. The nursing scores of two groups of nurses before and after intervention were evaluated. Hospitalization time, the incidence of pressure ulcers, SF-36 quality of life table scores, two groups of patients after nursing care satisfaction survey. Results: After the intervention, the nurses in the observation group had better understanding of the condition, theoretical knowledge, operational skills scores and nursing assessment scores than the control group. Compared with the control group, the patients in the observation group had shorter hospital stay, higher quality of life scores, and the incidence of pressure ulcers was 2.70%, which was lower than 18.92% of the control group. The total satisfaction rate of patients in the observation group was 94.59% 75.68% of the control group (P <0.05). Conclusion: Programmed nursing can effectively reduce the incidence of pressure ulcers in patients with hepatobiliary surgery, improve nurses’ nursing ability, promote patient rehabilitation and improve patient satisfaction.