自制防压力性损伤足跟袜在下肢骨折中的应用研究

Application of Self-Made Pressure Injury Resistant Heel Socks in Orthopedic IowerLimbInjuries

目的:探讨自制防压力性损伤足跟袜在下肢骨折中的应用研究。方法:选择2022年1月-2023年1月我院收治的140例下肢骨折患者作为研究对象,应用抽签法将其分为观察组与对照组,每组70例。对照组采取常规护理,观察组在对照组基础上应用自制防压力性损伤足跟袜。分别采用视觉模拟评分法(VAS)和住院患者压疮风险评估表(Braden)评价2组患者护理前后疼痛及局部皮肤损伤情况,对比2组患者足跟舒适度情况、住院期间压力性损伤发生率及护理满意度。结果:护理后,2组患者的VAS评分均较护理前降低,而Braden评分均较护理前升高,且观察组的VAS评分低于对照组,Braden评分高于对照组,差异有统计学意义(P<0.05)。观察组患者无不适、轻度不适人数明显多于对照组,中度不适、重度不适人数明显少于对照组,组间差异有统计学意义(P<0.05)。观察组1期、2期、3期及总压力性损伤发生率明显低于对照组,组间差异有统计学意义(P<0.05)。观察组患者护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:对骨科下肢损伤患者在常规护理基础上使用自制防压力性损伤足跟袜,能够降低患者足跟部疼痛水平,改善皮肤损伤情况,提升足跟舒适度,降低住院期间压力性损伤发生率,提高护理满意度。

Objective:To explore the application of self-made pressure injury resistant heel socks in orthopedic lower limb injuries.Methods:140 patients with lower limb injuries admitted to the orthopedic department of our hospital from January 2022 to January 2023 were selected as the research subjects.They were divided into an observation group and a control group using a lottery method,with 70 patients in each group.The control group patients received routine care,while the observation group added self-made anti pressure injury heel socks to the control group.The visual analog scale(VAS)and inpatient pressure ulcer risk assessment form(Braden)were used to evaluate the pain and local skin damage before and after nursing of the two groups respectively.The comfort of the heels,incidence of pressure injury during hospitalization,and nursing satisfaction were compared between the two groups.Results:After nursing,VAS scores of the two groups were lower than before nursing,while Braden scores were higher than before nursing,VAS scores of the observation group were lower than those of the control group,and Braden scores of the observation group were higher than those of the control group,with statistical significance between the two groups(P<0.05).The number of patients with no discomfort and mild discomfort in the observation group was significantly more than that in the control group,and the number of patients with moderate discomfort and severe discomfort was significantly less than that in the control group,with statistical significance(P<0.05).The incidence of stage 1,stage 2,stage 3 and total stress injury in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of patients in observation group was significantly higher than that in control group,and the difference between groups was statistically significant(P<O.05).Conclusion:Adding self-made pressure resistant heel socks to routine care for patients with lower limb injuries in orthopedics can reduce patient pain levels,improve skin damage,enhance heel comfort,reduce the incidence of pressure related injuries during hospitalization,and increase nursing satisfaction.