探讨老年卧床患者皮肤皱褶处及皮肤夹角接触面压疮的预防护理

目的:探讨与分析老年卧床患者的皮肤皱褶处与皮肤夹角接触面压疮的预防护理方法。方法:特选取自2012年9月-2014年12月在我院接受治疗并需长期卧床的老年患者102例,并按照其入院的先后顺序将其平均地分为试验组与对照组两组,每组均51例患者。给予对照组的患者常规的护理方法,试验组的患者则在常规护理的基础上,增加对皮肤皱褶处及皮肤夹角接触面的皮肤护理。比较两组患者压疮的发生情况、预防效果、护理满意度、平均住院天数及住院费用。结果:试验组患者的压疮发生率(1.96%)、预防有效率(94.12%)、护理满意度(98.04%)、平均住院天数(31.25±1.37)d、住院费用(14348.16±236.17)元等均明显优于对照组患者的压疮发生率(90.20%)、预防有效率(11.76%)、护理满意度(72.55%)、平均住院天数(35.19±2.46)d、住院费用(17587.25±298.58)元,统计学上有意义(P<0.05)。结论:在对老年卧床患者进行常规护理的同时,增加对皮肤皱褶处及皮肤夹角接触面的皮肤护理,可有效降低压疮的发生率,提高老年患者的生活质量,建议在临床中予以推广使用。

Objective:To explore the methods of nursing care to prevent contact with the skin folds of skin and angle of the bedridden elderly patients face pressure ulcer.Methods:selected from September 2012 to December 2014 in my hospital and 102 elderly patients need long-term bedridden patients, and in accordance with the order of admission will be evenly divided into experimental group with the control group, two groups,51 patients in each group.Conventional nursing methods were given to the control group,the test group was treated on the basis of routine nursing, increase the contact surface of the skin care to skin folds and skin angle.Compared two groups of patients with pressure ulcer incidence,prevention effect,nursing satisfaction,average hospitalization stay and hospitalization expenses.Results: the incidence rate of the test group of patients with pressure ulcer(1.96%),(94.12%), effective prevention of nursing satisfaction(98.04%), the average length of stay(31.25+1.37)d,hospitalization expenses(14348.16+236.17)yuan and so on were significantly better than the control group,the incidence of pressure sores(90.20%), prevention(11.76%)efficiency,nursing satisfaction(72.55%), the average length of stay(35.19+2.46 d),hospitalization expenses(17587.25+298.58)yuan, statistics have significance(P<0.05).Conclusion:in routine care of elderly bedridden patients,increase the angle between the folds of skin and skin contact surface skin care,can effectively reduce pressure ulcer incidence,improve the quality of life of elderly patients,it is recommended in clinical to be widely used.