摘要
目的构建并应用烧伤后创面瘙痒非药物干预方案,减轻患者瘙痒程度,改善患者生活质量。方法选取烧伤后创面瘙痒患者78例,按照入院时间分为对照组40例,观察组38例。对照组给予常规护理。观察组基于最佳证据构建烧伤后创面瘙痒非药物干预方案初稿,通过2轮德尔菲专家函询,形成烧伤后创面瘙痒非药物干预方案终稿;按照制订的烧伤后创面瘙痒非药物干预方案对患者实施护理。干预2周后比较两组烧伤后创面瘙痒评分、瘙痒严重程度、搔抓致皮肤损伤发生率及生活质量。结果观察组患者瘙痒评分、瘙痒严重程度、生活质量评分显著低于对照组(均P<0.05);两组患者搔抓致皮肤损伤发生率比较,差异无统计学意义(P>0.05)。结论烧伤后创面瘙痒非药物干预方案的应用可减轻患者的瘙痒程度,改善患者生活质量。
Objective To develop and implement a non-pharmacological intervention program for post-burn pruritus,to reduce pruritus severity and improve quality of life of patients.Methods A total of 78 patients with post-burn pruritus were chronologically divided into a control group of 40 and an intervention group of 38.The control group was given routine nursing care,while the intervention group received non-pharmacological interventions which were formulated through evidence synthesis and two rounds of Delphi expert consultation.After 2 weeks of intervention,pruritus score,pruritus severity,the incidence of skin lesions secondary to a scratching behavior and quality of life were compared between the two groups.Results The intervention group had significantly lower pruritus score,pruritus severity and quality of life score compared with the control group(all P<0.05).There was no significant difference in the incidence of skin lesions secondary to a scratching behavior between the two groups(P>0.05).Conclusion The implementation of non-pharmacological intervention program for post-burn pruritus can reduce pruritus severity and improve quality of life of patients.
作者
严雪芹
柏素萍
陈成
朱丽群
刘巧艳
邰宁正
周芳芳
Yan Xueqin;Bai Suping;Chen Cheng;Zhu Liqun;Liu Qiaoyan;Tai Ningzheng;Zhou Fangfang(Department of Burns and Plastic Surgery,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第21期40-44,共5页
Journal of Nursing Science
基金
2022年度江苏大学临床医学专项基金项目(护理专项)(JDLCHL202205)。
关键词
烧伤
创面
瘙痒
非药物干预
皮肤损伤
生活质量
循证护理
德尔菲法
burns
wound
pruritus
non-pharmacological intervention
skin injury
quality of life
evidence-based nur-sing
Delphi method
