不同时期泡沫敷料对ICU无创机械通气患者医疗器械相关性压疮的预防效果

Preventive effect of foam dressings in different periods on pressure ulcers associated with medical devices in ICU patients with non-invasive mechanical ventilation

目的探讨不同时期泡沫敷料对ICU无创机械通气患者医疗器械相关性压疮的预防效果,为压疮的预防提供指导。方法选取2017年1月—2019年5月河北省邢台市人民医院ICU无创机械通气患者62例,根据随机数字表法分为A、B两组,各31例。A组在进行无创机械通气时同时使用泡沫敷料预防压疮,B组在无创机械通气后常规干预,并在无创机械通气治疗1 d后再使用泡沫敷料预防压疮。治疗结束后,统计比较两组压疮发生率和严重程度、舒适度和依从性。结果两组压疮发生率比较,差异无统计学意义(P>0.05);发生压疮患者压疮严重程度、舒适度比较,差异无统计学意义(P>0.05);B组依从性高于A组,差异有统计学意义(P<0.05)。结论与无创机械通气时同时使用泡沫敷料预防压疮的患者比较,无创机械通气治疗1 d后使用泡沫敷料的患者,压疮发生率并不会升高,压疮严重程度也未见加重,且患者舒适度较好,对泡沫敷料使用的依从性更高。

Objective To investigate the preventive effect of foam dressings in different periods on pressure ulcers associated with medical devices in ICU patients with non-invasive mechanical ventilation,to provide guidance for the prevention of pressure ulcers.Methods Sixty-two patients with non-invasive mechanical ventilation in ICU of Xingtai People’s Hospital,Hebei Province from January 2017 to May 2019 were selected,according to random number table method,they were divided into group A and group B,with 31 cases in both groups.In group A,foam dressing was used to prevent pressure ulcers while non-invasive mechanical ventilation was performed,group B received conventional intervention after non-invasive mechanical ventilation.After one day of treatment,foam dressing was used to prevent pressure ulcers.After the treatment,the incidence and severity of pressure ulcers,the comfort level and compliance of the two groups were statistically compared.Results There was no significant difference in the incidence of pressure sores between the two groups(P>0.05),there was no statistical significance in the severity and comfort of pressure ulcers among patients with pressure ulcers(P>0.05).The compliance of group B was higher than that of group A,and the difference was statistically significant(P<0.05).Conclusion Compared with the patients who used foam dressings to prevent pressure ulcers during non-invasive mechanical ventilation,the incidence of pressure ulcers did not increase and the severity of pressure ulcers did not increase foam dressing after one day of non-invasive mechanical ventilation treatment,and the patients had good comfort and higher compliance with the use of foam dressings.