思维导图引导康复流程护理对神经内科失禁患者压疮的预防作用

Prevention of pressure sore in incontinence patients admitted to Department of Neurology by mind mapping guided rehabilitation process nursing

目的探讨思维导图引导康复流程护理对神经内科失禁患者压疮发生的预防效果,为患者护理提供指导。方法回顾性分析2017年12月至2018年12月在联勤保障部队第九四零医院安宁分院神经内科接受治疗的104例神经内科失禁患者的临床资料,根据护理方法不同将患者分为两组,其中51例给予传统护理方法者为对照组,53例给予思维导图引导康复流程护理模式者为观察组。比较两组患者护理半个月后的遵医依从性、相关知识知晓情况、护理质量评分、护理满意度以及压疮发生率。结果护理后,观察组患者的遵医依从性良好率为94.34%,明显高于对照组的72.25%,相关知识知晓优良率为96.23%,明显高于对照组的74.51%,差异均有统计学意义(P<0.05);护理后,观察组和对照组患者的饮食护理[(93.56±3.26)分vs(78.29±5.03)分]、按摩[(92.58±4.27)分vs(79.81±10.08)分]、刺激预防[(90.47±2.16)分vs(81.81±5.66)分]以及心理健康评分[(94.65±2.05)分vs(80.11±3.25)分]比较,观察组明显高于对照组,差异均有统计学意义(P<0.05);观察组患者的护理满意率为94.34%,明显高于对照组的80.39%,压疮发生率为11.32%,明显低于对照组的31.37%,差异均有统计学意义(P<0.05)。结论神经内科失禁患者按思维导图引导康复流程护理能有效提高患者的遵医行为以及相关知识知晓率,同时能有效降低患者的压疮发生率,促进患者恢复,提高患者满意度,值得临床推广使用。

Objective To explore the preventive effect of mind mapping guided rehabilitation process nursing on pressure ulcer in patients with neurological incontinence,and to provide guidance for patients'nursing.Methods A retrospective analysis was performed on the clinical data of 104 patients with incontinence,who admitted to Department of Neurology,Anning Branch Hospital of Ninety-four Hospital of Joint Service Support Force from December 2017 to December 2018.According to the different nursing methods,the patients were divided into two groups:51 cases in the control group were given traditional nursing care,and 53 cases in the observation group were given mind mapping guided rehabilitation process nursing mode for nursing.The compliance,knowledge,nursing quality score,nursing satisfaction and the incidence of pressure sore of the two groups were compared.Results After nursing,the compliance rate of patients in the observation group was 94.34%,which was significantly higher than 72.25%of the control group(P<0.05);the correlation rate of knowledge was 96.23%,which was significantly higher than 74.51%of the control group(P<0.05);the scores of dietary care,massage,stimulation prevention,mental health of the observation group were(93.56±3.26)points,(92.58±4.27)points,(90.47±2.16)points,(94.65±2.05)points,which were significantly higher than corresponding(78.29±5.03)points,(79.81±10.08)points,(81.81±5.66)points,(80.11±3.25)points of the control group(all P<0.05);the nursing satisfaction rate and incidence of pressure sore of the observation group were 94.34%and 11.32%versus 80.39%and 31.37%of the control group(all P<0.05).Conclusion According to the mind map,the rehabilitation process nursing of incontinence patients in Department of Neurology can effectively improve the compliance behavior of patients and the awareness rate of relevant knowledge.At the same time,it can effectively reduce the incidence of pressure sore,promote the recovery of patients,and improve the satisfaction of patients,which is worthy of clinical application.