背景:由于严重疾病等因素,神经内科重症监护病房(ICU)的患者容易发生压力伤害(PU),长期卧床休息,和生理功能紊乱。PU不仅会给患者带来疼痛和并发症,但也增加了医疗负担,延长住院时间,并影响恢复过程。
目的:评价和优化神经内科ICU患者压力性损伤预防护理措施的效果。
方法:进行了回顾性研究,选取神经内科ICU收治的患者60例,按入院先后顺序分为观察组和对照组,每组30人。观察组实施压力性损伤预防及护理措施,对照组采取常规护理。
结果:观察组和对照组在压力损伤预防护理干预后48h的发生率明显低于对照组(8.3%vs26.7%)。7天(16.7%对43.3%),和14天(20.0%和50.0%)。这表明观察组的压力损伤发生率大大降低,随着时间的推移,差距越来越大。此外,观察组患者恢复较快,与对照组相比,平均下床时间较短(48hvs72h),平均住院时间较短(12dvs15d)。此外,干预后,观察组患者报告生活质量评分明显改善,包括更高的身体满意度分数,感觉和功能,和舒适(心理和生理),表明实施压力性损伤预防护理措施后,整体幸福感和舒适度得到增强。
结论:对神经内科ICU患者实施压力性损伤预防性护理措施效果较好。
BACKGROUND: Patients in neurology intensive care units (ICU) are prone to pressure injuries (PU) due to factors such as severe illness, long-term bed rest, and physiological dysfunction. PU not only causes pain and complications to patients, but also increases medical burden, prolongs hospitalization time, and affects the recovery process.
OBJECTIVE: To evaluate and optimize the effectiveness of pressure injury prevention nursing measures in neurology ICU patients.
METHODS: A retrospective study was conducted, and 60 patients who were admitted to the ICU of the Department of Neurology were selected and divided into an observation group and a control group according to the order of admission, with 30 people in each group. The observation group implemented pressure injury prevention and nursing measures, while the control group adopted routine care.
RESULTS: Comparison between observation and control groups following pressure injury prevention nursing intervention revealed significantly lower incidence rates in the observation group compared to the control group at 48 h (8.3% vs 26.7%), 7 d (16.7% vs 43.3%), and 14 d (20.0% vs 50.0%). This suggests a substantial reduction in pressure injury incidence in the observation group, with the gap widening over time. Additionally, patients in the observation group exhibited quicker recovery, with a shorter average time to get out of bed (48 h vs 72 h) and a shorter average length of stay (12 d vs 15 d) compared to the control group. Furthermore, post-intervention, patients in the observation group reported significantly improved quality of life scores, including higher scores in body satisfaction, feeling and function, and comfort (both psychological and physiological), indicating enhanced overall well-being and comfort following the implementation of pressure injury prevention nursing measures.
CONCLUSIONS: Implementing pressure injury preventive care measures for neurology ICU patients will have better results.