RESUMEN
Objetivo: Avaliar o risco de Lesão por Pressão em pessoas acamadas assistidas pela Estratégia Saúde da Família. Método: Estudo transversal, com abordagem quantitativa, realizado com 62 pacientes. A coleta de dados sucedeu-se por meio de questionário semiestruturado com dados sociodemográficos, clínicos e a avaliação do risco de Lesão por Pressão por meio da Escala de Braden. Os dados foram analisados pelo softwareestatístico Statistical Package for Social Science, versão 20.0. Resultados: Prevaleceram os pacientes do sexo feminino (61,3 %), cor branca (43,5%), viúvos (35,5%), aposentados (66,1%) e não alfabetizados (62,9%). O principal motivo de estar acamado foi devido a sequelas do Acidente Vascular Encefálico (35,5%). Evidenciou-se prevalência de risco muito alto em 59,7% das pessoas acamadas. Conclusão: O risco para Lesão por Pressão foi elevado, e a identificação dos fatores de risco é necessária e pode contribuir para estratégias preventivas ou redutoras deste agravo. (AU)
Objective: To assess the risk of pressure ulcers in bedridden individuals assisted by the Family Health Strategy. Method: A cross-sectional study employing a quantitative approach was conducted with 62 patients. Data collection was performed through a semi-structured questionnaire, encompassing sociodemographic and clinical data, as well as the assessment of pressure ulcer risk using the Braden Scale. Data were analyzed using the Statistical Package for the Social Sciences software, version 20.0. Results: Female patients (61.3%), Caucasians (43.5%), widows (35.5%), married individuals (66.1%), and those with no formal education (62.9%) predominated. The primary reason for being bedridden was sequelae from a stroke (35.5%). A prevalence of very high risk was observed in 59.7% of bedridden individuals. Conclusion: The risk of pressure ulcers was high, emphasizing the necessity of identifying risk factors to inform preventive or mitigating strategies for this condition. (AU)
Objetivo: Evaluar el riesgo de Úlceras por Presión en personas encamadas atendidas por la Estrategia Salud de la Familia. Método: Se realizó un estudio transversal con enfoque cuantitativo con 62 pacientes. La recolección de datos se realizó a través de un cuestionario semiestructurado con datos sociodemográficos y clínicos, así como la evaluación del riesgo de úlceras por presión utilizando la Escala de Braden. Los datos fueron analizados utilizando el softwareStatistical Package for Social Science, versión 20.0. Resultados: Predominaron pacientes de sexo femenino (61,3%), raza blanca (43,5%), viudas (35,5%), jubiladas (66,1%) y analfabetas (62,9%). El principal motivo de encamación fue por las secuelas de un accidente cerebrovascular (35,5%). Hubo una prevalencia de riesgo muy alta en el 59,7% de las personas encamadas. Conclusión: El riesgo de úlceras por presión fue alto, y la identificación de los factores de riesgo es necesaria y puede contribuir a estrategias preventivas o reductoras de esta condición. (AU)
Asunto(s)
Humanos , Adulto , Úlcera por Presión , Estrategias de Salud NacionalesRESUMEN
Objective:A foot cleaning device for bedridden patients in ICU was made, and its application effects in foot cleaning for bedridden patients in ICU was discussed.Methods:A total of 200 inpatients in the department of ICU from April 2021 to October 2021 were selected as the research objects.According to the random number table, the patients were divided into two groups, including 100 patients in the control group and 100 patients in the experimental group.The patients in the control group used an ordinary foot basin and dipped warm water by a towel for foot wiping and cleaning. The patients in the experimental group used a foot cleaning device for bedridden patients developed and designed by our hospital. Both groups received warm water foot bath for 20 minutes after cleaning. The incidence of adverse events, average foot washing time, total foot washing time, the subjective comfort and satisfaction of the patients and the satisfaction of the operator were observed.Results:The incidence of adverse events during foot cleaning in the experimental group was 2.00%(28/1 400) lower than 4.36%(61/1 400) in the control group, the difference was statistically significant ( χ2=11.88, P<0.05). The foot washing time in the observation group [(27.77 ± 1.34) min] was longer than that in the control group [(24.63 ± 2.36) min], the difference was statistically significant ( t=9.30, P<0.05). The total foot washing time in the observation group [(27.77 ± 1.34) min] was shorter than that in the control group [(49.26 ± 4.71)min], the difference was statistically significant ( t=42.51, P<0.05). The subjective comfort of foot cleaning, the satisfaction of foot cleaning of patients and the satisfaction of foot cleaning operators in the experimental group were 91.00 (91/100) , 97.00% (97/100) , 91.67% (55/60) , while the control group were 75.00% (75/100) 、85.00% (85/100) , 75.00% (45/60) , and the differences between the two groups were statistically significant ( Z=-3.04, -4.82, -2.71, all P<0.05). Conclusions:The self made foot cleaning device for bedridden patients in this study can be used in ICU patients. It can effectively reduce the incidence of adverse events in the process of foot washing and shorten the time of foot washing. It can also improve the comfort and satisfaction of patients, and improve the satisfaction of operators.
RESUMEN
Objective To explore the influence of integrated nursing care mode on the incidence of deep vein thrombosis in lower extremities in bedridden patients. Methods 82 cases of chronic bed rest patients in our hospital were selected as clinical subjects. The time of admission was from December 2016 to December 2017. The patients were divided into control group (routine nursing, 41 cases) and observation group (medical nursing integrated nursing, 41 cases). To compare the influence of nursing intervention on the incidence of deep venous thrombosis of the lower extremities. Results After treatment, the incidence of deep vein thrombosis in the control group was 24.39% (10/41), and that in the observation group was 4.88% (2/41). The difference was statistically significant (χ2=6.248, P<0.05). The prevention disease score and nursing satisfaction score of the observation group were (35.01±4.21) points and (87.02 ± 5.22) points, and the control group were (28.65 ± 5.87) points and (68.75 ± 4.64) points. The difference was statistically significant (t=5.638, 16.750, P<0.01). The DD dimer, aPTT and PT of the observation group were (448.82±56.27) ug/L, (29.75±2.01) s, (12.88±0.65) s, and the control group were (610.32 ± 72.88) ug/L, (26.81 ± 1.98) s, (10.54 ± 0.59) s. The differences were statistically significant (t=11.231, 6.672, 17.068, P<0.05). Conclusion For the patients in bed, the effect of nursing intervention is obvious, which can effectively reduce the incidence of deep venous thrombosis and improve the blood coagulation function of the patients.
RESUMEN
Objective@#To explore the influence of integrated nursing care mode on the incidence of deep vein thrombosis in lower extremities in bedridden patients.@*Methods@#82 cases of chronic bed rest patients in our hospital were selected as clinical subjects. The time of admission was from December 2016 to December 2017. The patients were divided into control group (routine nursing, 41 cases) and observation group (medical nursing integrated nursing, 41 cases). To compare the influence of nursing intervention on the incidence of deep venous thrombosis of the lower extremities.@*Results@#After treatment, the incidence of deep vein thrombosis in the control group was 24.39% (10/41), and that in the observation group was 4.88% (2/41). The difference was statistically significant (χ2=6.248, P<0.05). The prevention disease score and nursing satisfaction score of the observation group were (35.01±4.21) points and (87.02±5.22) points, and the control group were (28.65±5.87) points and (68.75±4.64) points. The difference was statistically significant (t=5.638, 16.750, P<0.01). The DD dimer, aPTT and PT of the observation group were (448.82±56.27) ug/L, (29.75±2.01) s, (12.88±0.65) s, and the control group were (610.32±72.88) ug/L, (26.81±1.98) s, (10.54±0.59) s. The differences were statistically significant (t=11.231, 6.672, 17.068, P<0.05).@*Conclusion@#For the patients in bed, the effect of nursing intervention is obvious, which can effectively reduce the incidence of deep venous thrombosis and improve the blood coagulation function of the patients.
RESUMEN
Objective To explore the application value of Supportan in elderly bedridden patients with enteral nutrition (EN) support. Methods Forty cases of elderly bedridden patients admitted to the Department of Intensive Care Unit (ICU) of Hangzhou First People's Hospital from January 2015 to January 2016 were enrolled, Supportan was injected through an indwelling naso-intestinal tube on the basis of routine treatment, and the changes of blood biochemical parameters of EN [serum albumin (Alb), pre-albumin (PA), total lymphocyte count (LYM)] and immune indexes (IgG, IgM, IgA) were monitored before and after EN treatment. Results Ten days after EN treatment, the serum Alb, PA, LYM, IgG, IgM were significantly higher than those before treatment, the differences being statistically significant [Alb (g/L): 30.29±1.65 vs. 28.31±1.72, PA (g/L): 0.25±0.05 vs. 0.23±0.02, LYM (×109): 1.69±0.28 vs. 1.47±0.32, IgG (g/L): 11.54±0.96 vs. 10.69±0.70, IgM (g/L): 1.21±0.19 vs. 0.95±0.13, all P < 0.05]; 20 days after EN treatment, above indexes were increased more significantly compared with those 10 days after EN treatment [Alb (g/L): 34.16±2.41 vs. 30.29±1.65, PA (g/L): 0.28±0.03 vs. 0.25±0.05, LYM (×109/L): 1.96±0.31 vs. 1.69±0.28, IgG (g/L): 14.56±0.77 vs. 11.54±0.96, IgM (g/L): 1.56±0.18 vs. 1.21±0.19, all P < 0.05], 10 days, 20 days after EN treatment, IgA shown a tendency increased, there was no statistical significant difference compared with that before treatment (g/L: 2.63±0.33, 2.67±0.11 vs. 2.61±0.27, both P > 0.05). Conclusion Supportan has important clinical significance in improving the nutritional status and immune function of elderly bedridden patients.
RESUMEN
Objective To investigate the knowledge and attitude of nurses on prevention and intervention of common complications among bedridden patients in Chinese hospitals and to explore the influential factors.Methods It was a cross-sectional study.A total of 3 903 nurses from 6 tertiary hospitals,11 secondary hospitals and 8 primary hospitals from 6 provinces and cities were recruited by convenience sampling and surveyed using selfdesigned questionnaires.Results Nurses' average scoring rate of knowledge and attitude were 73.46％ and 85.02％.Level of hospitals,whether in ICU or not,age,working time,educational background,job title,position,employment form were influential factors for nurses' knowledge (P＜0.05).Meanwhile,level of hospitals,educational background,position,employment form were influential factors for nurses' attitude (P＜0.05).Conclusion Nurses took a positive attitude for prevention and intervention of common complications among bedridden patients,while the level of nurses' knowledge should be improved.
RESUMEN
Objective:To innovate a bed shower bathing equipment for the bedridden patients and explore the new nursing mode for the bed bath.Methods: To make a bath bed with several separation troughs using the high quality PVC materials. An automatic spraying facility with DC low voltage electric power storage was built in a mobile water tank formed the show function. The water in the bath bed was drained to another mobile sewage collecting tank through a hole in the bath bed edge. A complete bath equipment was composed of all of these items.Results: Comparing with traditional methods of bedridden patients bed bathing, like washing hair, sponge bathing and perineum scrubbing, the new method could make the bed bathing easier and save more time for the care givers, make the bedridden patients feel more comfortable, improve the skin cleanness, meanwhile, avoid the risks of drowning, cross infection and retrograde infection and achieve the goal of moving shower room to the bedside.Conclusion:The new type bath equipment is simple, safe and low cost, without moving patients. It can save medical resources and improve the basic nursing quality. It is suitable in hospital, family and elderly care facility, and has a broad application prospect.
RESUMEN
Objective To explore the efficacy of self-designed waist pillow combined with plastic toilet in bedridden patients in emergency department.Methods From August 2013 to February 2014,90 bedridden patients in emergency department were divided into the observation group 1,the observation group 2 and the control group by random digits table with 30 cases in each group.Patients in the observation group 1 lied in the suprine position,and elevating head of bed 15 to 30 degrees,with pillow under the waist,and plastic toilet under the buttocks.Patients in the observation group 2 used the same method as that of the observation group 1,except that they did not use waist pillow.The control group lied in the suprine position,only used plastic toilet.The defecation and other related items were compared between the three groups.Results The observation group 1 was better than those of the observation group 2 and the control group in preventing pressure ulcers,urine leakage and backflow,comfort degree,worrying degree,defecation difficulty degree.Conclusions Application of waist pillow and plastic toilet in bedridden patients in emergency department could reduce the skin damage,and let patients defecate smoothly,which was in accordance with the connotation of comfort nursing.
RESUMEN
Two cases of bedridden patients effectively treated with the Kampo formula Ogikenchu-to are reported. The first case was a 76-year-old female. She had been admitted to a hospital for about five months due to subarachnoid hemorrhage and had been bedridden because of a lack of volition. She was transferred to Riverside Hospital for rehabilitation. At the time of her admittance, her legs were paralyzed with disuse atrophy and her activity of daily living was very restricted. The authors prescribed Ogikenchu-to for her. Her activity of daily living (ADL) showed improvement day by day, and she was finally able to walk with the help of a walking supporter.<br>The second case involved an 86-year-old female who was hospitalized in a clinic with a compression fracture of the lumbar spine. She had been bedridden for about two years. After being transferred to Riverside Hospital for rehabilitation. Ogikenchu-to was administered. Her willingness to participate in rehabilitation gradually improved. She regained the ability to sit up straight, and could walk with a cane. She now enjoys her life with her family.<br>These clinical case studies suggest that Ogikenchu-to may be useful in the treatment of aged bedridden patients.