临床护理

伤口护理中延续性护理的应用效果

Application of continuous nursing in wound nursing

:123-125
 
目的 研究伤口护理中延续性护理的应用效果。方法 选取2017年12月—2018年8月为研究阶段,抽取我院收治的130例皮肤擦伤和存在深部皮肤损伤患者作为研究对象,采用均衡分组法分为参照组和研究组,各65例。参照组采用常规伤口护理,研究组采用延续性护理干预。护理1个月后观察效果,包括并发症发生情况、创面愈合时间、疼痛评分及舒适度评分,进一步观察患者护理前后焦虑、抑郁评分变化。结果 研究组并发症发生率1.54%,参照组并发症发生率13.85%,对比有统计学意义(P<0.05)。研究组创面愈合时间与参照组相比要短,疼痛评分与参照组相比要低,舒适度评分与参照组相比要高,对比差异有统计学意义(P<0.05)。护理后,研究组患者焦虑、抑郁评分低于参照组及护理前,对比差异有统计学意义(P<0.05)。结论 伤口护理中延续性护理的应用效果显著,可有效降低并发症发生风险,使其疼痛感及负性心理得到缓解的同时促使其创面恢复时间缩短,具有较高临床推广价值。
论著

延续性护理干预对癌痛患者服药依从性及疼痛治疗效果的影响

Impact of continuing nursing on the medication compliance and effect of pain treatment in patients with cancer pain

:55-56
 
目的 探讨延续性护理干预对癌痛患者服药依从性及疼痛治疗效果的影响。方法 选取105例住院治疗的中度至重度癌痛患者,均需服用阿片类药物止痛治疗,单日出院的患者(48例)设为对照组,双日出院的患者(57例)设为干预组。对照组在出院前由责任护士给予常规的用药指导;实验组则在此基础上,于出院后提供延续性护理干预,对患者每周进行电话回访1次,每个出院患者至少回访4次,比较两组患者出院4周后服药依从性及疼痛治疗效果的差异。结果 实验组服药依从性、疼痛治疗效果高于对照组(P<0.05)。结论 延续性护理干预能提高出院癌痛患者服药依从性及疼痛治疗效果,改善患者的生存质量。
Objective To investigate the impact of continuing nursing on the medication compliance and effect of pain treatment in patients with cancer pain. Methods 105 cases of hospitalized patients with medium to severe cancer pain were selected,need to take opioid analgesic therapy,they were divided into the control group who were single-day discharged(n=48)and intervention group who were double-day discharged(n=57),when discharged,the control group was received conventional health education of medication by the specialized nurses;on this basis,the experimental group was received continuing nursing after discharge,the patients had a return visit by telephone once a week,each patient were visited 4 times at least. After 4 weeks,the medication compliance and effect of pain treatment in the two groups were compared. Results In the experimental group,the medication compliance of patients and effect of pain treatment were significantly higher than those of the control group(P<0.05). Conclusion The continuing nursing intervention can significantly improve the medication compliance and effect of pain treatment for discharged patients with cancer pain,and improve the quality of life.
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