中国医学创新2025，Vol.22Issue(26)：78-82,5.DOI:10.3969/j.issn.1674-4985.2025.26.019
风险共享理论指导下医护患共同参与式护理对神经内科卧床患者压疮发生率的影响
The Effect of Participatory Nursing Care among Doctors,Nurses and Patients under the Guidance of Risk-Sharing Theory on the Incidence of Pressure Ulcers in Bedridden Neurological Patients
摘要
Abstract
Objective:To explore the effect of participatory nursing care among doctors,nurses and patients under the guidance of risk-sharing theory on the incidence of pressure ulcers in bedridden neurological patients.Method:A total of 82 bedridden patients admitted to the Department of Neurology of Ji'an Central People's Hospital from January to August 2024 were included in the study and randomly divided into the conventional group(n=41)and the observation group(n=41).The conventional group practiced conventional pressure ulcer preventive care,while the observation group practiced participatory care among doctors,nurses and patients under the guidance of risk-sharing theory.The risk of pressure ulcer occurrence,comfort and quality of life before and after the intervention of the two groups were compared;the occurrence of pressure ulcer and nursing satisfaction of the two groups were compared.Result:Compared with the conventional group,the observation group had significantly better pressure ulcer stages after receiving the intervention,with a statistically significant difference(P<0.05);after 4 weeks of intervention,the scores of Braden pressure injury risk assessment,general comfort questionnaire(GCQ),and World Health Organization quality of life-brief version(WHOQOL-BREF)of the two groups were higher than those before the intervention,and those of the observation group were significantly higher than those of the conventional group,the differences were all statistically significant(P<0.05);the nursing satisfaction of the observation group was significantly higher than that of the conventional group,the difference was statistically significant(P<0.05).Conclusion:The participatory nursing care of doctors,nurses and patients guided by risk-sharing theory can significantly reduce the incidence of pressure ulcers in neurological bedridden patients and improve the comfort and quality of life of the patients during the hospitalization.关键词
风险共享理论/医护患共同参与式护理/压疮/神经内科Key words
Risk-sharing theory/Participatory nursing care among doctors,nurses and patients/Pressure ulcer/Neurology引用本文复制引用
李勇芳,康春华,刘金平..风险共享理论指导下医护患共同参与式护理对神经内科卧床患者压疮发生率的影响[J].中国医学创新,2025,22(26):78-82,5.基金项目
吉安市指导性科技计划项目(20244-049146) （20244-049146）
