重型颅脑损伤患者采取压力性损伤预防护理模式管理的效果
Effect of Pressure Injury Prevention Nursing Mode Management in Patients with Severe Craniocerebral Injury
王翠娥 1周璐1
作者信息
- 1. 362000 福建 泉州,福建医科大学附属第二医院神经外科
- 折叠
摘要
目的 探讨在重型颅脑损伤患者中采用压力性损伤预防护理模式管理的临床效果.方法 选取2021年3月—2022年3月福建医科大学附属第二医院收治的50例重型颅脑损伤患者,所有患者采用随机数字表法分为对照组和研究组各25例.对照组采用常规护理方案,研究组采用压力性损伤预防护理方案.比较两组患者护理24 h、48 h和72 h内压力性损伤发生情况,以及两组护理前和护理72 h后Braden量表评分.结果 护理24 h内,两组均未发生压力性损伤.护理48 h内,研究组未出现压力性损伤,对照组出现4例,对照组压力性损伤发生率高于研究组,但差异无统计学意义(P＞0.05).护理72 h内,研究组出现1例压力性损伤,对照组出现6例,对照组压力性损伤发生率高于研究组,但差异无统计学意义(P＞0.05).护理72 h后,两组Braden量表评分均高于护理前,且研究组高于对照组,差异有统计学意义(P＜0.05).结论 重型颅脑损伤患者采用压力性损伤预防护理模式具有较好的预防压力性损伤发生效果,值得临床推广应用.
Abstract
Objective To explore the clinical effect of pressure injury prevention nursing mode management in patients with severe craniocerebral injury.Methods A total of 50 patients with severe craniocerebral injury admitted to the Second Affiliated Hospital of Fujian Medical University from March 2021 to March 2022 were selected.All patients were randomly divided into a control group and a study group with 25 patients in each group using a random number table method.The control group adopted the routine nursing procedure,while the study group adopted the pressure injury prevention nursing procedure.Compare the occurrence of pressure injury within 24,48,and 72 hours of nursing care between two groups,as well as the Braden scale scores before and after 72 hours of nursing care.Results Within 24 hours of nursing care,no pressure injury occurred in either group.Within 48 hours of nursing care,there was no pressure injury in the study group,while there were 4 cases in the control group,the incidence of pressure injury in the control group was higher than that in the study group,but the difference was not significant(P>0.05).Within 72 hours of nursing care,there was 1 case of pressure injury in the study group and 6 cases in the control group,the incidence of pressure injury in the control group was higher than that in the study group,but the difference was not significant(P>0.05).After 72 hours of nursing care,the Braden scale scores of both groups were significantly higher than before nursing,and the study group was significantly higher than the control group(P<0.05).Conclusion The use of pressure injury prevention nursing mode for patients with severe craniocerebral injury has a good effect in preventing the occurrence of pressure injury,and is worthy of clinical promotion and application.
关键词
重型颅脑损伤/并发症/压力性损伤/预防护理/效果Key words
Severe Craniocerebral Injury/Complication/Pressure Injury/Preventive Nursing/Effect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据