Observation on the influence of preventive nursing measures on the occurrence of pressure ulcers and quality of life in elderly patients in respiratory department
观察预防性护理措施对呼吸科老年患者压疮发生及生活质量的影响

摘要

优化提供实践依据。方法 选取2024年1月-2024年12月本院呼吸科收治的120例老年患者为研究对象，采用随机数字表法分为对照组和观察组各60例。对照组实施呼吸科常规护理，观察组在常规护理基础上实施针对性压疮预防性护理。比较两组患者压疮发生情况，采用生活质量综合评定问卷（Generic Quality of Life Inventory-74, GQOLI-74）评估护理后生活质量，统计两组护理满意度。结果 观察组压疮发生率显著低于对照组，压疮发生时间晚于对照组，且压疮严重程度轻于对照组（P＜0.05）；观察组GQOLI-74量表各维度评分及总分均显著高于对照组（P＜0.05）；观察组护理总满意度显著高于对照组（P＜0.05）。结论 对呼吸科老年患者实施压疮预防性护理，能有效降低压疮发生风险、减轻压疮严重程度，同时可显著提升患者生活质量，提高护理满意度，具有较高的临床推广应用价值。

Abstract

Objective To explore the application effect of preventive nursing measures in reducing the incidence of pressure ulcers and improving the quality of life in elderly patients in the respiratory department, so as to provide practical basis for optimizing clinical nursing schemes.
Methods A total of 120 elderly patients admitted to the respiratory department of our hospital from January 2024 to December 2024 were selected as the research objects. They were divided into a control group and an observation group with 60 cases in each group by random number table method. The control group received routine nursing in the respiratory department, while the observation group implemented targeted preventive nursing for pressure ulcers on the basis of routine nursing. The occurrence of pressure ulcers in the two groups was compared. The Generic Quality of Life Inventory-74 (GQOLI-74) was used to evaluate the quality of life after nursing, and the nursing satisfaction of the two groups was counted.
Results The incidence of pressure ulcers in the observation group was significantly lower than that in the control group, the occurrence time of pressure ulcers was later than that in the control group, and the severity of pressure ulcers was lighter than that in the control group (P < 0.05); the scores of each dimension and the total score of the GQOLI-74 scale in the observation group were significantly higher than those in the control group (P < 0.05); the total nursing satisfaction in the observation group was significantly higher than that in the control group (P < 0.05).
Conclusion   Implementing preventive nursing for pressure ulcers in elderly patients in the respiratory department can effectively reduce the risk of pressure ulcers, alleviate the severity of pressure ulcers, significantly improve the patients’ quality of life and nursing satisfaction, which has high clinical promotion and application value.