喜疗妥、蜂蜜联合水垫预防晚期肿瘤患者压疮的临床疗效观察

Clinical Observation of the Effect of Hirudoid and Honey Combined with Water Cushion on the Prevention of Pressure Ulcer in Patients with Advanced Cancer

目的:探讨喜疗妥、蜂蜜联合水垫预防晚期肿瘤患者压疮的临床疗效,以期提高晚期肿瘤的患者生活质量。方法:选取2014年1月-2016年12月肿瘤科收治的晚期肿瘤患者作为研究对象,将具有压疮高危因素、Braden评分≤14分且无皮肤损伤的160例患者随机分为对照组和试验组,每组80例,对照组在入院后按常规压疮护理要求进行护理,试验组在对照组常规护理措施上采用喜疗妥、蜂蜜联合水垫法进行压疮护理,对照组中又随机分为A、B两组,试验组中又随机分为C、D两组,A组、C组患者采取按时协助翻身(即每2小时协助患者翻身1次),B组、D组患者采取按需翻身,即患者有翻身意愿,比较两组患者的压疮发生情况及护理配合度。结果:试验组患者的压疮发生率为17.5%(14/80),明显低于对照组的31.25%(25/80),比较差异有统计学意义(P<0.05);试验组患者的压疮护理配合度为86.25%(69/80),明显优于对照组的70.00%(56/80),比较差异有统计学意义(P<0.05);对照组中A、B两组患者压疮发生率分别为30.0%、32.5%,试验组中C、D两组患者压疮发生率分别为20.0%、15.0%,比较差异均无统计学意义(P>0.05)。结论:喜疗妥、蜂蜜联合水垫预防晚期肿瘤患者压疮的临床疗效显著,能显著改善患者的护理配合度,且按需翻身对压疮发生的影响与按时翻身相同,值得临床推广。

Objective：To explore the clinical efficacy of Hirudoid and honey combined with water cushion in preventing pressure ulcer in patients with advanced cancer,so as to improve the quality of life of patients with advanced cancer.Method：From January 2014 to December 2016,patients with advanced cancer were selected as the subjects who were treated in the oncology department.160 patients with a high risk factor for pressure ulcer with Braden score of ≤14 and no skin lesions were randomly divided into control group and experimental group,80 patients in each group.The control group was treated according to the requirements of routine pressure sores after the admission.The experimental group was treated with Hirudoid and honey combined water cushion method.The control group was randomly divided into two groups of A and B.The test group was randomly divided into groups of C and D.Patients in group A and C were assisted to turn over on time,patients in group B and D were turned over on demand.The incidence of pressure ulcers,and nursing cooperation degree were compared in two groups.Result：The incidence of pressure sores in the experimental group was 17.5%（14/80）,which was significantly lower than that in the control group（31.25%,25/80）,the difference was statistically significant（P〈0.05）.The nursing cooperation degree of pressure ulcer in the experimental group was 86.25%（69/80）,which was significantly higher than that of the control group（70.00%,56/80）,the difference was statistically significant（P〈0.05）.The incidence of pressure sores in group A and B was 30.0% and 32.5%,respectively,the incidence of pressure ulcer was 20.0% and 15.0% in group C and D respectively,there both were no significant difference between the two groups（P〉0.05）.Conclusion：Hirudoid and honey combined with water cushion can prevent the pressure ulcer of patients with advanced tumor distinctly.It can significantly improve the patient＇s nursing coordination,and the effect of turn over on-demand in patients with pressure ulcer is the same as on time.It is worthy to be popularized.