循证护理干预在ICU危重患者压疮防治中的应用

目的 探讨循证护理干预在ICU危重患者压疮防治中的应用效果,总结压疮护理经验,为制定护理方案提供参考.方法 选取2015年1月~2016年3月该院ICU危重患者50例为研究对象,依据随机数字表法分为干预组和对照组各25例,对照组患者实施常规护理干预,干预组在常规护理基础上施加循证护理干预,应用Braden压疮预测量表评估两组患者压疮恢复状况;应用SF-36生活质量评价量表评估两组患者生活质量;自制满意度调查问卷评估两组满意度.比较两组患者压疮发生率、压疮形成时间、压疮发生程度、Braden压疮评分、SF-36评分以及满意度.结果 干预组压疮发生率为4.00%,明显低于对照组的12.00%,差异有统计学意义(P<0.01);干预组压疮发生程度明显轻于对照组,差异有统计学意义(P<0.01);干预组压疮形成时间为(9.45±2.82)d,明显晚于对照组的(5.12±2.26)d,差异有统计学意义(P<0.01);干预组Braden压疮评分、SF-36评分均优于对照组(P<0.01);干预组总满意度为96.00%,高于对照组的84.00%(P<0.01).结论 循证护理干预在ICU危重患者压疮防治中有重要作用,可降低压疮发生率及发生程度,提高患者护理满意度及生活质量.

Application of evidence-based nursing intervention to pressure sore prevention and cure of ICU critical patients

Objective To investigate the application effect of evidence-based nursing on pressure sore prevention and cure of ICU critical patients,summarize the experience of pressure sore nursing and give reference for making nursing scheme.Methods A total of 50 ICU critical patients of this hospital from January, 2015 to March, 2016 were selected as the study objects,divided into intervention group and control (25 patients on average) according to random number table.Usual nursing intervention was conducted to the patients of control.Evidence-based nursing intervention was carried out to intervention group based on usual care.Braden pressure sore prognostic scale was used to evaluate the pressure sore recovery condition of patients in both groups.SF-36 living quality evaluation scale was used to evaluate the living quality of patients in both groups.Self-made satisfaction questionnaire was used to evaluation the satisfaction of both groups.Pressure sore occurrence rate,pressure sore formation time,pressure sore occurrence degree,Braden pressure sore score,SF-36 score and satisfaction of patients in both groups were compared.Results The pressure sore occurrence rate of intervention group was 4.00%, which was obviously lower than that of the control group's 12.00%,and the difference was statistically significant(P<0.01). The pressure sore occurrence degree of intervention group was obviously lower than control group,and the difference was statistically significant(P<0.01). The pressure sore formation time of intervention group was (9.45±2.82) days, which was obviously longer than control group that was (5.12±2.26) days,and the difference was statistically significant(P<0.01). The Braden pressure sore score and SF-36 score of intervention group were obviously superior to control group. The total satisfaction of intervention group was 96.00%, which was higher than control group that was 84.00%(P<0.01).Conclusions Evidence-based nursing intervention plays an important role in pressure sore prevention and cure of ICU critical patients,which can reduce pressure sore occurrence rate,occurrence degree,improve nursing satisfaction and living quality of patients.