摘要
目的 在ICU患者中，分析预见性压力性损伤预防护理效果，探究对发生率和压力性损伤严重程度的影响。方法 选取我院2021年10月～2022年11月收治的100例ICU患者作为研究对象，利用随机数字表法分组，观察组（50例）与对照组（50例），对照组行常规护理，观察组行预见性压力性损伤预防护理。结果 （1）生活质量：护理前，2组躯体功能评分、物质生活评分、心理功能评分、社会功能评分比对，（P＞0.05），无差异；护理后，物质生活评分、躯体功能评分、心理功能评分、社会功能评分对比，观察组均高于对照组，差异显著（P＜0.05）。（2）压力性损伤严重程度：观察组一期压力性损伤严重程度高于对照组，差异显著（P＜0.05）。观察组二期、三期、四期压力性损伤严重程度均低于对照组，（P＜0.05），差异显著。（3）压力性损伤发生率，差异显著（P=0.008＜0.05）。结论 对ICU患者实行预见性压力性损伤预防护理，能有效提高患者生活质量，，故值得临床推广应用。
关键词： ICU患者；预见性压力性损伤预防护理；压力性损伤严重程度；发生率；生活质量
Abstract
Objective To analyze the preventive nursing effect of predictive stress injury in ICU patients and explore the impact on the incidence and severity of stress injury. Methods 100 ICU patients admitted to our hospital from October 2021 to November 2022 were selected as the study subjects. They were divided into observation group (50 cases) and control group (50 cases) by random number table. The control group received routine nursing, and the observation group received preventive nursing for predictive stress injury. Results (1) Quality of life: before nursing, there was no difference in the scores of physical function, material life, psychological function and social function between the two groups (P>0.05); After nursing, the scores of material life, physical function, psychological function and social function in the observation group were significantly higher than those in the control group (P<0.05). (2) Severity of pressure injury: the severity of primary pressure injury in the observation group was significantly higher than that in the control group (P<0.05). The severity of stage II, stage III and stage IV stress injury in the observation group was lower than that in the control group (P<0.05). (3) The incidence of stress injury was significantly different (P=0.008 ＜ 0.05). Conclusion Predictive stress injury prevention nursing for ICU patients can effectively improve the quality of life of patients, so it is worthy of clinical application.
Key words： ICU patients; Predictive stress injury prevention nursing; Severity of stress injury; Occurrence rate; Quality of life
参考文献 References
[1] 王鹤鹤. 预见性护理在ICU重症颅脑损伤合并糖尿病患者预防压力性损伤中的应用效果[J]. 中国医药指南, 2021, 19(35):31-33.
[2] 李振刚, 王亚婷, 祁进芳,等. 三种压力性损伤评估量表对ICU体外循环术后患者压力性损伤预测能力比较[J]. 中国医药导报, 2022，019(009):100-100.
[3] 贾盈盈, 张红燕, 马媛媛,等. ICU患者压力性损伤风险预测模型的系统评价[J]. 中华护理杂志, 2021, 56(81): 1242-1248.
[4] 王娜, 林元婷, 熊尹诗,等. ICU患者医疗器械相关压力性损伤预防的证据总结[J]. 中国实用护理杂志, 2022, 38(13): 366-367.
[5] 梁天英, 陈韫琴, 梁本禧,等. 集束化护理对ICU颅脑术后患者头部压力性损伤及昏迷指数的影响[J]. 海南医学, 2022,39(012):033-033.
[6] 李阳, 祁进芳, 董正惠,等. Braden量表和Scott triggers量表在ICU老年髋关节置换术患者压力性损伤中的应用研究[J]. 中国医药导报, 2022，019(014):199-199.
[7] 罗晓花, 陈月梅, 刘小婷,等. 集束化护理联合预见性护理对3~4期压力性损伤患者继发感染的控制效果研究[J]. 重庆医学, 2021, 50(S01):347-248.
[8] 陈凤, 李红, 林娟,等. 患者参与式护理方案在髋部骨折患者围术期压力性损伤预防中的效果[J]. 中国护理管理, 2021,78(012):021-021.