Effect of implementation of an evidence-based treatment plan for prevention of pressure ulcers in long-term bedridden patients
基于循证的压疮预防护理方案在长期卧床患者中的实施效果

摘要

目的 探究基于循证护理的压疮预防策略在长期卧床患者群体中的实施成效。方法 选取2023年1月至2024年12月期间收治的80例长期卧床患者，依据随机数字表法将其均分为观察组与对照组，每组各含40例患者。对照组接受常规护理干预，而观察组则实施循证护理模式，对比两组患者的压疮发生率、Braden量表评分及护理满意度。结果 观察组压疮总发生率为2.50%，低于对照组的20.00%（P<0.05）；观察组Braden量表总分及各维度评分均高于对照组（P<0.05）；护理满意度调查结果显示，观察组在服务态度、技术操作、健康教育及沟通效果等维度得分均优于对照组（P<0.05）。结论 循证护理模式可有效降低长期卧床患者压疮的发生率，改善患者营养状况，提升皮肤耐受性，并显著提升护理服务质量，值得在临床中广泛推广应用。

Abstract

Objective To investigate the effectiveness of the implementation of a pressure ulcer prevention strategy based on evidence-based care in a long-term bedridden patient population.
Methods 80 long-term bedridden patients admitted between January 2023 and December 2024 were divided into observation and control groups according to a randomized numerical sampling method, each containing 40 patients. The control group received routine nursing intervention, while the observation group implemented evidence-based nursing model. The incidence of pressure sore, Braden scale score and nursing satisfaction were compared between the two groups.
Results The total incidence of pressure ulcers in the observation group was 2.50%, which was lower than that in the control group (20.00%) (P < 0.05). The total score of Braden scale and each dimension score in the observation group were higher than those in the control group (P < 0.05).The results of nursing satisfaction survey showed that the observation group was better than the control group in service attitude, technical operation, health education and communication effect (P < 0.05).
Conclusion   Evidence-based nursing model can effectively reduce the incidence of bedsore, improve nutrient status, enhance cutaneous tolerance, and significantly improve the quality of service, which is worthy of clinical application.