循证护理在预防ICU危重症患者压力性损伤的临床应用效果

Clinical Application of Evidence-based Nursing in Prevention of Pressure Injury in ICU Critical Patients

目的研讨ICU危重症患者接受循证护理干预对压力性损伤的预防效果。方法针对选择120例危重症患者作为实验对象,入选患者按随机数表法划入两组,Ⅰ组(n=60)按常规ICU标准进行护理,Ⅱ组(n=60)在常规护理下接受循证护理干预,对比评估两组的压力性损伤发生情况及服务满意度。结果与Ⅰ组相比,Ⅱ组患者的压力性损伤发生率显著降低,发生压力性损伤时间明显延长,比较有统计学意义(P<0.05)。Ⅱ组在服务总满意度方面相比Ⅰ组显著提高,达到96.7%,比较有统计学意义(P<0.05)。结论在ICU危重症患者中开展循证护理是一种可行策略,能够明显降低压力性损伤的发生率,减轻压力性损伤程度,同时对提高患者的服务满意度也具有显著效果,值得推荐。

Objective To study the prevention effect of evidence-based nursing intervention on pressure injury in critical ICU patients. Methods 120 cases of critically ill patients were selected as experimental subjects, and the selected patients were assigned to two groups according to the random number table method. Group Ⅰ（n =60） was performed according to the routine ICU standard, group Ⅱ（n =60） received evidence-based nursing interventions under routine care and compared the incidence of pressure injury and service satisfaction between the two groups. Results Compared with group Ⅰ, the incidence of pressure injury in group Ⅱ was significantly decreased, and the time of pressure injury was significantly longer（P〈0.05）. Compared with group Ⅰ, The total satisfaction of group Ⅱ was significantly higher than that of group Ⅰ, reaching 96.7%, which was statistically significant（P〈0.05）. Conclusion It is a feasible strategy to carry out evidence-based nursing in ICU critically ill patients, which can obviously reduce the incidence of pressure injury, reduce the degree of pressure injury, and at the same time have a significant effect on improving patient service satisfaction. It is worth recommending.