摘要
目的:观察长途转诊对危重患者发生皮肤压力性损伤的影响,探讨恰当的转运设备在降低皮肤压力性损伤风险中的作用。方法:将2015年7月至2016年6月经长途转诊收入某院的97例患者作为研究对象,其中2015年7—12月转诊的52例患者作为对照组,转诊途中采用普通海绵转运床垫;将2016年1—6月转诊的45例患者作为观察组,转运途中采用气垫减压床垫。比较2组患者在转运结束后皮肤压力性损伤前期症状及压力性损伤的发生率。结果:观察组和对照组压力性损伤前期症状发生率分别为8.9%、42.3%,差异有统计学意义(P=0.00,χ2=13.73);观察组和对照组压力性损伤发生率分别为6.7%、34.6%,差异显著(P=0.000,Z=-7.849)。结论:危重患者在长途转诊过程中存在压力性损伤高风险,选择恰当的转运设备可有效降低该风险的发生。
Objective To investigate the effect of long-distance referral on pressure injury in critically ill patients, and to explore the effectiveness of transport devices in reducing the risk of skin pressure injury. Methods Totally 97 patients hospitalized from July 2015 to June 2016 were enrolled as the subjects after long-distance referral, of whom, 52 ones from July to December 2015 were selected into a control group applying common sponge mattress and the remained 45 ones from January to June 2016 were chosen into an experimental group using inflatable mattress during the referral. The two groups were compared after the referral on the incidence rates of pressure injury and its early symptoms. Results The experimental group had the incidence rate of early symptoms being 8.9%, which was statistically different from that（42.3%） in the control group（P=0.00, χ~2=13.73）. The incidence rate of pressure injury was 6.7% in the experimental group, which was significantly lower than that（34.6%） in the control group（P=0.000,Z=-7.849）. Conclusion There is high risk for pressure injury during long-distance referral of critical patients, and proper transport device has to be involved in to lower the risk effectively.
出处
《医疗卫生装备》
CAS
2017年第8期62-64,71,共4页
Chinese Medical Equipment Journal
基金
重庆市卫生计生委医学科研项目(2015MSXM003)
关键词
危重患者
长途转诊
转运设备
压力性损伤
危险因素
预防
critical patient
long-distance referral
transport device
pressure injury
risk factor
prevention
