多元化综合护理干预对老年重度褥疮影响及效果评价.docVIP

多元化综合护理干预对老年重度褥疮影响及效果评价 　　【摘要】 目的 探讨实施多元化综合护理干预对老年重度褥疮的影响及效果评价。方法 将重度褥疮患者随机分为干预组和对照组,入院后均积极处理原发病,输入抗生素抗感染,对症及支持治疗。干预组通过健康教育、基础护理方法、配合碘伏消毒;湿性敷料封闭;鸡蛋内膜贴敷;局部氧疗;磺胺嘧啶银外敷;紫外线灯照射,直至痊愈出院。并对两组患者创面愈合时间、换药次数、治疗费用进行比较。结果 干预组平均愈合时间、换药次数、有效率较对照组有显著性差异(P0.05)。结论 多元化综合护理干预可明显缩短褥疮愈合时间,提高疗效,降低复发率,缩短病程,减轻了患者痛苦。 　　【关键词】护理干预;多元化;老年褥疮;重度;影响 　　 　　Diversify the valuation synthesizing effect and effect that the nursing interferes with to in the dry tree serious bedsore 　　 　　LI Zhong-mei,SUN Yu-xin,MA Hai-yun.Department of Allergen Testing Center,the Second People’s Hospital of Liaocheng,Liaocheng Shandong 252601,China 　　【Abstract】 Objective Purpose investigation and discussion is put into effect diversifying the valuation synthesizing effect and effect that the nursing interferes with to in the dry tree serious bedsore. 　　Methods The patient divides serious bedsore method randomly in order interfering with the group and the collation group,the morbidity,entering antibiotic handling a plain without exception actively after being hospitalized resist infection,good for the disease and hold out treat.Interfere with the degassing forming by healthy education,basis nursing method,coordinating the iodine volt;dressing closes wet;the film sticks the egg inner apply;oxygen cures part;silver external application of sulphadiazine;UV-lamp irradiates,leaves hospital until being recovered.And the surface of a wound time heals,change fresh dressing for a wound to two set of patients number of times,the comparison curing cost being in progress.Results Interfere with form the number of times sharing coalescence time,changing fresh dressing for a wound,have efficiency contrasting a group comparatively having notable difference(P0.05).Conclusion Has diversified the coalescence time synthesizing a nursing to interfere with but shortening bedsore obviously,has improved the curative effect,lessening relapse rate,curtailing course of disease,has lightened patient agony. 　　【Key words】 　　Nursing intervention;Diver