人性化护理干预联合湿性愈合疗法在预防ICU重症患者压疮中的应用

摘要

目的 探讨人性化护理干预措施联合湿性愈合疗法在预防ICU重症患者压疮中的临床应用效果.方法 选取ICU重症患者50例按抽取方式随机分为对照组和观察组各25例,对照组实施常规护理,观察组在对照组护理基础上实施人性化护理干预联合湿性愈合疗法,比较2组患者压疮风险评估表(Branden)评分、创口愈合、压疮面积、换药频率、换药时间及治疗费用情况.结果 与对照组相比,观察组患者的刨口愈合效果更优,Branden评分以及压疮面积更低(P＜0.05);观察组患者的换药次数、换药时间以及治疗费用均少于对照组(P＜0.05).结论 人性化护理干预联合湿性愈合疗法可促进ICU重症患者创口愈合,降低压疮风险及换药频率,减少换药时间及治疗总费用,效果显著,值得推广应用.%Objective To study the clinical effect of humanized nursing intervention combined with wet healing therapy in prevention of pressure ulcer in severe ICU patients.Methods A total of 98 critically ill patients admitted to our ICU ward were randomly divided into control group and observation group,with 49 cases per group.The control group was given routine care,and the observation group was given human care intervention combined with wet healing therapy based on the control group.The scores of pressure ulcer risk assessment table (Branden),wound healing,pressure sore area,dressing frequency,dressing time and treatment costs were compared and analyzed between the two groups.Results Compared with the control group,the wound healing effect was significantly improved in the observation group,and the Branden score and the area of the pressure ulcer were significantly decreased (P ＜ 0.05).The frequency of dressing,the time of dressing and the cost of treatment in the observation group were significantly lower than that in the control group (P ＜ 0.05).Conclusion Humanized nursing intervention combined with wet healing therapy can promote wound healing in ICU patients with severe disease,reduce the risk of pressure sores and frequency of dressing,dressing time and the total cost of treatment,so it is worthy of active application and promotion.