股骨骨折患者压疮预防的预见性护理管理

Predictable Nursing Care Management of Pressure Sores Prevention in Patients with Femoral Fracture

目的探讨预见性护理管理在股骨骨折患者压疮预防中的应用效果。方法将2013年7月至2014年12月我科收治的248例股骨骨折患者作为试验组,对其压疮风险实施全面评估和预见性护理管理;将2012年1月至2013年6月未实施预见性护理管理的216例股骨骨折患者作为对照组。对比实施预见性护理管理前后压疮的发生率及患者的满意度。结果试验组的压疮发生率0.81%,低于对照组的4.17%;试验组的患者满意度98.39%,高于对照组的93.98%,差异有统计学意义(P<0.05)。结论预见性护理管理可减少股骨骨折患者压疮的发生,提高患者满意度;科学的评估体系、标准的护理流程和全程督导检查是有效实施预见性护理管理的关键。

Objective To investigate the application effect of predictable nursing care management of bedsore prevention in patients with femoral fracture. Methods 248 cases of femoral fracture patients who were treated in our department from July 2013 to December 2014 were taken as the test group and a comprehensive assessment of their risk of pressure sore and predictable nursing care management were carried out on them. 216 cases of femoral fracture patients who were treated with predictable nursing care management were taken as the control group. The incidence of pressure sores before and after the implement of predictable nursing care management and patients’ satisfaction were compared between the two groups. Results The incidence of pressure sores in the experiment group was 0. 81%, lower than in the control group, 4. 17%; patients’ satisfaction in the test group was 98. 39%, higher than in the control group, 93. 98%,the difference was statistically significant （ P〈0. 05 ） . Conclusion Pre-dictable nursing care management can reduce the incidence of pressure sores in patients with femoral fracture and can improve patients’ satisfaction. Scientific evaluation system, standard nursing process and entire examination are the keys to effective imple-mentation of predictable nursing care management.