压力性损伤预警管理在股骨颈骨折术后患者中的应用效果

Application effect of early warning management of pressure injury in patients after femoral neck fracture

目的 探讨压力性损伤预警管理在股骨颈骨折术后患者中的应用效果。方法 选取2018年2月至2020年8月我院收治的240例股骨颈骨折患者作为研究对象,按照入院时间分为对照组(2018年2月至2019年2月)和观察组(2019年3月至2020年8月),各120例。对照组开展常规护理干预,观察组在对照组基础上开展压力性损伤预警管理。比较两组的护理效果。结果 观察组术后10 d的压力性损伤总发生率低于对照组(P<0.05)。观察组的压力性损伤愈合时间短于对照组,周围皮肤评分、肉芽组织分级高于对照组(P<0.05)。护理后,观察组的疼痛程度、干扰程度评分低于对照组(P<0.05)。护理后,观察组的血沉、血浆黏稠度、红细胞聚集指数低于对照组(P<0.05)。结论 压力性损伤预警管理用于股骨颈骨折术后患者中,可降低压力性损伤发生率,缩短压力性损伤愈合时间,值得推广。

Objective To investigate the application effect of early warning management of pressure injury in patients after femoral neck fracture. Methods A total of 240 patients with femoral neck fracture admitted in our hospital from February 2018 to August 2020 were selected as the research objects, and the patients were divided into control group(February 2018 to February 2019) and observation group(March 2019 to August 2020) according to the admission time,with 120 cases in each group. The control group carried out routine nursing intervention, while the observation group carried out early warning management of pressure injury on the basis of the control group. The nursing effects of the two groups were compared. Results The total incidence of pressure injury in the observation group was lower than that in the control group at 10 d after operation(P<0.05). The healing time of pressure injury in the observation group was shorter than that in the control group, and the peripheral skin score and granulation tissue grade were higher than those in the control group(P<0.05). After nursing, the scores of pain degree and interference degree in the observation group were lower than those in the control group(P <0.05). After nursing, the erythrocyte sedimentation rate, plasma viscosity and red cell aggregation in the observation group were lower than those in the control group(P <0.05). Conclusion Early warning management of pressure injury applied in patients after femoral neck fracture can reduce the incidence of pressure injury and shorten the healing time of pressure injury, which is worth popularizing.