持续预见性护理改进预防创伤大手术急性压疮形成

Prevention of acute pressure ulcer in patients undergoing trauma and surgery through continue-predictive nursing

目的：探讨不同阶段预见性护理方案预防创伤大手术患者急性压疮的效果。方法选取2012年6月至11月行创伤手术患者310例，按住院日期分成干预组158例（单号）和对照组152例（双号），制定各阶段持续预见性护理方案，比较两组急性压疮发生率、发生程度及发生时间。结果①入院后患者压疮危险因素系统评估，干预组≤10分无1例发生压疮，11～15分压疮发生率为1.27％，≥16分压疮发生率1.27％，明显低于对照组（P＜0.05）；②干预组Ⅰ度压疮2例，Ⅱ度1例，Ⅲ度1例，压疮程度轻于对照组（P＜0.05）；③两组发生急性压疮时间比较差异有显著统计学意义（ P＜0.05）。结论应用持续预见性压疮护理方案为创伤手术患者压疮管理提供新的护理模式，使压疮护理系统化、科学化、具体化、规范化，有利于预防创伤手术患者急性压疮的发生。

Objective To investigate the effect of acute pressure ulcer in patients undergoing trauma and sur-gery through continue-predictive nursing.Methods According to the hospitalization date , 310 patients were randomly divided into intervention group （ n=158 ） and control group （ n=152 ） .Programs of continue-predictive nursing was formulated, and acute pressure sore incidence, extent and time of occurrence were compared.Results ①After admis-sion, assessed pressure ulcers in patients with risk factors, there was no cases of pressure sores in the intervention group≤10 , pressure ulcers rate of intervention group was 1.27% in 11~15 and pressure ulcers rate of intervention group was 1.27%in ≥16, which were significantly lower than those of the control group （P〈0.05） .②There were 2 cases ofⅠpressure sores, 1 case ofⅡpressure sores and 1 case ofⅢpressure sores in intervention group, the degree of pres-sure sores of the intervention group was lower than that of the control group （P〈0.05）.③There was significant differ-ence in acute pressure time between the two groups （ P〈0.05）.Conclusions Application program of continue-predic-tive nursing to patients undergoing trauma and surgery for prevention of acute pressure ulcer could be conductive to the prevention of trauma surgery in patients with acute occurrence of pressure sores.