老年壓瘡高危患者接受延續(xù)性護(hù)理對降低其壓瘡發(fā)生率的應(yīng)用分析

摘要：目的 觀察延續(xù)性護(hù)理對老年壓瘡高危患者的影響。方法 將2014～2015年于我院接受壓瘡治療愈后出院的236例老年壓瘡高危患者隨機(jī)分成接受常規(guī)出院隨訪的對照組與采取延續(xù)性護(hù)理的觀察組，將兩組干預(yù)前后患者生命質(zhì)量與壓瘡發(fā)生率作以比較。結(jié)果 觀察組壓瘡發(fā)生率為12.7%低于對照組43.2%，差異有統(tǒng)計學(xué)意義（P<0.05）；觀察組心理功能方面評分與社會功能評分明顯優(yōu)于對照組，組間差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論 老年壓瘡高危患者接受延續(xù)性護(hù)理能顯著降低壓瘡發(fā)生率，促進(jìn)患者心理功能與社會功能得到改善，提高生活質(zhì)量。

關(guān)鍵詞：壓瘡；高危患者；延續(xù)性護(hù)理

Abstract：Objective To evaluate the effect of extended care on reducing the incidence of pressure ulcer in elderly patients with high risk of pressure ulcer in elderly patients. Methods 2014～2015 in our hospital for treatment of patients with pressure sore after discharge of 236 elderly patients with high risk of pressure ulcer were randomly divided into the control group received routine follow-up and observation group take continuity of care， the two groups before and after intervention and quality of life of patients with pressure ulcer incidence to compare.Results In the observation group， the incidence of pressure ulcers was 12.7% lower than that of the control group 43.2%， the difference was statistically significant （P<0.05）； scores of the observation group psychological function and social function score was significantly better than the control group， there was significant difference between the groups （P<0.05）. Conclusion The elderly patients with high risk of pressure ulcers in patients with continuity of care can significantly reduce the incidence of pressure ulcers， and promote psychological function and social function of patients to improve， improve the quality of life.

Key words：Pressure ulcer；High risk patients；Continuity of care

據(jù)有效資料顯示內(nèi)科患者院外發(fā)生壓瘡的比重占85%，老年壓瘡高危患者接受延續(xù)性護(hù)理除降低壓瘡發(fā)生率外還能改善患者心理功能與社會功能，利于疾病恢復(fù)，一定程度上規(guī)避了疾病加重致患者再次入院，增加醫(yī)療費(fèi)用開支與占用醫(yī)療資源。本文選取2014～2015年于我院接受壓瘡治療愈后出院的236例老年壓瘡高危患者作為研究對象，觀察組實(shí)施延續(xù)性護(hù)理，對照組組接受常規(guī)出院隨訪，旨在觀察延續(xù)性護(hù)理對老年壓瘡高危患者的影響。

1 資料與方法

1.1一般資料 研究對象為2014～2015年于我院接受壓瘡治療愈后出院的236例老年壓瘡高危患者，觀察組與對照組各有患者118例，觀察組男64例，女54例；年齡67～88歲，平均年齡（76.4±9.2）歲。對照組男57例，女61例；年齡65～87歲，平均年齡（74.7±8.8）歲，兩組患者基本資料差異無統(tǒng)計學(xué)意義（P>0.05）。

1.2方法 給對照組出院患者提供院后常規(guī)病情隨訪護(hù)理，患者出院前接受藥物、飲食、心理、定期復(fù)查等常規(guī)出院指 導(dǎo)[1]。……