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目的分析和研究人性化护理干预结合湿性愈合疗法预防乳腺癌住院患者Ⅱ期、Ⅲ期压疮的应用效果。方法连续选择2013年3月—2014年7月该院收治的乳腺癌住院患者50例(Ⅱ期、Ⅲ期压疮),男20例,女30例,平均年龄(63.0±2.5)岁;随机将其分为对照组与观察组各25例。对照组采用传统的压疮治疗方法,观察组采用人性化护理干预结合湿性愈合疗法。治疗28d后对比分析二组乳腺癌住院压疮患者的治疗效果及其换药情况。结果观察组患者的好转率显著高于对照组,差异有统计学意义(92.0%比60.0%,χ2=5.031,P<0.001),其中观察组中Ⅱ期与Ⅲ期压疮患者好转率均显著高于对照组,亚组比较均有统计学意义(92.31%比71.43%,χ2=4.237,P<0.001;91.67%比45.45%,χ2=4.932,P<0.001)。治疗后观察组患者的压疮Branden评分和压疮面积均比对照组显著减少,差异均有统计学意义(P<0.05)。观察组患者的换药次数、换药时间及住院的平均费用均比对照组显著降低,差异有统计学意义(P<0.001)。结论人性化护理干预结合湿性愈合疗法在防治乳腺癌住院患者压疮效果相对较好,值得临床推广。
Objective To analyze and study the effect of humanized nursing intervention combined with moist healing therapy in preventing stage Ⅱ and Ⅲ pressure ulcer inpatients with breast cancer. Methods A total of 50 hospitalized patients with breast cancer from March 2013 to July 2014 were selected, including 20 males and 30 females with a mean age of (63.0 ± 2.5) years. Randomized controlled trials Divided into control group and observation group of 25 cases. The control group was treated with traditional pressure sore treatment. The observation group was treated with humane nursing intervention combined with moist healing therapy. After 28 days of treatment, the treatment effect and dressing change of two patients with breast cancer hospitalized pressure ulcer were compared and analyzed. Results The improvement rate of observation group was significantly higher than that of control group (92.0% vs 60.0%, χ2 = 5.031, P <0.001), and the improvement rates of stage Ⅱ and Ⅲ were significantly higher in observation group (92.31% vs 71.43%, χ2 = 4.237, P <0.001; 91.67% vs 45.45%, χ2 = 4.932, P <0.001), which was significantly higher in the subgroup than in the control group. After treatment, the scores of Branden pressure ulcer and pressure ulcer in the observation group were significantly lower than those in the control group, with statistical significance (P <0.05). The number of dressing change, dressing change time and hospitalization cost in the observation group were significantly lower than those in the control group, with statistical significance (P <0.001). Conclusion Humanized nursing intervention combined with moist healing therapy in the prevention and treatment of breast cancer hospitalized patients with pressure sores relatively good results, worthy of clinical promotion.