赵霜

【摘 要】目的 探讨脑出血患者皮肤浸渍性损害的原因以及针对性护理的有效性。方法 选取我院2021年1月-2022年11月收治的50例脑出血后皮肤浸渍性损害患者作为研究对象，采用随机数字表法分为对照组及观察组，每组25例。对照组予以常规护理，观察组予以针对性护理，比较两组护理有效率、护理满意度以及生活质量评分。结果 观察组护理有效率高于对照组，差异有统计学意义（P<0.05）；两组干预后生活质量各项评分均高于干预前，且观察组高于对照组，差异有统计学意义（P<0.05）；观察组护理满意度高于对照组，差异有统计学意义（P<0.05）；两组浸渍损害原因比较，差异无统计学意义（P>0.05）。结论针对性护理在脑出血患者皮肤浸渍性损害中的护理效果确切，可改善患者生活质量，提高护理满意度，值得临床应用。

【关键词】脑出血；皮肤浸渍性损害；针对性护理

中图分类号：R473 文献标识码：A 文章编号：1004-4949（2023）02-0030-04

Application Effect of Targeted Nursing on Skin Immersion Damage in Patients with Cerebral Hemorrhage

ZHAO Shuang

（Department of Neurosurgery， Guangyuan First People’s Hospital， Guangyuan 628000， Sichuan， China）

【Abstract】Objective To explore the causes of skin immersion damage in patients with cerebral hemorrhage and the effectiveness of targeted nursing. Methods From January 2021 to November 2022， 50 patients with skin impregnated damage after cerebral hemorrhage were selected as the research objects. They were divided into control group and observation group by random number table method， with 25 cases in each group. The control group was given routine nursing， and the observation group was given targeted nursing. The effective rate， nursing satisfaction and quality of life scores of the two groups were compared. Results The effective rate of nursing in the observation group was higher than that in the control group， and the difference was statistically significant （P<0.05）. The scores of quality of life in the two groups after intervention were higher than those before intervention， and those in the observation group were higher than those in the control group， the differences were statistically significant （P<0.05）. The nursing satisfaction of the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. There was no significant difference in the causes of skin immersion damage between the two groups （P>0.05）. Conclusion Targeted nursing is effective in the nursing of skin immersion damage in patients with cerebral hemorrhage， which can improve the quality of life and nursing satisfaction. It is worthy of clinical application..

【Key words】Cerebral hemorrhage； Skin immersion damage； Targeted nursing

皮膚浸渍性损害（skin immersion damage）是比较常见的皮损类型，一般在长期卧床、腹泻、出汗、小便失禁等患者中发生率较高，主要发生部位为腋下、腹股沟、肛周、颈部、双乳下等处，症见湿疹、潮红、溃烂等[1-3]。对于皮肤浸渍性损害，若未能及时发现与处理，不仅会增加患者的痛苦，而且可能诱发全身感染，进而威胁患者的生命安全[4，5]。脑出血是比较常见的疾病，这类患者多以老年人为主，而且多数需要长期卧床休息，从而导致皮肤浸渍性损害发生率较高[6]。为了提高脑出血后皮肤浸渍性损害患者的生活质量与预后，就需要配合有效的护理干预，常规护理作用有限，而近几年我院根据发生原因进行分析，制定针对性护理干预，取得了不错的效果。……