作　　者： (周艳）; (吴永红）; (顾晓成）;

机构地区： 江苏大学附属人民医院重症医学科,镇江市212002

出　　处： 《护理管理杂志》 2017年第8期589-591,共3页

摘　　要： 目的探讨前馈控制在预防急性重症中毒患者失禁性皮炎中的应用。方法选取2014年1月至12月ICU收治的64例急性重症中毒患者为对照组,2015年1月至12月ICU收治的72例急性重症中毒患者为观察组。对照组采用常规护理模式,观察组在此基础上采用针对失禁性皮炎的前馈控制模式,比较两组失禁性皮炎发生率与发生时间,评估严重程度,比较疼痛程度评分、住院天数、重返ICU率。于患者发生失禁性皮炎并治疗2周后进行疗效评价,于患者出院时进行护理满意度评价。结果对照组与观察组失禁性皮炎发生率分别为32.81%与8.33%(P<0.01),发生时间为(6.25±0.65)d、(13.37±2.02)d(P<0.05),症状以Ⅰ度红肿居多。观察组疼痛程度评分、住院天数、重返ICU率均低于对照组(P<0.05)。结论前馈控制在预防急性重症中毒患者发生失禁性皮炎方面具有较好的效果,不仅显著降低了其发生率,且也延迟了发生时间,经过治疗具有较高的临床有效率和护理满意度,值得临床护理借鉴和推广应用。 Objective To explore the application of feedforward control in the prevention of incontinence-associated dermatitis （IAD） in patients with acute severe poisoning.Methods Totally,64 patients with acute severe poisoning treated in ICU from January to December in 2014 were selected as the control group,and 72 patients from January to December in 2015 were selected as the observation group.Patients in the control group were treated with routine nursing,and patients in the observation group were treated with feedforward control mode based on the control group.Incidences of IAD and occurrence time of IAD in the two groups were compared,severity level was evaluated,and the Behavioral Pain Scale （BPS） score,hospitalization days,return rate of ICU in two groups were compared.Curative effect were evaluated after two weeks of treatment of patients with IAD,and nursing satisfaction were evaluated at the time of hospital discharge.Results Incidence of IAD in the control group and the observation group were 32.81% and 8.33 % respectively （P 〈 0.01）,IAD occurrence time were （6.25 ± 0.65） days and （13.37 ± 2.02） days after admission （P 〈 0.05）,and symptoms were largely comprised of red and swelling.The BPS scores,hospitalization days,return rate of ICU in the observation group were all lower than that in the control group （P 〈 0.05）.Conclusion Feedforward control has good effect on preventing IAD in patients with acute severe poisoning,not only decreases IAD incidence significantly,but also delays IAD occurrence time.After treatment,it has higher clinical efficiency and nursing satisfaction,and is worthy of reference and application in clinical nursing.

关 键 词： 前馈控制 急性中毒 失禁性皮炎 重症监护室 护理