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目的探讨不同间隔时间翻身拍背预防脑出血患者压疮和肺部感染的效果。方法选取2014年11月—2015年11月盱眙县人民医院收治的脑出血患者120例,按照随机数字表法分为对照组与观察组,各60例。两组患者治疗期间均给予翻身拍背护理。对照组患者2h/次,观察组患者3h/次。比较两组患者压疮、肺部感染发生率、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分、满意度。结果两组患者肺部感染发生率比较,差异无统计学意义(P>0.05)。护理前两组患者SAS、SDS评分比较,差异无统计学意义(P>0.05);护理后观察组患者SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论 2h/次与3h/次翻身拍背预防压疮、肺部感染的效果相当,但3h/次间隔时间较长,保证了患者睡眠,提高了护理满意度。
Objective To investigate the effect of turning back at different intervals on the prevention of pressure sores and lung infections in patients with intracerebral hemorrhage. Methods 120 patients with ICH treated in Qionglai People’s Hospital from November 2014 to November 2015 were divided into control group and observation group according to the random number table method, 60 cases in each group. During the treatment of both groups are given stand up back care. Control group patients 2h / time, observation group patients 3h / times. The pressure ulcers, incidence of pulmonary infection, SAS and SDS scores and satisfaction were compared between the two groups. Results There was no significant difference in the incidence of pulmonary infection between the two groups (P> 0.05). There was no significant difference in scores of SAS and SDS between the two groups before nursing (P> 0.05). After nursing, SAS and SDS scores of the observation group were lower than those of the control group (P <0.05). The satisfaction degree of patients in observation group was higher than that of control group, the difference was statistically significant (P <0.05). Conclusions 2h / time and 3h / time turning back to prevent pressure ulcers, the effect of pulmonary infection is quite, but 3h / time interval longer, to ensure patient sleep and improve nursing satisfaction.