综合性护理干预对脑外伤昏迷患者压疮的预防观察.docVIP

精品论文 参考文献 综合性护理干预对脑外伤昏迷患者压疮的预防观察 刘俊（商丘市第一人民医院神内一科 河南商丘 476100） 　　[摘要]目的:综合性护理干预对脑外伤昏迷患者压疮的预防效果。方法:选取2014年1月-2015年10月期间在我院接受脑外科手术后昏迷的患者60例，随机分成观察组和对照组，每组均为30例。对照组患者接受常规护理，观察组采用综合护理干预，观察两组患者护理效果。结果：观察组压疮发生率（3.33%）明显低于对照组（26.67%），差异显著(P＜0.05)；观察组总有效率（100.00%）显著高于对照组（76.67%），差异显著(P＜0.05)。结论:综合性护理干预能够显著降低脑外伤昏迷患者压疮的发生率，缓解压疮给患者带来的不适，具有较高的临床应用价值。 　　[关键词] 综合性护理；脑外伤昏迷；压疮；预防 　　Comprehensive nursing intervention on the prevention of pressure ulcer in patients with brain injury and coma 　　Liu Jun (a branch of the God of Shangqiu First Peoples Hospital, Shangqiu, Henan 476100) 　　[Abstract] Objective: to prevent the effect of comprehensive nursing intervention on pressure ulcer in patients with brain injury. Methods: 60 patients with coma after surgery in our hospital from January 2014 to October were selected and randomly divided into observation group and control group, with 30 cases in each group. Patients in the control group received routine nursing, the observation group received comprehensive nursing intervention, observation of the two groups of patients with nursing effect. Results: the incidence of pressure ulcers in the observation group (3.33%) was significantly lower than that in the control group (26.67%), the difference was significant (P lt; 0.05); the total effective rate (100%) was significantly higher than that in the control group (76.67%), and the difference was significant (P lt; 0.05). Conclusion: comprehensive nursing intervention can significantly reduce the incidence of pressure ulcers in patients with brain trauma coma, and relieve the discomfort of patients with pressure ulcers, which has a high clinical value. 　　[Key words] comprehensive nursing; brain injury coma; pressure ulcer; prevention 　　脑外伤一般是指由于外物造成的头脑部肉眼可见伤，患者常出现昏迷现象[1]。脑外伤昏迷患者常时间卧床，极容易导致压疮的发生。压疮又称压力性溃疡，主要因为局部组织长期受压，导致持续缺氧、缺血、营养不良等，最终造成组织溃烂坏死[2]。皮肤压疮给整个家庭带来严重的经济负担，若治疗不及时，将导致患者病情加重，甚至死亡。研究发现，综合护理对于预防和治疗脑外伤昏迷患者压疮具有显著效果[3]。本研究探讨综合性护理干预对脑外伤昏迷患者压疮的预防效果。报告如下。 　　1 资料与方法 　　1.1 一般资料 选取2014年1月-2015年10月