结构化护理规程在预防EICU患者失禁相关性皮炎中的应用

目的:探讨结构化护理规程在预防EICU患者失禁相关性皮炎中的应用效果,为其他护理人员提供临床参考。方法:选取该院入住EICU的患者416例,采用历史对照实验方法分为试验组264例和对照组152例。对照组采用常规护理,试验组采用结构化护理规程。比较两组临床护理效果。结果:两组患者在性别、年龄、意识状态、失禁类型、大便失禁频次、血红蛋白、白蛋白等方面比较,差异均无统计学意义(均P>0.05);两组在未发生IAD、轻度IAD、中度IAD、重度IAD及真菌性皮疹方面比较差异均有统计学意义(均P<0.05)。结论:实行IAD的结构化护理规程后能有效降低患者发生IAD的风险,提高护理工作效率与质量,对临床护理人员具有指导意义。

Application of structured care protocols in the prevention of incontinent-associated dermatitis in EICU patients

Objective To explore the application effect of structured nursing procedures in prevention of incontinent-related dermatitis in EICU patients,and to provide clinical reference for other nursing staffs.Methods A total of 416 patients admitted to EICU in the hospital were selected and divided into the experimental group(264 cases)and the control group(152 cases)by historical control experiment method.Routine nursing was used in the control group and structured nursing procedures were used in the experimental group.The clinical nursing effect of the two groups was compared.Results There were no statistically significant differences between the two groups in gender,age,state of consciousness,type of incontinence,frequency of fecal incontinence,hemoglobin,albumin and other aspects(P>0.05).There were statistically significant differences between the two groups in the absence of IAD,mild IAD,moderate IAD,severe IAD and fungal rash(/^<0.05).Conclusions The implementation of structured nursing procedures of IAD can effectively reduce the risk of IAD in patients,improve the efficiency and quality of nursing work,and has guiding significance for clinical nursing staffs.