心理护理干预在负压引流联合骑跨椅治疗3期以上压力性损伤中的临床应用及对患者的影响

目的探究心理护理干预在负压引流(VSD)联合骑跨椅治疗3期以上压力性损伤中的临床应用及对患者的影响。方法选取2017年7月至2018年12月东莞市第三人民医院住院3期以上的压力性损伤患者60例,采用随机数字分为对照组和实验组,各30例。全部患者均给予VSD联合骑跨椅治疗。对照组采用常规护理。实验组在常规护理基础之上给予心理护理干预。对比两组患者心理情绪、治疗依从性等指标。结果两组治疗总有效率比较,差异有统计学意义(P<0.05)。护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理2 w后,两组SAS、SDS评分明显低于护理前,实验组SAS、SDS评分低于对照组,差异均有统计学意义(均P<0.05)。两组依从率比较差异有统计学意义(P<0.05)。结论心理护理干预能缓解VSD联合骑跨椅治疗3期以上压力性损伤患者的不良情绪,提高其治疗依从性,使其积极配合治疗,能够提高压力性损伤治疗效果,改善其创面。

The clinical application of psychological nursing intervention in negative pressure drainage combined with straddle chair in the treatment of stage 3 or more stress injuries and its effect on patients

Objective To explore the clinical application of psychological nursing intervention in negative pressure drainage(VSD)combined with straddling chair in the treatment of stage 3 or more stress injuries and its impact on patients.Methods A total of 60 patients with stress injuries who had been hospitalized for more than 3 periods in the Third People's Hospital of Dongguan City from July 2017 to December 2018 were selected and randomly divided into the control group and the experimental group,30 cases of each group.All patients were treated with VSD combined with straddling chair.The control group received routine nursing care.The experimental group was given psychological nursing intervention on the basis of routine nursing.The two groups of patients were compared in psychological mood,treatment compliance and other indicators.Results The total effective rate of treatment was compared between the two groups,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in SAS and SDS between the two groups(P>0.05).After 2 weeks of nursing,the SAS and SDS scores in the two groups were significantly lower than those before nursing,while the SAS and SDS scores in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).The difference of compliance rate between the two groups was statistically significant(P<0.05).Conclusions Psychological nursing intervention can alleviate the bad mood of patients with stage 3 or above stress injury treated with VSD combined with straddle chair,improve their treatment compliance,make them actively cooperate with the treatment,can improve the treatment effect of stress injury,improve the wound surface.