自制负压引流联合安普贴换药对重度压疮患者的效果观察

发布时间：2017-12-27 23:14

本文关键词：自制负压引流联合安普贴换药对重度压疮患者的效果观察　出处：《护理学报》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨自制负压引流联合安普贴换药在重度压疮患者治疗中的应用效果。方法选取我院重度压疮患者90例,采用随机数字表法将90例患者随机分为对照组、观察1组、观察2组各30例。对照组单纯采用安普贴治疗,观察1组采用自制负压引流联合安普贴治疗,观察2组单纯采用负压封闭引流技术治疗。观察比较3组患者压疮治疗创面愈合时间、换药次数、换药费用、疼痛评分及满意度。结果 3组患者创面愈合时间和换药次数比较差异有统计学意义(F=175.961,P0.001;F=5017.527,P0.001),创面愈合时间及换药次数均由少至多依次:观察1组、观察2组、对照组;3组患者换药费用比较差异有统计学意义(F=1029.377,P0.001),换药费用由少至多依次:观察1组、对照组、观察2组;3组重度压疮患者疼痛评分比较差异有统计学意义(F=63.132,P0.001),疼痛程度由低至高依次:观察1组、对照组、观察2组。3组重度压疮患者满意度评分比较差异有统计学意义(F=43.286,P0.001),满意度由高至低依次:观察1组、对照组、观察2组。结论对重度压疮患者,采用自制负压引流联合安普贴换药,可缩短重度压疮患者创面愈合时间,减少换药次数及换药费用,可减轻患者疼痛程度,提高护理满意度,值得临床借鉴使用。
[Abstract]:Objective to explore the application effect of self-made negative pressure drainage combined with Algoplaque dressing in the treatment of severe pressure ulcers in patients. Methods 90 cases of severe pressure ulcers in our hospital were selected and 90 patients were randomly divided into control group, observation group, and 2 groups of 30 cases by random digital table. The control group was treated with Algoplaque treatment, observe 1 groups using self-made negative pressure drainage combined with Algoplaque treatment, observe 2 groups treated with vacuum sealing drainage for the treatment of. The 3 groups of patients with pressure sore were compared to the healing time, the times of change, the cost of change, the score of pain and the satisfaction. Results 3 groups of patients with wound healing time and times of dressing. The difference was statistically significant (F=175.961, P0.001; F=5017.527, P0.001), wound healing time, dressing change times were followed by less than 2: the observation group 1, observation group and control group; the 3 groups of patients and treatment cost difference was statistically significant (F=1029.377, P0.001), dressing costs by less than 1 in the observation group and the control group, the observation group 2; the 3 groups had statistical significance in patients with severe pain scored difference (F=63.132, P0.001), pain degree from low to high in turn: the observation group 1, control group, observation group 2. 3 groups of patients with severe pressure sore satisfaction score difference was statistically significant (F=43.286, P0.001), satisfaction from high to low order: observation 1 groups, control group, observation 2 groups. Conclusion for patients with severe pressure sore, using self-made negative pressure drainage combined with Algoplaque dressing, can shorten the wound healing time of patients with severe pressure sore, reduce the number of dressing and dressing cost, can reduce the pain degree of patients, improve nursing satisfaction, worthy of clinical use.
【作者单位】：粤北人民医院护理部;粤北人民医院老年病科;粤北人民医院骨科四区;粤北人民医院烧伤科;
【基金】：2016年度广东省医学科研基金立项项目(B2016116) 2016年韶关市科技计划(医学类)项目(2016WS005) 2016年韶关市卫生计生科研项目立项课题项目(Y16048)
【分类号】：R473
【正文快照】： 根据最新美国国家压疮咨询委员会(NationalPressure Ulcer Advisory Panel,NPUAP)定义[1]:压疮更名为压力性损伤,是位于骨隆突处、医疗或其他器械下的皮肤或软组织的局部损伤,可表现为完整皮肤或开放性溃疡,可能会伴疼痛感。损伤是由于剧烈或长期存在的压力或压力联合剪切力导

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