护理干预对脑卒中卧床患者压疮发生发展的影响

Effects of Nursing intervention on ambulatory patients with stroke as to the development of pressure ulcers occurrence

目的:探讨脑卒中卧床患者压疮的发生发展及护理干预。方法:采用压疮风险评估表(Braden量表)对80例有压疮风险的脑卒中住院患者进行全身情况评估,评估分≤18分者被认定有风险性,分值越小压疮发生的风险越大。并分为实验组和对照组,分别进行干预护理和常规护理,比较两组患者压疮的进展。结果:80例有压疮风险的患者在住院期间压疮的发生为7例(8.75%);其中入院第3天时干预组无压疮患者,对照组有2例;在入院7天干预组发生1例Ⅰ度压疮,对照组3例患有压疮,其中2例为Ⅰ度,1例为Ⅱ度;第15天干预组无压疮发生,对照组1例发生压疮。在出院评估时两组患者均无压疮。结论:针对脑卒中卧床患者采用综合措施进行早期干预,可以减少和改善压疮的发生和发展。

Objective：To explore the stroke bedridden patients pressure ulcers development and nursing interven-tion. Methods：pressure ulcer risk assessment form （Braden Scale ） have pressure sores for 80 hospitalized patients with stroke risk systemic assessment, evaluation of ≤18 points who were identified as having risk, the smaller the pressure ulcer scores.Results：80 patients with pressure sores risk of pressure ulcers during hospitalization occurred in 7 cases,8.75% ; among the intervention group at 3 days after admission found no pressure sores in patients in the control group in the first three days of admission have two.Conclusion：For stroke patients , an integrated approach of early intervention can reduce the occurrence and development and improvement of pressure sores.