医护合作模式在压力性损伤预防中的应用
Application of Physician-Nurse Collaboration Mode in Prevention of Pressure Injuries

DOI: 10.12677/NS.2019.85071, PP. 83-88

Keywords: 医护合作模式，压力性损伤，预防应用
Physician-Nurse Collaboration Mode, Pressure Injuries, Preventive Application

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Abstract:

目的：探讨医护合作模式在脑病科压力性损伤预防的应用效果，为医护合作护理模式预防压力性损伤提供实验依据。方法：选取湖北省中医院脑病科住院病房2017年1~12月收治的压力性损伤高危患者80例，将其按入院先后顺序随机分为对照组40例、研究组40例，对照组采用常规压力性损伤预防护理，研究组采用医护合作服务模式对患者实施压力性损伤预防护理，比较2组患者压力性损伤的发生率及患者的满意度。结果：研究组压力性损伤发生率均低于对照组(χ2 = 5.204, P = 0.038; χ2 = 4.132, P = 0.042)，研究组患者满意度高于对照组(χ2 = 3.183, P = 0.043; χ2 = 2.619, P = 0.009)。结论：将医护合作模式应用于压力性损伤预防护理中，能降低患者压力性损伤的发生率，提高患者的满意度。
Purpose: To explore the application effect of medical cooperation mode in prevention of pressure injuries in encephalopathy, and to provide experimental basis for the prevention of pressure inju-ries in medical cooperative nursing mode. Method: Eighty patients with stress injury admitted to the intensive ward of the Department of encephalopathy of Hubei Provincial Hospital of TCM from January to December 2017 were randomly divided into the control group (40 cases) and the study group (40 cases). The control group was treated with routine nursing mode by prevention of pressure injuries. In research group, the physician-nurse collaboration mode was used to prevent and nurse the patients with pressure injuries. Finally, the incidence of pressure injuries and satis-faction of patients were compared between the two groups. Result: The incidence of pressure in-juries in study group was lower than that of control group (χ2 = 5.204, P = 0.038; χ2 = 4.132, P = 0.042); the satisfaction of the study group was higher than that of control group (χ2 = 3.183, P = 0.043; χ2 = 2.619, P = 0.009). Conclusion: Applying the Physician-nurse collaboration mode to prevent pressure injuries can reduce the incidence of pressure injuries and improve satisfaction of patients.

References

[1]	Edsberg, L.E., Black, J.M., Goldberg, M., et al. (2016) Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System. Journal of Wound, Ostomy and Continence Nursing, 43, 585-597. https://doi.org/10.1097/WON.0000000000000281
[2]	Defloor, T., Schoonhoven, L., Fletcher, J., et al. (2005) State-ment of the European Pressure Ulcer Advisory Panel—Pressure Ulcer Classification: Differentiation between Pressure Ulcers and Moisture Lesions. Journal of Wound, Ostomy and Continence Nursing, 32, 302-306. https://doi.org/10.1097/00152192-200509000-00006
[3]	Schuurman, J., Schoonhoven, L., Defloor, T., et al. (2009) Economic Evaluation of Pressure Ulcer Care: A Cost Minimization Analysis of Preventive Strategies. Nursing Economics, 27, 390-400+415.
[4]	薛利红. 分级管理模式在压力性损伤监控过程中的应用[J]. 中国护理管理, 2008, 8(1): 59-61.
[5]	Sanada, H., Miyachi, Y., Ohura, T., et al. (2008) The Japanese Pressure Ulcer Surveillance Study: A Retrospec-tive Cohort Study to Determine Prevalence of Pressure Ulcers in Japanese Hospitals. Wounds: A Compendium of Clinical Research & Practice, 20, 176.
[6]	刘继红. 医护合作的研究现状[J]. 医学信息(中旬刊), 2011, 24(8): 3780-3781.
[7]	白洁, 刘宇, 李馨, 等. 促进与阻碍护士参与医护查房的因素分析[J]. 中国护理管理, 2015, 15(5): 536-539.
[8]	张丽, 李称. 医护合作健康教育用于普外科护理管理中的作用[J]. 中医药管理杂志, 2019, 27(8): 203-204.
[9]	黎映韶. 医护合作降低注射胰岛素的糖尿病患者肠镜检查前低血糖发生率[J]. 黑龙江医药, 2019, 32(2): 498-499.
[10]	Bergstrom, N., Braden, B.J., Laguzza, A. and Holman, V. (1988) The Braden Scale for Predicting Pressure Sore Risk. Nursing Research, 36, 205-210.
[11]	Waterlow, J.J. (1985) Pressure Sores: A Risk Assessment Card. Nursing Times, 81, 49-55.
[12]	李晓林, 万昌丽, 闫敏. 三种评估表对骶骨肿瘤术后患者压疮预测效果的研究[J]. 护士进修杂志, 2016, 31(6): 534-536.
[13]	邓欣, 吕娟, 陈佳丽, 等. 2016年最新压疮指南解读[J]. 华西医学, 2016, 31(9): 1496-1498.
[14]	Kim, C., Park, S., Ko, J.W. and Jo, S. (2018) The Relationship of Subepidermal Moisture and Early Stage Pressure Injury by Visual Skin Assessment. Journal of Tissue Viability, 27, 130-134. https://doi.org/10.1016/j.jtv.2018.05.002
[15]	Jan, Y.K. and Brienza, D.M. (2006) Technology for Pressure Ulcer Prevention. Topics in Spinal Cord Injury Rehabilitation, 11, 30-41. https://doi.org/10.1310/26R8-UNHJ-DXJ5-XG7W
[16]	Ushiro, R. (2009) Nurse-Physician Collaboration Scale: De-velopment and Psychometric Testing. Journal of Advanced Nursing, 65, 1497-1508. https://doi.org/10.1111/j.1365-2648.2009.05011.x
[17]	American Nurses Association (1995) Nursing’s Social Policy Statement. American Nurse’s Publishing, Washington DC, 89.
[18]	Dechairo-Marino, A.E., Jordan-Marsh, M., Traiger, G. and Saulo, M. (2001) Nurse/Physician Collaboration: Action Research and the Lessons Learned. The Journal of Nursing Administration, 31, 223-232. https://doi.org/10.1097/00005110-200105000-00002
[19]	黄玉香. 医护合作关系对护士工作投入影响的研究[J]. 实用临床护理学电子杂志, 2019, 4(12): 188-189.
[20]	巢丽红, 王秀霞, 赵惠英. 我国医护合作查房工作模式应用研究进展[J]. 中西医结合护理(中英文), 2018, 4(5): 166-168.

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