正确应用人体力学在普外科患者压疮护理中应用.docVIP

正确应用人体力学在普外科患者压疮护理中应用[摘要] 目的：探讨正确运用人体力学对普外科患者压疮的护理效果。方法：我院对120例患者正确运用人体力学（实验组），与开展人体力学前的120例患者（对照组）进行回顾性对照研究。结果：两组出院时压疮情况比较，差异有统计学意义（P＜0.05）。实验组潮红消退平均时间明显短于对照组，差异有统计学意义（P＜0.05）。结论：将人体力学广泛运用于压疮的预防护理中，根据患者的实际情况灵活而科学地采取措施，可降低压疮的发生率，同时又有助于对原有疾病的治疗，值得临床上推广和应用。 [关键词] 人体力学；普外科；压疮；护理 [中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2011）11（b）-129-02 Correct use of body mechanics in general surgery patients with pressure ulcer care CHEN Yang, YU Feng, LIU Ying, ZHANG Yimei, YU Bo, SHAO Yulan The First Hospital of Qiqihar City, Heilongjiang Province, Qiqihar 161000, China [Abstract] Objective: To investigate the proper use of body mechanics for general surgery patients with pressure sore care effect. Methods: 120 patients were given the correct use of body mechanics (experimental group) and 120 patients before body mechanics carried out (control group) were retrospectively studied. Results: The difference of the patients with pressure ulcers leaving from hospital between the two groups were compared and it was significant (P＜0.05). The average time of flushing subsided in the experimental group was significantly shorter than the control group, the difference was significant (P＜0.05). Conclusion: The body mechanics are widely used in pressure ulcer preventive care and flexible and scientific measures are taken according to the actual situation of patients, which can reduce the incidence of pressure sores, while contribute to the original treatment of the disease and it is deserved to be widely used. [Key words] Body mechanics; General surgery; Pressure sores; Care 普外科患者由于病情危重，自理能力完全或部分丧失，身体虚弱，各种治疗导管繁多，严重制约着患者的活动，且大多数患者伴有循环不良、缺氧、低蛋白水肿等症状，极易诱发压疮。压疮是指局部皮肤及皮下组织受损伤，这种损伤是由于压力、剪切力或身体与接触面的摩擦力而造成的，仅由一种力所致压疮者极少见[1]。我院根据这些原理，在普外科患者的护理过程中正确运用人体力学进行护理，减少了患者的痛苦，取得了较好的临床效果，现将结果报道如下： 1 资料与方法 1.1 一般资料 将2009年3月~2010年3月给予正确运用人体力学的120例普外科患者作为实验组，其中，男72例，女48例；年龄16～72岁，平均（40.3±1.5）岁。将同期未开展人体力学的120例普外科患者作为对照组，其中，男76例，女44例；年龄18～70岁，平均（39.4±1.7）岁。两组患者一般临床资料比较，差异无统计学意义（P＞0.05），具