基于Braden评分棉纱口罩与非粘性泡沫敷料预防无创呼吸机鼻面部压疮的效果对比

Effect comparison of using cotton gauze masks and non-adhesive foam dressings to prevent pressure ulcers on the nose and face of non-invasive ventilator based on Braden score

目的探讨基于Braden评分的棉纱口罩与非粘性泡沫敷料在预防无创呼吸机鼻面部压疮中的应用价值。方法选取2019年8月至2021年8月江西省南昌市第一医院收治的需使用无创呼吸机辅助通气的82例患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各41例。对照组基于Braden评分使用棉纱口罩,观察组则基于Braden评分采用非粘性泡沫敷料,两组患者均于使用无创呼吸机面罩7 d后进行评估。比较分析两组患者鼻面部压疮发生风险、鼻面部压疮发生情况及舒适度。结果观察组鼻面部压疮发生风险及鼻面部压疮发生率低于对照组,舒适度高于对照组,差异有统计学意义(P<0.05)。结论相较于棉纱口罩,非粘性泡沫敷料在预防无创呼吸机鼻面部压疮中效果更佳,能够降低鼻面部压疮发生风险,提高患者舒适度,值得临床推广应用。

Objective To explore the application value of cotton gauze masks and non-adhesive foam dressings based on Braden score in the prevention of nasal and facial pressure ulcers on non-invasive ventilator.Methods A total of 82 patients requiring non-invasive ventilator-assisted ventilation who were admitted to the First Hospital of Nanchang in Jiangxi Province from August 2019 to August 2021 were selected as research objects.They were divided into control group and observation group according to the random number table method,with 41 cases in each group.The control group used cotton gauze masks based on the Braden score,and the observation group used non-adhesive foam dressings based on the Braden score.Both groups were evaluated after using non-invasive ventilator masks for 7 d.The risk of nasal and facial pressure ulcers,the occurrence of nasal and facial pressure ulcers and the degree of comfort between the two groups were compared.Results The observation group′s risk of nasal and facial pressure ulcers and the incidence of nasal facial pressure ulcers were lower than those of the control group,and the comfort level was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion Compared with cotton gauze masks,non-sticky foam dressings is more effective in preventing nasal and facial pressure ulcers from non-invasive ventilator.It can reduce the risk of nasal and facial pressure ulcers and improve patients′comfort.It is worthy of clinical application.