摘要
目的 探讨个性化预见性护理模式对神经外科重症患者术后压疮发生率的影响。方法 选取2024年1月至12月收治的363例神经外科重症患者为对照组,实施常规护理;2025年1月至12月收治的484例患者为观察组,实施个性化预见性护理模式。比较两组压疮发生率及院外带入压疮愈合率。结果 观察组院内压疮发生率为0,显著低于对照组;观察组院外带入压疮愈合率为47.2%,高于对照组的13.3%。结论 个性化预见性护理模式能有效降低神经外科重症患者术后压疮发生率,促进既有压疮愈合。
关键词: 预见性护理;神经外科;重症监护;压疮;Braden量表
Abstract
Objective To investigate the impact of personalized predictive nursing model on the incidence of postoperative pressure ulcers in neurosurgical critical patients. Methods A total of 363 neurosurgical critical patients admitted from January to December 2024 were selected as the control group and received routine nursing care. From January to December 2025,484 patients were enrolled as the observation group and received personalized predictive nursing model. The incidence of pressure ulcers and the healing rate of off-site pressure ulcers were compared between the two groups. Results The incidence of in-hospital pressure ulcers in the observation group was 0, significantly lower than that in the control group. The healing rate of off-site pressure ulcers in the observation group was 47.2%, higher than the 13.3% in the control group. Conclusion The personalized predictive nursing model can effectively reduce the incidence of postoperative pressure ulcers in neurosurgical critical patients and promote the healing of existing pressure ulcers.
Key words: Predictive nursing; Neurosurgery; Intensive care; Pressure ulcers; Braden scale
参考文献 References
[1] 李小寒,尚少梅.基础护理学[M].6版.北京:人民卫生出版社, 2017:343-349.
[2] 蒋琪霞,王建东,董珊,等.两种皮肤保护方法在负压治疗慢性伤口中的应用研究[J].中华护理杂志,2019,54(1): 39-44.
[3] 陈红,吴波,刘静,等.神经外科患者术中获得性压力性损伤的多学科团队链式管理[J].护理学杂志,2021,36(21): 43-46.
[4] 蒋琪霞,周济宏,陈可塑,等.中国46所三级医院成年住院患者压力性损伤流行病学特征及Braden量表预测作用研究[J].中国全科医学,2023,26(18):2195-2202.
[5] 蒋琪霞,刘国帧,朱玉玲,等.Braden量表诊断老年人压力性损伤的适用性和最佳界值的多中心研究[J].中华护理杂志,2023,58(4):440-445.
[6] 谢小燕,刘雪琴,李漓.应用Braden量表评估压疮危险因素[J].中华护理杂志,2004,39(12):941-942.
[7] 高娟,罗嫚丽,梁美景,等.重症监护室患者压力性损伤的危险因素及Braden评分和经皮氧分压的预测价值分析[J].生物医学工程学进展,2022,43(16):2195-2199.
[8] 欧阳淑怡,周瑾,吴凌云.泡沫敷料联合下垫式充气暖风毯在低体重婴幼儿体外循环手术中预防压疮的研究[J].循证医学,2020,20(1):53-57.
[9] 施晓宇,蒋琪霞,刘喜平.营养支持在老年压疮病人预后影响因素中重要性的临床分析[J].肠外与肠内营养,2020, 27(1):37-41.