康复护理程序在治疗压疮中的应用效果研究

论文编号:HL056  论文字数:7666.页数:20

论文题目：康复护理程序在治疗压疮中的应用效果研究
摘 要
 目的：传统的压疮护理模式，注重创面的对症处理。而现代压疮的康复护理把压疮作为一个单独项目进行研究，根据伤口发展情况，医护人员对伤口进行分析、评估，对压疮进行合理的分期，制定相应的治疗方案并不断修改完善。
 方法：2005年5月~2008年12月，我们对68例脊髓损伤伴有压疮病症的患者在传统护理的同时，按照康复护理程序对压疮患者的伤口进行分析评估，采取有效措施去除影响压疮愈合的负面影响因素，选择正确的康复护理方法和现代先进的康复护理器具，对压疮患者进行康复护理和治疗。
 结果：对照组34例，无效(创面没有明显的改变或者变大、变深或者是渗出液增多)5例，有效(创面变小、变浅或者是渗出液减少)6例，治愈(创面完全消失，只是皮肤的色泽呈浅白色)23例，总有效率85.2%；治疗组无效0例，有效4例，总有效率100%。两组总有效率比较，P<0.05。对照组平均显效时间：分别为10d、25d、>40d，治疗组分别为6d、14d、<30d，两组比较差别明显。
 结论:本法大大提高了压疮的治愈率，缩短了疗程，减轻了病人的身心痛苦，降低了病人的经济负担。
关 键词: 留置针； 封管液；肝素钠； 生理盐水

论文类型：应用研究 
 
 
 Title: Rehabilitation nursing procedures in patients with pressure ulcers in 68 patients the efficacy
ABSTRACT
Objectives:
 The traditional mode of pressure ulcer care, focusing on symptomatic treatment Wounds.The modern rehabilitation of pressure ulcers pressure ulcer care to study as a separate item, according to wound development, health care for the wound analysis, assessment of reasonable pressure ulcer staging, develop appropriate treatment programs and continually revised and improved.
Methods:
  May 2005 ~ December 2008, we have 68 cases of spinal injury patients with symptoms associated with pressure ulcers while in the traditional nursing, rehabilitation nursing procedures in accordance with pressure ulcers in patients with an analytical assessment of the wound, to take effective measures to removethe negative impact of pressure ulcer healing factors, select the correct method of rehabilitation nursing care and rehabilitation of modern advanced equipment, the rehabilitation of patients with pressure ulcers care and treatment.Results:
 Results: In control group of 34 cases and ineffective (no significant change in the wound or the larger and more deep or effusion) in 5 cases, effective (wounds smaller, lighter or exudate decrease) in 6 cases, cure (wound completely disappeared, but the color of pale white skin) 23 cases, the total efficiency 85.2%; 0 cases ineffective treatment group, effective in 4 cases, the total effective rate was 100%.The total effective rate comparison, P <0. 05.Control group was markedly time: respectively 10 d, 25 d,> 40 d, the treatment group were 6 d, 14 d, <30 d, significant difference between the two groups.
Conclusion:
  This greatly increased the cure rate of pressure sores and shorten the course of treatment, reducing the patient''''s physical and mental suffering, reduce the financial burden of patients

KEY WORDS: catheter; sealing solution; heparin; saline

TYPE OF THESIS: Application research

目 录
摘 要 I
ABSTRACT I
目 录 III
1 绪 论 1
1.1 背景及意义 1
1.2 研究目的及目标 1
1.3关键词及定义 1
1.4文献回顾 2
2 研究设计 4
2.1 研究类型 4
2.2 研究对象 4
2.3 研究方法 4
2.4 研究步骤 5
2.5统计方法 5
3 研究结果 6
3.1一般资料 6
3.2护理结果 6
4 讨 论 7
5 推论及建议 9
5.1 结论 9
5.2 本文的局限和展望 9
参考文献 11
致    谢 12