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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在乳腺癌压疮患者中的应用效果。方法连续选择2013年3月—2014年7月哈尔滨医科大学附属肿瘤医院收治的乳腺癌住院患者50例(Ⅱ期、Ⅲ期压疮),男性20例,女性30例,平均年龄(63.0±2.5)岁;随机将其分为对照组与试验组各25例。对照组采用传统的压疮治疗方法,试验组采用人性化护理干预结合湿性愈合疗法。治疗28 d后对比分析2组乳腺癌住院压疮患者的治疗效果及其换药情况。结果试验组患者的好转率显著高于对照组,差异有统计学意义(92.0%vs.60.0%,χ~2=5.031,P<0.001),其中试验组中Ⅱ期与Ⅲ期压疮患者好转率均显著高于对照组,亚组比较差异均有统计学意义(92.31%vs.71.43%,χ~2=4.237,P<0.001;91.67%vs.45.45%,χ~2=4.932,P<0.001)。治疗后试验组患者的压疮Branden评分和压疮面积与对照组比较均显著减少,差异均有统计学意义(P<0.05)。试验组患者的换药次数、换药时间及住院的平均费用与对照组比较均显著降低,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 wet healing therapy in patients with pressure ulcer of breast cancer. Methods A total of 50 hospitalized patients with breast cancer admitted to Cancer Hospital of Harbin Medical University from March 2013 to July 2014 were selected, including 20 males and 30 females with an average age of 63.0 ± 2.5 ) Years old; randomly divided into control group and experimental group of 25 cases. The control group was treated with traditional pressure sore treatment, and the experimental group was treated with humane nursing intervention combined with moist healing therapy. After 28 days of treatment, comparative analysis of two groups of breast cancer hospitalized patients with pressure ulcer treatment and dressing change. Results The improvement rate of the test group was significantly higher than that of the control group (92.0% vs.60.0%, χ ~ 2 = 5.031, P <0.001) (92.31% vs.71.43%, χ ~ 2 = 4.237, P <0.001; 91.67% vs.45.45%, χ ~ 2 = 4.932, respectively, P < 0.001). After treatment, the scores of Branden pressure ulcer and pressure ulcer area in the test group were significantly decreased compared with the control group, the differences were statistically significant (P <0.05). The test group patients dressing change, dressing time and hospitalization costs were significantly lower compared with the control group, the difference was statistically significant (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.