微翻身法在肝胆患者常规翻身失效中的应用研究
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摘要
目的探讨采用一体式下肢抬高护理垫的微翻身法在肝胆患者常规翻身失效中的应用。方法 40例住院的肝胆重症或晚期患者随机分为实验组和对照组,各20例。实验组患者使用一体式下肢抬高护理垫行微翻身;对照组患者使用普通枕头抬高下肢及三角枕常规翻身。观察比较两组在皮肤潮红或损伤、下肢水肿、舒适满意度等方面的护理效果。结果实验组患者皮肤潮红或损伤3例(15%)明显少于对照组的9例(45%),差异有统计学意义(P<0.05)。实验组患者下肢水肿3例(15%)少于对照组的8例(40%),但差异无统计学意义(P>0.05)。实验组下肢水肿完全消退时间(2.5±2.7)d短于对照组的(6.3±5.1)d,差异有统计学意义(P<0.05)。在患者因疼痛、乏力、病情危重等情况下,实验组患者舒适满意度评分(8.2±0.7)分明显优于对照组的(5.2±1.3)分,差异有统计学意义(P<0.05)。结论采用一体式下肢抬高护理垫的微翻身法在肝胆患者常规翻身失效中能保持有效翻身体位,起到预防和治疗压疮的作用,同时加快下肢水肿的消退时间,提高患者的舒适度。
Objective To investigate the application of microturn of one-piece lower extremity elevating nursing pads in conventional turn failure of hepatobiliary patients. Methods A total of 40 hospitalized severe or advanced patients with hepatobiliary were randomly divided into experimental group and control group, with 20 cases in each group. The experimental group received one-piece lower extremity elevating nursing pads, and the control group conventional turn of ordinary pillow elevating lower extremity and triangle pillow. Observation and comparison were made on the nursing effect of skin flushing or injury, lower extremity edema, comfort satisfaction between the two groups. Results The experimental group had obviously less number of skin flushing or injury as 3 cases(15%) than 9 cases(45%) in the control group, and the difference was statistically significant(P<0.05). The experimental group had obviously lower number of lower extremity edema as 3 cases(15%) than 8 cases(40%) in the control group, but the difference was not statistically significant(P>0.05). The experimental group had shorter complete disappearance time of lower extremity edema as(2.5±2.7) d than(6.3±5.1) d in the control group, and the difference was statistically significant(P<0.05). In patients with pain, fatigue and critical condition, the experimental group had obviously better comfort satisfaction score as(8.2±0.7) points than(5.2±1.3) points in the control group, and the difference was statistically significant(P<0.05). Conclusion Microturn of one-piece lower extremity elevating nursing pads can keep effective turnover position in conventional turnover of liver and hepatobiliary patients, play a role in preventing and treating pressure sore, while accelerating the disappearance time of lower extremity edema and improve their comfort.
Objective To investigate the application of microturn of one-piece lower extremity elevating nursing pads in conventional turn failure of hepatobiliary patients. Methods A total of 40 hospitalized severe or advanced patients with hepatobiliary were randomly divided into experimental group and control group, with 20 cases in each group. The experimental group received one-piece lower extremity elevating nursing pads, and the control group conventional turn of ordinary pillow elevating lower extremity and triangle pillow. Observation and comparison were made on the nursing effect of skin flushing or injury, lower extremity edema, comfort satisfaction between the two groups. Results The experimental group had obviously less number of skin flushing or injury as 3 cases(15%) than 9 cases(45%) in the control group, and the difference was statistically significant(P<0.05). The experimental group had obviously lower number of lower extremity edema as 3 cases(15%) than 8 cases(40%) in the control group, but the difference was not statistically significant(P>0.05). The experimental group had shorter complete disappearance time of lower extremity edema as(2.5±2.7) d than(6.3±5.1) d in the control group, and the difference was statistically significant(P<0.05). In patients with pain, fatigue and critical condition, the experimental group had obviously better comfort satisfaction score as(8.2±0.7) points than(5.2±1.3) points in the control group, and the difference was statistically significant(P<0.05). Conclusion Microturn of one-piece lower extremity elevating nursing pads can keep effective turnover position in conventional turnover of liver and hepatobiliary patients, play a role in preventing and treating pressure sore, while accelerating the disappearance time of lower extremity edema and improve their comfort.
引文
[1]江方正,李雪,叶向红.“R”形体位翻身垫用于压疮病人的体位护理.护理研究,2011,25(11):3016-3017.
[2]伍桂容,余清.晚期肿瘤患者压疮的高危因素分析及护理.当代护士,2013(11):81-82.
[3]王志燕,朱晓群,杨晶,等.不同翻身角度对老年卧床患者皮肤受压及生命体征的影响.护士进修杂志,2009,24(7):581-583.
[4]Brindle CT,Malhotra R,O’Rourke S,et al.Turning and repositioning the critically ill patient with hemodynamic instability:a literature review and consensus recommendations.Journal of Wound Ostomy&Continence Nursing Official Publication of the Wound Ostomy&Continence Nurses Society,2013,40(3):254.
[5]Oertwich PA,Kindschuh AM,Bergstrom N.The effects of small shifts in body weight on blood flow and interface pressure.Research in Nursing&Health,1995,18(6):481.
[6]Sibbald RG,Goodman L,Norton L,et al.Prevention and treatment of pressure ulcers.Skin Therapy Letter,2012,17(8):4.
[7]Wound,Ostomy and Continence Nurses Society-Wound Guidelines Task Force.WOCN 2016 Guideline for Prevention and Management of Pressure Injuries(Ulcers):An Executive Summary.Journal of Wound Ostomy&Continence Nursing Official Publication of the Wound Ostomy&Continence Nurses Society,2017,44(3):241.
[8]Keane FX.The minimum physiological mobility requirement for man supported on a soft surface.Paraplegia,1979,16(4):383.
[9]Riordan J,Voegeli D.Prevention and treatment of pressure ulcers.British Journal of Nursing,2009,18(20):S20,S22,S24.
[2]伍桂容,余清.晚期肿瘤患者压疮的高危因素分析及护理.当代护士,2013(11):81-82.
[3]王志燕,朱晓群,杨晶,等.不同翻身角度对老年卧床患者皮肤受压及生命体征的影响.护士进修杂志,2009,24(7):581-583.
[4]Brindle CT,Malhotra R,O’Rourke S,et al.Turning and repositioning the critically ill patient with hemodynamic instability:a literature review and consensus recommendations.Journal of Wound Ostomy&Continence Nursing Official Publication of the Wound Ostomy&Continence Nurses Society,2013,40(3):254.
[5]Oertwich PA,Kindschuh AM,Bergstrom N.The effects of small shifts in body weight on blood flow and interface pressure.Research in Nursing&Health,1995,18(6):481.
[6]Sibbald RG,Goodman L,Norton L,et al.Prevention and treatment of pressure ulcers.Skin Therapy Letter,2012,17(8):4.
[7]Wound,Ostomy and Continence Nurses Society-Wound Guidelines Task Force.WOCN 2016 Guideline for Prevention and Management of Pressure Injuries(Ulcers):An Executive Summary.Journal of Wound Ostomy&Continence Nursing Official Publication of the Wound Ostomy&Continence Nurses Society,2017,44(3):241.
[8]Keane FX.The minimum physiological mobility requirement for man supported on a soft surface.Paraplegia,1979,16(4):383.
[9]Riordan J,Voegeli D.Prevention and treatment of pressure ulcers.British Journal of Nursing,2009,18(20):S20,S22,S24.