集束化护理管理在老年压疮患者护理中的应用效果

Application efficacy of bundled nursing management in care of elderly patients with pressure ulcers.

作者信息

Chen Xiaoling, Deng Chunxia, Tan Guangyi, Zheng Han, Yang Ting, Zhang Xianlin

机构信息

Department of General Surgery, Affiliated Renhe Hospital of China Three Gorges University Yichang, Hubei Province, China.

Department of Wound Clinic, Affiliated Renhe Hospital of China Three Gorges University Yichang, Hubei Province, China.

出版信息

Am J Transl Res. 2021 Jun 15;13(6):6738-6744. eCollection 2021.

PMID:34306420

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8290705/

Abstract

OBJECTIVE

To discuss the efficacy of bundled nursing management in nursing of elderly patients with pressure ulcers.

METHODS

148 hospitalized elderly patients with pressure ulcers in our hospital were taken as the study subjects. The study subjects were randomly assigned to the observation group (n=74) and the control group (n=74) using the random number table method. The control group adopted the routine nursing model, while the observation group adopted the bundled nursing. A comparison of the two groups included the cure rate of pressure ulcers, anxiety (using self-rating anxiety scale), depression (using self-rating depression scale), quality of living (using MOS SF-36 scale), sleep quality and patient satisfaction.

RESULTS

The cure rate of pressure ulcers in the observation group was greater than that in the control group (P<0.01). The SAS and SDS scores in the observation group were significantly less than those in the control group (P<0.001). The scores of physical function, general health, social function, emotional role, and mental health in the observation group were greater than those in the control group (all P<0.01). The sleep quality scores in the observation group were less than those in the control group (all P<0.001). The nursing satisfaction in the observation group was greater than that in the control group (P<0.05).

CONCLUSION

The application of bundled nursing management in the nursing of elderly patients with pressure ulcers is effective, which can promote the cure rate of pressure ulcers, improve the depression or anxiety, quality of living and sleep of patients, and enhance patient satisfaction. It deserves clinical promotion and use.

摘要

目的

探讨集束化护理管理在老年压疮患者护理中的效果。

方法

选取我院住院的148例老年压疮患者作为研究对象。采用随机数字表法将研究对象随机分为观察组（n = 74）和对照组（n = 74）。对照组采用常规护理模式，观察组采用集束化护理。比较两组患者压疮治愈率、焦虑情况（采用自评焦虑量表）、抑郁情况（采用自评抑郁量表）、生活质量（采用MOS SF - 36量表）、睡眠质量及患者满意度。

结果

观察组压疮治愈率高于对照组（P < 0.01）。观察组SAS和SDS评分显著低于对照组（P < 0.001）。观察组生理功能、总体健康、社会功能、情感角色及精神健康评分均高于对照组（均P < 0.01）。观察组睡眠质量评分低于对照组（均P < 0.001）。观察组护理满意度高于对照组（P < 0.05）。