艾灸联合湿润烧伤膏治疗压力性损伤护理研究

Nursing Study on Moxibustion Combined with Moist Exposed Burn Ointment for Pressure Injury

目的:观察艾灸联合湿润烧伤膏治疗压力性损伤的临床疗效。方法:选取84例压力性损伤患者,按随机数字表法分为对照组与治疗组各42例。对照组涂抹湿润烧伤膏,观察组艾灸后再涂抹湿润烧伤膏,其余护理均相同。2组均治疗护理1个月。观察2组护理前后压伤知识、焦虑自评量表(SAS)、抑郁自评量表(SDS)得分、肉芽组织pH值恢复时间、压伤愈合时间,比较2组护理后的护理满意度以及临床疗效。结果:护理后,2组压伤知识得分均较护理前提高(P<0.05),治疗组压伤知识得分高于对照组(P<0.05)。护理后,2组SAS、SDS得分均较护理前下降(P<0.05),治疗组SAS、SDS得分均低于对照组(P<0.05)。治疗组肉芽组织pH值恢复时间短于对照组,差异有统计学意义(P<0.05)。护理后,治疗组创面愈合时间均短于对照组,2组40%愈合、60%愈合、80%愈合、完全愈合时间比较,差异具有统计学意义(P<0.05)。治疗组护理满意度为97.62%,高于对照组71.43%,2组比较,差异有统计学意义(P<0.05)。对照组总有效率为73.81%,治疗组为92.86%,2组比较,差异有统计学意义(P<0.05)。结论:艾灸联合湿润烧伤膏治疗压力性损伤,可缓解患者焦虑、抑郁状态,缓解心理压力,促进肉芽组织愈合,提高护理满意度。

Objective: To observe the clinical effect of moxibustion combined with moist exposed burn ointment for pressure injury. Methods:A total of 84 cases of patients with pressure injury were selected and divided into the control group and the treatment group according to random number table method,42 cases in each group. Based on the same nursing,the control group was treated with moist exposed burn ointment,and the treatment group was given moist exposed burn ointment after moxibustion. The knowledge level of pressure injury, score of Self-Rating Anxiety Scale(SAS) and SelfRating Depression Scale(SDS), recovery time of p H value of granulation tissue and healing time of pressure injury were observed before and after nursing in the two groups. The nursing satisfaction and clinical effect were compared between the two groups. Results: After nursing, scores of knowledge of pressure injury in the two groups were increased when compared with those before nursing(P<0.05),and the score in the treatment group was higher than that in the control group(P<0.05). After nursing,scores of SAS and SDS in the two groups were decreased when compared with those before nursing(P<0.05),and the two scores in the treatment group were lower than those in the control group(P<0.05). The recovery time of pH value of granulation tissue in the treatment group was shorter than that in the control group, the difference being significant(P<0.05). After nursing, the time of wound healing in the treatment group was shorter than that in the control group, and there was significant difference being found in the comparison of the time for 40%, 60%, 80% and 100%healing(P<0.05). The nursing satisfaction rate was 97.62% in the treatment group,higher than that of 71.43% in the control group,the difference being significant(P<0.05). The total effective rate was 73.81% in the control group,and 92.86% in the treatment group, the difference being significant(P<0.05). Conclusion: The therapy of moxibustion combined with moist exposed burn ointment for pressure injury can relieve anxiety,depression,and stress,promote the recovery of granulation tissue,and improve nursing satisfaction.