高龄老年痴呆症及脑梗塞后遗症患者伴压疮的护理体会.docVIP

精品论文 参考文献 高龄老年痴呆症及脑梗塞后遗症患者伴压疮的护理体会 王小华 　　南京市祖堂山精神病院（南京市祖堂山社会福利院） 江苏南京 211153 　　【摘 要】目的：探讨脑梗塞后遗症及老年痴呆症患者压疮的护理方法。方法： 选取高龄脑梗塞后遗症及老年痴呆患者65例，随机分为两组。其中对照30例，给予常规护理；观察组35例，采用循证护理模式对患者进行护理。比较分析两组患者的护理效果及护理满意度。结果： 观察组患者发生压疮比例明显少于对照组，程度明显轻于对照组，时间则明显晚于对照组，护理满意度明显高于对照组，两组比较差异明显，有统计学意义（P＜0.05）。结论： 经过循证护理模式对脑梗塞后遗症及老年痴呆患者实施有效护理对压疮发生有明显的预防作用，值得临床推广。 　　【关键词】高龄；脑梗塞；老年痴呆；压疮 　　Elderly cerebral infarction sequela nursing of pressure ulcers, and alzheimers disease patients 　　WANG Xiaohua 　　ZUtang mountain psychiatric hospital of nanjing jiangsu province, 211153 　　Objective: To explore cerebral infarction sequela the nursing methods of pressure ulcers, and alzheimers disease patients. Methods: selection of senile cerebral infarction sequela and 65 patients with alzheimers disease, were randomly divided into two groups.Which control 30 cases, given routine care;Observation group of 35 cases, using evidence-based nursing mode of patients to nursing.Comparative analysis of two groups of patients care and nursing satisfaction effect. Results: observation group of patients with pressure ulcers occurred in proportion significantly less than the control group, was significantly lighter than the control group, is significantly slower than the control group, nursing satisfaction is significantly higher than the control group, significant difference comparing the two groups was statistically significant (P lt; 0.05).Conclusion: after evidence-based nursing model of cerebral infarction sequela and alzheimers patients to implement effective nursing to the developed has obvious preventive effect, worth clinical promotion. 　　Key words: eldly; Cerebral infarction; Alzheimers disease. Pressure sores 　　【中图分类号】xxxx【文献标识码】A【文章编号】2096-0867（2015）-06-002-01 　　随着老年社会的到来，脑梗塞和老年痴呆的发病率均逐年增高。脑梗塞后患者由于肢体活动受限而需长期卧床，骨与关节隆起部位压迫可致局部皮肤血液循环障碍，继发压疮；老年痴呆患者表现为智力缓慢减退，最终导致无法进行日常生活，严重者可逐渐出现压疮。压疮为局部组织由于长期受压而影响血液循环，导致局部缺血缺氧、 营养不良直至溃烂坏死 ［1］。本研究通过对65例高龄脑梗塞后遗症及老年痴呆患者针对压疮发生实施护理干预取得不错效果，现报告如下： 　　1．资料与方法 　　1.1 临床资料：选取2010年1月至2015年1