以患者需求为导向干预模式在老年患者伤口处理中的临床应用观察

Observation of clinical application of patient demand-oriented intervention model in wound treatment of elderly patients

中文关键词: 老年  慢性伤口  护理需求  生活质量  疼痛  满意度  压疮愈合

英文关键词: elderly  chronic wounds  nursing demand  quality of life  pain  satisfaction  pressure ulcer healing

中文摘要:

      目的 分析以患者需求为导向干预模式在老年患者伤口处理中的应用情况,为其临床治疗提供新思路..方法 回顾性分析2022年6月-2023年12月在内江市第二人民医院伤口造口门诊接受治疗的100例老年慢性伤口患者的临床资料,依据患者不同的干预方式分为观察组和对照组,每组50例.2组进行相同常规治疗的同时,对照组行常规护理干预,观察组在对照组干预的基础上应用以患者需求为导向的干预模式.采用长海痛尺(NRS-VRS5)评估患者疼痛程度,采用压疮愈合计分量表(PUSH)评估患者伤口情况,采用伤口患者生活质量量表(Wound-Qol)评估患者生活质量情况,采用纽卡斯尔护理服务满意度量表(NSNS)评估患者满意度,对2组上述观察值进行分析与比较.结果 第1次、第3次、第6次干预后,观察组疼痛评分分别为(4.50±1.26)、(3.59±0.84)、(2.15±0.54),分别低于对照组的(5.29±1.17)、(4.52±0.93)、(3.67±0.72)(P＜0.05);观察组患者 PUSH 量表评分分别为(9.03±1.80)、(7.96±1.53)、(5.42±1.12),分别低于对照组的(9.87±1.65)、(8.67±1.40)、(7.16±1.44)(P＜0.05);观察组患者 Wound-Qol 量表评分分别为(35.72±5.02)、(30.44±5.10)、(25.01±4.58),分别低于对照组的(38.16±4.61)、(34.29±4.82)、(29.73±4.61)(P＜0.05);观察组患者护理满意度高于对照组(96.00％vs 80.00％,P＜0.05).结论 以患者需求为导向干预模式可降低老年慢性伤口患者的疼痛程度,提高患者的生活质量和护理满意度.

英文摘要:

      Objective To analyze the application of patient demand-oriented intervention model in wound treatment of elderly patients,and provide a new idea for its clinical treatment.Methods The clinical data of 100 elderly patients with chro-nic wounds treated in Wound Ostomy Clinic,Second People's Hospital of Neijiang City from June 2022 to December 2023 were retrospectively analyzed.They were divided into observation group and control group according to different intervention meth-ods,with 50 cases in each group.Both groups received the same routine treatment.The control group received routine nursing intervention,while the observation group adopted the patient demand-oriented intervention model on the basis of the control group intervention.The Long Sea Pain Scale(NRS-VRS5)was used to assess the pain degree,Pressure Ulcer Score Healing(PUSH)scale was used to evaluate the wound condition,Wound Patient's Quality of Life(Wound Qol)scale was used to evaluate the quality of life of patient,and Newcastle Service Nursing Satisfaction(NSNS)scale was used to evaluate satisfac-tion of patient.Results After the first,third and sixth intervention,the pain scores of the observation group were(4.50±1.26),(3.59±0.84)and(2.15±0.54)points,respectively,which were lower than those of the control group[(5.29±1.17),(4.52±0.93)and(3.67±0.72)points(P＜0.05),respectively];the PUSH scale score of the observation group were(9.03±1.80),(7.96±1.53)and(5.42±1.12)points,respectively,which were lower than those of the control group[(9.87±1.65),(8.67±1.40)and(7.16±1.44)points(P＜0.05),respectively];the Wound-Qol scale score of the observation group were(35.72±5.02),(30.44±5.10)and(25.01±4.58)points,respectively,which were lower than those of the control group[(38.16±4.61),(34.29±4.82)and(29.73±4.61)points(P＜0.05),respectively].The satisfaction rate of patients in the observation group was higher than that in the control group(96.00％vs 80.00％,P＜0.05).Conclusion The patient demand-oriented intervention model can reduce the pain degree of elderly patients with chron-ic wounds,improve their quality of life and nursing satisfaction.