医养结合模式下延伸护理服务对养老机构卧床老人压力性损伤的影响

Effects of extended nursing service under the integrated care and medical service on pressure injury of bedridden elderly in nursing institutions for the elderly

目的探讨医养结合模式下延伸护理服务对卧床老人压力性损伤的预防效果。方法选取某养老机构2018年1-12月的140例卧床老人为对照组,采取常规护理;选取2019年1月—2020年12月的297例卧床老人为观察组,开展医养结合模式下延伸护理服务,比较不同年度卧床老人压力性损伤预防措施落实率、压力性损伤发生率和重度压力性损伤发生率。结果通过干预,卧床老人压力性损伤预防措施落实率显著提高,压力性损伤发生率和重度压力性损伤发生率均降低,差异均有统计学意义(P<0.05)。结论医养结合模式下延伸护理服务应用于养老机构的卧床老人,能有效提高老人压力性损伤预防措施落实率,降低压力性损伤发生率、重度压力性损伤发生率。

Objective To explore the preventive eff ect of extended nursing service under the integrated care and medical service on pressure injury of bedridden elderly in nursing institutions for the elderly.Methods 140 cases of bedridden elderly in a nursing institution from January to December 2018 were selected as the control group,and routine nursing was adopted.A total of 297 bedridden elderly patients from January 2019 to December 2020 were selected as the observation group to carry out extended nursing services under the integrated care and medical service.The implementation rate of preventive measures for stress injury,the incidence rate of stress injury and the incidence rate of severe stress injury of the bedridden elderly in diff erent years were compared.Results After intervention,the implementation rate of stress injury prevention measures for the bedridden elderly was signifi cantly increased,and the incidence of stress injury and severe stress injury were reduced,with statistical signifi cance(P<0.05).Conclusion Under the integrated care and medical service,nursing extended service for the bedridden elderly in nursing institutions could eff ectively improve the implementation rate of preventive measures for the elderly stress injury,and reduce the incidence of stress injury and severe stress injury.