预见性护理在CCU病房基础护理中的应用

Application of predictive intervention in nursing management of CCU

目的探讨预见性护理在心内科CCU病房基础护理中的应用效果。方法将2015年7-12月CCU收治的患者180例设为A组,采用常规基础护理。将2016年1-6月CCU收治的患者180例设为B组,在A组基础上实施预见性护理。观察2组口腔卫生情况、压疮发生及失禁相关性皮炎发生情况。结果 B组失禁相关性皮炎低于A组(P<0.05);2组压疮发生率比较差异无统计学意义(P>0.05)。B组的口腔卫生情况优于A组(P<0.05)。结论预见性护理模式能提高CCU病房的基础护理质量。

Objective To observe the effect of predictive nursing intervention for patients at cardiac intensive care unit（CCU）. Methods A total of 180 patients from CCU between July,2015 and December,2015 were selected as the Group A,with routine care during treatment. Another180 patients from CCU between January,2016 and June,2016 were recruited as the Group B,receiving routine care and predictive intervention. The oral hygiene,pressure ulcer,and incontinenceassociated dermatitis（IAD） were monitored in both two groups. Results The incidence of IAD was lower in the group B than that in group A（P〈0.05）. There was no significant difference in incidence of pressure ulcer between two groups（P〈0.05）. Patients in group B had better oral hygiene condition compared with those in group A（P〈0.05）. Conclusion It is effective to carry out predictive intervention to improve the quality of nursing management at CCU.