降低血液透析中压疮发生率的临床研究

Clinical research on reducing incidence of pressure sores during hemodialysis

目的探讨降低血液透析中压疮发生率的临床研究。方法收集2011年5月至2014年5月在我院进行血液透析的患者308例,采取非同期分组方式随机分为观察组200例和对照组108例。对照组实施血液透析前后给予常规护理,观察组则在常规护理的基础上实施压疮护理干预指导,对比两组患者血液透析后的压疮发生率、患者护理满意度。结果通过对比分析发现,对照组中有13例发生压疮的患者,发生率为12%,观察组有2例发生压疮的患者,发生率为1%,两组患者压疮发生率存在显著性差异(P<0.01),且与其预期的压疮危险性密切相关(P<0.01)。患者满意度两组比较,差异具有显著性差异(P<0.01)。结论观察组实施压疮护理干预指导降低了血液透析中的压疮率,提高了患者对护理的满意度,有利于患者继续进行透析,减轻患者忍受并发症带来的附加痛苦。

Objective To study how to reduce the incidence of pressure sores during hemodialysis in clinical research.Methods Selected 308 cases from our hospital during 2011.5-2014.5 who needed hemodialysis .Randomly divide them into two groups-observation group （ 200 cases ） and the control group （ 108 cases） by non-synchronous grouping .During hemodialysis all the cases received routine care , and the cases in observation group added the nursing intervention and guidance of pressure sores .Compared the incidence of pressure sores of two groups after hemodialysis , and the nursing satisfaction patients evaluated .Results There were 13 cases（12%） diagnosed that they had pressure sores in control group ,and 2 cases（1%） in observation group.There was significant difference between two groups （P〈0.01）.And the rate of pressure sores was related to the expected pressure sore risk closely（P〈0.01）.The nursing satisfaction in observation group was higher than that in control group （P〈0.01）.Conclusions Nursing intervention and guidance of pressure sores can reduce the rate of pressure sores during hemodialysis , improve the nursing satisfaction .It＇s good for patients to continue hemodialysis and reduce the additional pain from complication of hemodialysis .