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循证护理应用于泡沫敷料联合生长因子治疗皮肤软组织挫擦伤中的效果(1)
http://www.100md.com 2017年12月5日 中外医疗 2017年第34期
     [摘要] 目的 探讨研究循证护理应用于泡沫敷料联合生长因子治疗皮肤软组织挫擦伤中的效果。方法 采取抽签模式将2014年7月—2017年6月于该院收治的皮肤软组织挫擦伤患者中方便抽出80例,将其以每组40例平均分成观察组和对照组。其中,对照组以常规护理模式为患者护理方案,观察组在此基础上采取循证护理模式进行干预,比较两组患者的临床效果。结果 观察组护理满意度高于对照组对应值(95.00%>75.00%);观察组SDS、SAS评分结果为(34.68±3.19)分、(30.48±3.45)分,均较对照组(44.68±4.61)分、(40.28±4.11)分高;观察组痊愈时间及创面感染发生率结果分别为(8.01±2.12)d,且无创面感染现象发生,较对照组(12.92±3.56)d、15.00%低(P<0.05)。结论 针对实施泡沫敷料联合生长因子治疗皮肤软组织挫擦伤患者采用循证护理加以干预,有效提高患者护理满意度的同时改善其心理状况,患者创面恢复时间快且无感染发生现象,值得临床上大力推广。

    [关键词] 循证护理;泡沫敷料联合生长因子;皮膚软组织挫擦伤

    [中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)12(a)-0134-03

    [Abstract] Objective To study the effect of evidence-based nursing in the foam dressing combined with growth factor treatment of skin and soft tissue contusion. Methods 80 cases of patients with skin and soft tissue contusion treated in our hospital from July 2014 to June 2017 were convenient selected and randomly divided into two groups with 40 cases in each, the control group adopted the routine nursing, while the observation group adopted the evidence-based nursing model for intervention on the basis of the routine nursing, and the clinical effect was compared between the two groups. Results The nursing satisfactory degree in the observation group was higher than that in the control group, (95.00%>75.00%), and the SDS and SAS scores in the observation group were higher than those in the control group[(34.68±3.19)points,(30.48±3.45)points vs (44.68±4.61)points,(40.28±4.11)points], and the healing time and incidence rate of wound infection in the observation group was(8.01±2.12)d, and there was no infection, which were lower than those in the control group[(12.92±3.56)d,15.00%](P<0.05). Conclusion The evidence-based nursing for intervention after foam dressing combined with growth factor treatment of skin and soft tissue contusion can effectively improve the nursing satisfactory degree of patients and improve the mental state, and the wound recovery of patients is rapid without infection, and it is worth clinical great promotion.

    [Key words] Evidence-based nursing; Foam dressing combined with growth factor; Skin and soft tissue contusion

    人们生活水平及生活方式近年来都随着社会经济水平的提高出现较大转变,促使人们交通事故发生率出现逐年上增的趋势,是导致皮肤软组织挫擦伤患者病发率在外科临床上呈现居高不下的关键因素之一[1-2]。近年来,临床上针对此类症状患者主张实施泡沫敷料联合重组人表皮生长因子(rhEGF)来进行治疗,患者愈合进度快,其疗效已被临床所认可。但有临床专家明确指出针对此类患者治疗期间加以合理的护理干预,能最大程度上降低患者创口感染发生率,对缓解其机体疼痛感和加快患者健康恢复进度具有重要的现实意义[3-4]。该文现将在2014年7月—2017年6月于该院收治并实施泡沫敷料联合生长因子治疗的80例皮肤软组织挫擦伤患者作为研究对象,加以循证护理干预进行临床分析,现报道如下。

    1 资料与方法

    1.1 一般资料, 百拇医药(曾碰华 黄瑛)
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