压力性损伤亚专业小组干预策略在预防重症肺炎合并呼吸衰竭机械通气患者面部压疮的应用

Application of subspecialty group on stress injuries intervention strategies in preventing facial pressure sores in patients with severe pneumonia complicated with respiratory failure undergoing mechanical ventilation

目的:探析压力性损伤亚专业小组干预策略在预防重症肺炎合并呼吸衰竭(SP-ARF)无创通气患者鼻面部压疮中的应用效果。方法:将176例SP-ARF患者按照干预方式的不同分为对照组和干预组,每组各88例。对照组给予常规干预;干预组予压力性损伤亚专业小组干预策略。比较两组鼻面部压疮发生情况、带机时间,干预前后Braden评分、舒适度评分、患者满意度等。结果:与对照组相比,干预组鼻面部压疮发生率更低,带机时间更短(P<0.05);干预后,两组Braden评分均升高,舒适度评分均降低,且干预组上述指标均优于对照组(P<0.05);干预组患者在专科知识告知、护理及时性、护理针对性和舒适度方面的满意度评分均高于对照组(P<0.05)。结论:压力性损伤亚专业小组干预策略可降低SP-ARF无创通气患者鼻面部压疮发生风险,缩短带机时间,提高其舒适度和满意度。

Objective:To investigate the application effect of subspecialty group on stress injuries intervention strategies in preventing facial pressure sores in patients with severe pneumonia complicated with respiratory failure(SP-ARF)undergoing mechanical ventilation.Methods:176 patients with SP-ARF were divided into a control group and an intervention group according to the different intervention methods,with 88 patients in each group.The control group received routine intervention,and the intervention group received pressure score care group intervention strategies on this basis.The incidence of facial pressure sores,ventilation time,Braden score,comfort score and Patient satisfaction before and after intervention were compared between the two groups.Results:Compared with the control group,the incidence of nasal and facial pressure sores in the intervention group was lower and the time of taking the machine was shorter(P<0.05).After intervention,the Braden score increased and the comfort score decreased in both groups,and the above indicators in the intervention group were better than those in the control group(P<0.05).The intervention group had higher satisfaction scores than the control group in terms of specialty knowledge-telling,timely care,targeted care and comfort level(P<0.05).Conclusion:The application of subspecialty group on stress injuries intervention strategies can significantly reduce the risk of facial pressure sores in patients with SP-ARF undergoing mechanical ventilation,shorten their ventilation time,and improve their comfort level and satisfaction.