肝膽外科壓瘡程序化護理的實施及效果評價

張洪鵬

【摘 要】?目的：分析肝膽外科壓瘡程序化護理的實施及效果。方法：選擇本院肝膽外科自2015年1月至2018年12月收治的214例患者，將其隨機分為兩組，對照組和觀察組，每組107例。對照組給予常規壓瘡護理，觀察組給予壓瘡程序化護理，對兩組護理療效進行比較。結果：觀察組壓瘡發生率為3.74%，明顯低于對照組的23.36%，相對比，P<0.05（χ2=12.4831）。觀察組壓瘡好轉時間為（4.19±1.76）d明顯短于對照組的（13.40±2.83）d，P<0.05（t=12.4831）。觀察組護理滿意度為95.33%，明顯高于對照組，P<0.05（χ2=12.3091）。結論：給予肝膽外科壓瘡程序化護理，可使壓瘡發生率減少，值得在臨床上借鑒。

【關鍵詞】?肝膽外科;壓瘡;程序化護理;護理效果

Implementation?and?effect?evaluation?of?programmed?nursing?for?hepatobiliary?surgical?pressure?ulcer

Zhang?Hongpeng

Department?of?Vascular?Surgery，?Jining?First?People's?Hospital，?Jining，?Shandong?272000

[Abstract]?Objective：Analyze?the?implementation?and?effect?of?programmed?nursing?of?hepatobiliary?surgical?pressure?ulcers.Methods：?214?patients?admitted?to?our?hospital?for?hepatobiliary?surgery?from?January?2015?to?December?2018?were?randomly?divided?into?2?groups，?control?group?and?observation?group，?107?cases?in?each?group.The?control?group?was?given?conventional?pressure?ulcer?care，?and?the?observation?group?was?given?the?pressure?sore?program?nursing，?and?the?treatment?effects?of?the?two?groups?were?compared.?Results：?The?incidence?of?pressure?ulcers?in?the?observation?group?was?3.74%?significantly?lower?than?that?in?the?control?group?（23.36%），?and?the?relative?ratio?was?P<0.05?（χ2=12.4831）.The?nursing?satisfaction?of?the?observation?group?was?95.33%，?which?was?significantly?higher?than?that?of?the?control?group.?The?improvement?time?of?pressure?ulcer?in?the?observation?group?was?（4.19±1.76）d，?which?was?significantly?shorter?than?that?of?the?control?group?（13.40±2.83）d，?and?the?relative?ratio?was?P<0.05?（t=12.4831）.The?relative?ratio?was?P<0.05?（χ2=12.3091）.?Conclusion：?Giving?hepatobiliary?surgical?pressure?sore?program?nursing?can?reduce?the?incidence?of?pressure?ulcers，?which?is?worthy?of?reference?in?clinical?practice.