关键护理点口诀处理法对新生儿医用粘胶相关性皮肤损伤的预防作用

Application of nursing interventions based on a“pithy formula”method in prevention of medical adhesive related skin injury in newborns

目的探讨关键护理点口诀处理法在新生儿医用粘胶相关性皮肤损伤中的预防效果。方法将2017年1月—6月收治的使用医用粘胶产品的新生儿80例设为对照组,将2017年7月—12月收治的80例新生儿设为观察组。对照组常规护理,观察组在对照组基础上采用关键护理点口诀处理法干预。比较实施关键护理点口诀处理法前后14名护理人员对医用粘胶相关性皮损的认知与预防评分,观察2组医用粘胶相关性皮损预防效果。结果实施关键护理点口诀处理法后护理人员医用粘胶相关性皮损认知与预防评分高于实施前(P<0.05)。观察组医用粘胶相关性皮损发生率3.75%(3/80),低于对照组的13.75%(11/80),差异有统计学意义(P<0.05)。结论采用关键护理点口诀处理法开展新生儿医用粘胶相关性皮损预防护理活动,可提高护理人员对该护理问题的认知度及相应的预防能力,降低新生儿医用粘胶相关性皮损发生率。

Objective To investigate the effect of nursing interventions based on a ＂pithy formula＂ method in prevention of medical adhesive related skin injury（ MARSI） in newborns.Methods To tally 80 newborns using medical adhesive products were included as the control group between January,2017 and June,2017. Another 80 newborns were recruited as the observation group between July,2017 and December,2017. Both two groups received routine care during treatment,and nursing interventions based on a＂pithy formula＂method were carried out in the observation group. The awareness of 14 nurses on MARSI prevention was evaluated by the self-made questionnaire,and the incidence of MARSI was compared between two groups. Results Nurses achieved higher scores of in assessment of MARSI knowledge and prevention after implementation of the ＂pithy formula＂method（ P〈0. 05）. The incidence of MARSI was 3. 75%（3/80） in the observation group and was 13. 75%（11/80） in the control group,with a significant different（ P〈0. 05）. Conclusion Nursing interventions based on a ＂pithy formula＂method can improve the awareness and knowledge level of nurses on MARSI,and reduce the incidence of MARSI in newborns.