曲线型仰卧护理模式对骨科术后压疮的预防效果及患者舒适度体验

Clinical value of curved supine position to prevent pressure ulcer and comfort experience in postoperative fracture patients

目的探讨曲线型仰卧护理模式对骨科术后压疮的预防效果及患者舒适度体验。方法将178例腿部骨折手术患者按照随机数字表法分为研究组和对照组各89例。对照组给予常规压疮预防护理,研究组在此基础上应用曲线型仰卧护理模式,比较2组患者住院期间压疮发生率、局部受压部位压力变化、压疮风险评分及患者舒适度体验。结果研究组发生压疮1例占1.1%,对照组发生压疮7例占7.9%,2组比较差异有统计学意义(χ^2=4.712,P=0.030)。研究组和对照组舒适度评分均随时间呈上升趋势,研究组在13:00、17:00、20:00时生理状况、心理精神、环境状况等维度评分明显高于对照组,研究组在17:00、20:00时社会文化维度评分明显高于对照组,差异均具有统计学意义(P<0.05)。结论曲线型仰卧体位护理模式可以明显减少骨科术后压疮发生率和提高患者舒适度体验。

Objective To explore the effect of curved supine position to prevent pressure ulcer and comfort experience in postoperative fracture patients.Methods A total of one hundred and seventy-eight leg fracture patients who underwent operating in hospital were randomly divided into study group and control group (89 patients in each group). Conventional prevention and nursing method was given in the control group, based on the control group, curved supine position nursing method was carried out in the study group. The incidence of pressure ulcer, main compressed parts, pressure ulcers risk score and comfort degree in two groups were compared during hospitalization.Results The incidence of pressure ulcer in the study group (1.1%,1/89) was significantly lower than in the control group (7.9%,7/89), the difference was statistically significant between two groups (χ^2=4.712, P=0.030). The scores of Kolcaba General Comfort Questionnaire (GCQ) in two groups showed a time-dependent manner, the physical, psycho-spiritual, environmental scores in the study were higher than in the control group at 13:00, 17:00 and 20:00. Meanwhile, the scores of socio-cultural were higher than in the control group at 17:00 and 20:00, the difference was statistically significant between two groups (P<0.05).Conclusion Curved supine position canreduce the incidence of pressure ulcer as well as promote comfort experience in postoperative fracture patients.