N+1换药模式在居家老人3～4期压力性损伤患者延续护理中的应用

Application of N+1 dressing change mode in continuous nursing care of elderly patients with stress injury in stage 3 to 4

目的基于老年人3~4期压力性损伤患者出院后对换药的迫切需求,构建医院-家庭-医院换药的新模式,从而极大地改善居家压力性损伤患者的护理质量和生活质量。方法对患者家属行进培训,教会清洁换药方法,老年患者行动不便,反复医院困难,指导患者居家采用新型敷料换药N次(2~5次),来院评估一次的新型模式。结果 65例患者均达到二期愈合或好转率为90%以上。结论采用N+1换药模式使居家老年人3~4期压力损伤患者得到了延续性护理,减少了患者往来医院的烦恼,降低了医疗费用,满足了患者及家庭对伤口专科护理的迫切要求。

Objective Based on the urgent demand of elderly patients with stage 3 or 4 stress injury after discharge from hospital, a new model of hospital-family-hospital stress injury replacement was constructed, which greatly improved the quality of care and life of patients with home stress injury. Methods To train the family members, Teaching cleaning and changing methods,he elderly patients are not mobility, repeated hospital difficulties, guide the patients to use a new type of home dressing for Drug Exchange（2-5 times）, to evaluate a new model. Results all 65 patients achieved stage 2 healing or conversion rate of more than 90%. Conclusion The new model of N＋1 replacement has been used to provide continuous nursing to patients with stage 3 and 4 stress injury, reduce the troubles of patients to and from hospital, reduce the cost of medical treatment, meet the urgent request of patients and families for wound specialist nursing.