脊柱转移癌患者压疮防护临床研究

Pressure ulcer prevention in patients with spinal metastases

目的提高脊柱转移癌患者翻身依从性,降低压疮发生率。方法将58例脊柱转移癌患者按入院时间段分为对照组28例和观察组30例;对照组在常规镇痛基础上由3人共同实施轴线翻身;观察组采用自制轴线翻身垫及与之相匹配的翻身流程翻身,强化疼痛干预及护理措施的落实。结果患者翻身后即刻疼痛评分、翻身依从性、压疮发生率与对照组比较,差异有统计学意义（P〈0.05,P〈0.01）;每次翻身操作由3～4人减少到1～2人。结论轴线翻身垫的应用及相应措施的实施,可有效提高脊柱转移癌患者压疮护理效果,同时节省护理人力资源。

Objective To enhance the compliance with body turning and to reduce pressure ulcers in patients with spinal metastases.Methods Fifty-eight cancer patients with spinal metastases were divided into a control group（n=28）and an observation group（n=30）according to the chronological order.Patients in the control group received body turning along the horizontal axis performed by three nurses and were subjected to conventional pain relief therapy,while their counterparts in the observation group used a homemade mattress for body turning,received standard body turning procedure when using the mattress,and were subjected to intensive pain control measures.Results The observation group had milder pain after body turning,higher compliance with turning and a lower incidence of pressure ulcers compared to the control group（P〈0.05,P〈0.01）.The number of nurses needed for each turning was decreased from 3to 1.Conclusion Application of a homemade mattress for body turning and implementation of the corresponding measures can effectively improve nursing quality of pressure ulcer prevention and save nursing human resources.