摘要
目的探讨延续性护理干预在慢性伤口出院患者中应用的效果。方法选取2014年6月~2016年2月于我院治疗的慢性伤口患者60例,依据SPSS22.0统计分析系统产生随机数字表法将患者随机分为观察组和对照组,各30例。其中对照组出院后常规护理,观察组采用延续性护理干预。随访3个月后,评价两组患者临床疗效、评估患者生活质量以及治疗费用。结果观察组痊愈率和总有效率分别为43.3%和93.3%,显著高于对照组的13.3%和73.3%,观察组临床疗效显著优于对照组,差异有统计学意义(P<0.05)。观察组患者可独自外出、生活自理患者比例显著高于对照组,差异有统计学意义(P<0.05)。两组患者卧床休息、肢体挛缩发生率比较,差异无统计学意义(P>0.05)。观察组治疗花费、换药次数以及患者再入院率显著低于对照组,差异有统计学意义(P<0.05)。结论慢性伤口患者出院后采取延续性护理干预,能够显著提高患者临床疗效,促进伤口愈合,提高患者生活质量,减少患者治疗费用,值得在实践中推广。
Objective To explore the effect of application ofcontinuous nursing intervention in discharged patients with chronic wounds. Methods 60 patients with chronic wounds who were treated in our hospital from June 2014 to February 2016 were selected.According to the random table generated by SPSS22.0 statistical analysis system,they were randomly divided into the observation group and the control group,with 30 cases in each group.The control group was given routine nursing after discharge while the observation group was given continuous nursing intervention.After 3 months of follow-up,the clinical curative effects,quality of life and treatment cost of two groups were evaluated. Results The cure rate and effective rate of observation group were 43.3% and 93.3% respectively,significantly higher than those of control group (13.3% and 73.3%,all P < 0.05).The clinical curative effects of observation group were significantly better than those of control group,and the difference was statistically significant(P < 0.05).The proportions of patients in the observation group who could go out alone and take care of themselves were significantly higher than those in control group,and the difference was statistically significant (all P < 0.05).There was no statistically significant difference in the incidence of bed rest and limb contracture between the two groups (all P > 0.05). The treatment cost, dressing change times and readmission rate of patients in the observation group were significantly lower than those in control group,and the difference was statistically significant (P < 0.05). Conclusion Continuous nursing intervention for discharged patients with chronic wounds can significantly improve the clinical curative effects,promote wound healing,improve the quality of life and reduce the cost of treatment.It is worth promoting in practice.
作者
黎燕丽
张秀妮
蒋凤婷
黎瑞仪
LI Yanli;ZHANG Xiuni;JIANG Fengting;LI Ruiyi(Department of Trauma and Burn,Panyu District Central Hospital,Guangzhou 511400,China)
出处
《中国医药科学》
2019年第13期66-68,共3页
China Medicine And Pharmacy
基金
广东省广州市番禺区科技计划项目(2015-Z03-14)
关键词
延续性护理干预
慢性伤口
糖尿病
脉管炎
Continuity nursing intervention
Chronic wounds
Diabetes
Vasculitis
