Open Access Article
International Journal of Nursing Research. 2022; 4: (6) ; 106-108 ; DOI: 10.12208/j.ijnr.20220276.
Preventive effect of predictive nursing combined with medical temperature control blanket on bedsore in patients with severe coma and fever
预见性护理联合医用控温毯对重症昏迷发热患者褥疮的预防效果
作者：
张欢欢 *
南京市溧水区人民医院 江苏南京
*通讯作者：
张欢欢,单位：南京市溧水区人民医院 江苏南京；
发布时间: 2022-09-14 总浏览量: 316
PDF 全文下载
引用本文
收录截图（CNKI-Scholar）
万方数据（WANFANG DATA）
摘要
目的 分析预见性护理和医用控温毯联合用于重症昏迷发热的价值。方法 2021年10月-2022年4月本科接诊重症昏迷发热病人30名，随机均分2组。试验组采取预见性护理，同时用医用控温毯，对照组行常规护理。对比体温等指标。结果 关于体温恢复时间，试验组的数据是（5.39±1.28）h，和对照组（6.91±1.49）h相比更短（P＜0.05）。关于体温，在干预结束之时：试验组的数据更好（P＜0.05）。关于褥疮，试验组的发生率是0，和对照组的20.0%相比更低（P＜0.05）。关于满意度，试验组的数据100%，和对照组的80.0%相比更高（P＜0.05）。结论 重症昏迷发热联用预见性护理和医用控温毯，褥疮发生率更低，体温稳定性更高，恢复时间更短，满意度也更好。
关键词： 预见性护理；满意度；重症昏迷发热；医用控温毯
Abstract
Objective: To analyze the value of predictive nursing combined with medical temperature control blanket in severe coma and fever. Methods: From October 2021 to April 2022, 30 patients with severe coma and fever were randomly divided into 2 groups. The experimental group was given predictive nursing and medical temperature control blanket, while the control group was given routine nursing. Compare body temperature and other indicators. Results: The recovery time of body temperature in experimental group was (5.39±1.28) h, which was shorter than that in control group (6.91±1.49) h (P < 0.05). For body temperature, at the end of the intervention: the experimental group had better data (P < 0.05). The incidence of bedsore in the experimental group was 0, compared with 20.0% in the control group (P < 0.05). As for satisfaction, the data of the experimental group was 100%, which was higher than that of the control group (80.0%) (P < 0.05). Conclusion : Patients with severe coma and fever combined with predictive nursing and medical temperature control blanket have lower incidence of bedsore, higher temperature stability, shorter recovery time and better satisfaction.
Key words： predictive nursing; Satisfaction; Severe coma and fever; Medical temperature control blanket
参考文献 References
[1]NORTHOFF, GEORG, HEISS, WOLF-DIETER. Why Is the Distinction Between Neural Predispositions, Prerequi- sites, and Correlates of the Level of Consciousness Clinically Relevant? Functional Brain Imaging in Coma and Vegetative State[J]. Stroke: A Journal of Cerebral Circulation, 2015,46(4):1147-1151.
[2]杨焕芝,李桂青. 应用护理程序对98例重症肝硬化并发上消化道出血患者的预见性护理[J]. 华北煤炭医学院学报,2002,4(3):362-363.
[3]王丽,高美萍. 预见性护理干预对呼吸重症监护室鼻饲患者住院时间和并发症的影响研究[J]. 山西医药杂志,2019,48(18):2307-2310.
[4]KOULOULAS,E.J., PAPADEAS,A.G., MICHAIL,X., et al. Prognostic value of time-related Glasgow Coma Scale components in severe traumatic brain injury: A prospective evaluation with respect to 1-year survival and functional outcome[J]. International journal of rehabilita- tion research: Internationale Zeitschrift fur Rehabilitations forschungon,2013,36(3):260-267.
[5]李慧. 预见性护理联合医用控温毯对重症昏迷发热患者褥疮的预防效果[J]. 医疗装备,2022,35(6):166-168.
引用本文
张欢欢, 预见性护理联合医用控温毯对重症昏迷发热患者褥疮的预防效果[J]. 国际护理学研究, 2022; 4: (6) : 106-108.