主管:国家卫生健康委员会
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• 肿瘤护理专题 • 上一篇    下一篇

恶性肿瘤患者疼痛相关性压疮的规范化管理

周洁 王峰 刘霞 刘敏   

  1. 青岛市中心医院护理部
  • 出版日期:2015-06-25 发布日期:2015-06-25

The prevention and nursing of pressure ulcers related to the pain in cancer patients

  • Online:2015-06-25 Published:2015-06-25

摘要: 目的:对恶性肿瘤患者疼痛相关性压疮进行规范化管理,减少压疮的发生。方法:将压疮预防与疼痛管理相结合,成立疼痛- 压疮护理管理小组,由护理管理小组根据恶性肿瘤疼痛患者相应疼痛评分等级进行压疮预防与护理,比较实施规范化管理前(2012 年7-12 月)和实施后(2013 年1-6 月)患者压疮发生率及住院10 天时的Braden 量表评分变化。结果:实施疼痛- 压疮规范化管理后恶性肿瘤疼痛患者压疮发生率较实施前下降(P <0.05) ;患者住院10 天时Braden 评分中身体活动程度、改变体位能力条目得分较实施前增高(P <0.05)。结论:将恶性肿瘤疼痛患者的疼痛管理与压疮管理相结合,能有效降低患者发生压疮的风险,减轻患者痛苦。

Abstract: Objective: To investigate the prevention and nursing of pressure ulcers related to the pain in patients with malignant tumor, and to reduce the incidence of pressure ulcers. Methods: We combined the prevention of pressure ulcers and pain management, and set up a management team of pain-pressure ulcer nursing care. The nursing team carry out the prevention and nursing of pressure ulcer according to the malignant tumor patients' pain scores. The incidence of pressure ulcer and Braden score changes were compared before and after the pressure ulcer management. Results: The incidence of pressure ulcer was reduced, and the scores of physical activity degree and position change ability in the Braden score were both increased in the patients hospitalized for 10 days after received the pain-pressure ulcer management, all differences were statistically significant (P<0.05). Conclusion:Combining the pain management with the prevention and care of pressure ulcer can effectively guarantee the nursing measures for prevention of pressure ulcer more specific and practicable, reduce the incidence of pressure ulcers, and alleviate the pain of patients with malignant tumor.