伤口门诊联合家庭参与式干预对老年居家压疮患者病情、疾病认知及生活质量的影响

Effect of combined wound clinic and family participatory intervention on health condition,disease cognition and quality of life in domestic elderly patients with pressure ulcer

目的探讨伤口门诊联合家庭参与式干预在老年居家压疮治疗中的应用。方法96例老年居家压疮患者随机分为对照组、观察组,分别行伤口门诊常规换药干预或伤口门诊联合家庭参与式干预,比较两组干预2个月后家属压疮认知得分、压疮愈合评估表(PUSH)评分、压疮愈合时间、门诊换药次数及生活质量综合评定量表(GQO-LI)评分。结果观察组家属压疮认知得分、GQO-LI评分高于对照组,而PUSH评分、愈合时间、换药次数低于对照组(P<0.05)。结论伤口门诊联合家庭参与式干预可提高居家老年患者压疮患者家属压疮认知水平,改善病情,提高生活质量。

Objective To study the application of combined wound clinic and family participatory intervention(FPI)in domestic elderly patients with pressure ulcer(PU).Methods Ninety-sixdomestic elderly patients with PU were randomly treated with routine wound dressing(control group)or wound clinic+FPI(observation group).Family members'PU cognition,Pressure Ulcer Scale for Healing(PUSH),PU healing time,wound dressing frequency,and quality of life(GQO-LI)were compared between two groups after two months.Results Compared with control group,PU cognition and GQO-LI were higher,while PUSH scores,healing time,and wound dressing frequency were lower in observation group(P<0.05).Conclusion Combined wound clinic and FPI can improve PU cognition,health condition,and quality of life in domestic elderly patients with PU.