摘要
目的对社区慢性压疮患者实施管理监控及综合护理干预，提高患者的康复水平。方法以80例门诊换药室换药的晚期压疮患者为研究对象，随机分为实验组和对照组各40例，对照组在门诊执行伤口换药常规处理，做好健康宣教，实验组在常规换药处理及健康宣教的基础上进行系统性监控及护理干预，措施包括：成立伤口护理专项管理小组、制定严密的监控管理措施、预防进一步的压疮的发生、促进舒适及减轻疼痛、强化功能锻炼，预防并发症、纠正营养及水份的状况。结果管理监控及综合护理干预组患者的生活质量评分明显高于对照组（P〈0．05），两组患者在遵医行为和家属对患者照护知识的知晓率方面差异有统计学意义耿0．05）。结论管理监控及综合护理干预，不仅能提高社区慢性压疮患者的康复水平，提高生活质量，而且对提高患者家属的照护水平具有重要的作用。
Objective To implement management monitoring and comprehensive nursing intervention in community patients with chronic ulcer to increase the level of rehabilitation. Methods 80 patients with advanced pressure sore were randomly divided into a study group and a control group, 40 for each group. The control group received conventional treatment, health education, while the study group received monitoring system and nursing intervention in addition to routine medication treatment and health education includinz establishment of wnund carespecial management team, establishing the monitoring management measures, strict prevention of further promote the incidence of pressure ulcers, comfort and ease pain, strengthened functional exercises, prevention of complications, correction of nutrition, and moisture condition. Results The scores of quality of life were significantly higher in the group of management monitoring and comprehensive nursing intervention than in the control group （P〈0.05）, two patients had statistical significance on the awareness rate of knowledge of the differences in patient care in medical compliance behavior and family （P〈0.05）. Conclusions Management monitoring and comprehensive nursing intervention can not only improve rehabilitation in community patients with chronic ulcer and improve quality of life, but also olavs an imoortant role in imorovin~ the level of nursin~ care.
出处
《国际医药卫生导报》
2013年第15期2281-2284,共4页
International Medicine and Health Guidance News
基金
2013年肇庆市科技创新计划项目（2013E1718）
关键词
护理干预
慢性压疮
生活质量
康复水平
Nursing intervention
Chronic ulcer
Quality of life
Rehabilitation level
