摘要
目的探讨基于循证理论的精细化护理结合压疮预警模式对消化道大出血伴脑梗死患者康复情况及压力性损伤发生率的影响。方法选取2020年2月至2022年4月汉中市南郑区人民医院消化内科收治的80例消化道大出血伴脑梗死患者,以随机数字表法将其分为对照组和观察组,各40例。对照组实施常规护理,观察组实施基于循证理论的精细化护理结合压疮预警模式。比较两组的干预效果。结果观察组的康复总有效率高于对照组(P<0.05)。观察组的压力性损伤总发生率低于对照组(P<0.05)。干预后,观察组的心理、生理、社会适应性评分高于对照组(P<0.05)。观察组的满意度高于对照组(P<0.05)。结论基于循证理论的精细化护理结合压疮预警模式可提高消化道大出血伴脑梗死患者的康复效果,降低压力性损伤发生率,提升生活质量及患者满意度,值得推广。
Objective To explore the effects of refined nursing based on evidence-based theory combined with pressure ulcer warning model on rehabilitation and incidence of pressure injury in patients with gastrointestinal hemorrhage complicated with cerebral infarction.Methods A total of 80 patients with gastrointestinal hemorrhage complicated with cerebral infarction admitted in the gastroenterology department,Nanzheng District People's Hospital of Hanzhong city from February 2020 to April 2022 were selected and divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given routine nursing,while the observation group was given refined nursing based on evidence-based theory combined with pressure ulcer warning model.The intervention effects of the two groups were compared.Results The total effective rate of rehabilitation in the observation group was higher than that in the control group(P<0.05).The total incidence of pressure injury in the observation group was lower than that in the control group(P<0.05).After intervention,the psychological,physiological and social adaptability scores of the observation group were higher than those of the control group(P<0.05).The satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The refined nursing based on evidence-based theory combined with pressure ulcer warning model can improve the rehabilitation effect of patients with gastrointestinal hemorrhage complicated with cerebral infarction,reduce the incidence of pressure injury,improve the quality of life and patient's satisfaction,which is worthy of promotion.
作者
陈丹
杜亚静
CHEN Dan;DU Yajing(Gastroenterology Department,Nanzheng District People's Hospital,Hanzhong 723102,China;Neurological Department,Nanzheng District People's Hospital,Hanzhong 723102,China)
出处
《临床医学研究与实践》
2025年第9期163-166,共4页
Clinical Research and Practice
关键词
基于循证理论的精细化护理
压疮预警模式
消化道大出血
脑梗死
压力性损伤
refined nursing based on evidence-based theory
pressure ulcer warning model
gastrointestinal hemorrhage
cerebral infarction
pressure injury
