紧密型医疗联合体模式对降低农村居家卧床老人压疮发生率的探讨

Study on the incidence of pressure sores in rural elderly bedridden patients by compact type medical alliance group

目的探讨紧密型医疗联合体模式对农村居家卧床老人压疮发生率的影响。方法利用医联体优势成立社区压疮专业工作小组并选取绍兴钱清农村60例65岁以上居家卧床老人作为研究对象,采用自制调查表等进行资料收集和实施干预措施,进行前后数据比较。结果本次实施干预前有26例老人发生压疮,发生率为43.33%;干预后压疮发生人数为6例,发生率下降至10.71%。结论"紧密型医疗联合体"模式能有效减少农村社区居家老人压疮风险;使压疮发生率、发生程度下降明显,减轻老人痛苦。

Objective To investigate the effect of compact type medical alliance group on the incidence of pressure sores in rural bedridden elderly people.Methods By using the method of conjoined advantage to set up a community pressure sore specialist working group.60 rural home bedridden elderly patients over 65 years old from Qianqing,Shaoxing took part in the survey,The relative factors of pressure sores were investigated by the questionnaire made in our hospital and Braden rating scale,according to the survey results,we took corresponding countermeasures,then analyzed the effect of countermeasures.Result Before the intervention,there were 26 cases of pressure sores in the elderly,the incidence rate was 43.33%.The number of pressure sores after intervention was 6 cases,and the incidence dropped to 10.71%.Conclusion The compact type medical alliance group can effectively reduce the risk of pressure sores in elderly residents in rural communities,reduce the incidence of pressure ulcers,and reduce the pain of the elderly.