Cluster nursing management of pressure injury in a patient with pneumonia

WANG Juan; LIU Bohan

doi:10.12209/CAIM202406260003

您当前的位置：

首页 >

文章列表页 >

Cluster nursing management of pressure injury in a patient with pneumonia

更新时间：2024-10-18

- Cluster nursing management of pressure injury in a patient with pneumonia
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  河北省石家庄市中医院呼吸科，河北石家庄， 050000
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202406260003
  CLC：
- Published Online：18 October 2024，
  
  Received：26 June 2024，
- 稿件说明：
移动端阅览
WANG Juan, LIU Bohan. Cluster nursing management of pressure injury in a patient with pneumonia. [DB/OL].Clinical Archives of Integrative Medicine, 2024.
DOI：

WANG Juan, LIU Bohan. Cluster nursing management of pressure injury in a patient with pneumonia. [DB/OL].Clinical Archives of Integrative Medicine, 2024. DOI： 10.12209/CAIM202406260003.

摘要

压疮是由于局部组织长期受压，发生持续缺血、缺氧、营养不良而致组织溃烂坏死所致。本文总结1例肺炎患者合并2期压力性损伤伴发热的护理体会。患者右侧肩部2期压力性损伤，护理人员与科室压疮小组共同协作，采用集束化管理模式，评估穿刺周围皮肤，制定个性化的整体护理和皮肤护理策略，配合中医护理，同时在整个过程中不断评估、总结并持续改进护理措施。集束化护理措施有效保障了患者的置管安全，纠正了患者营养状态，促进创面愈合。

Abstract

Pressure injuries are caused by tissue ulceration and necrosis due to continuous ischemia， hypoxia and malnutrition. This paper summarizes the nursing experience of a pneumonia patient with stage 2 pressure injury with fever. Nursing staff and the pressure injury management team had adopted the clustered management mode to evaluate the skin condition， developed personalized strategies of holistic care and skin care， and carried out traditional Chinese medicine nursing techniques. At the same time， nurses had continuously evaluated， summarized and improved nursing measures during the whole process. Nursing interventions based on the cluster management are effective to ensure the safe use of catheter， correct the patient's nutritional status and improve the wound healing.

关键词

压力性损伤肺炎集束化护理中医护理

Keywords

pressure injurypneumoniacluster nursing managementTraditional Chinese Medicine nursing

references

王志成，苏琼，李智. 基于TcPO2和TcPCO2比较不同支撑面压力性损伤的效果研究［J］. 重庆医学， 2022， 51（6）： 987-990.

WANG Z C， SU Q， LI Z. Comparison of the effect of pressure injury on different support surfaces based on TcPO2 and TcPCO2［J］. Chongqing Med， 2022， 51（6）： 987-990.（in Chinese）

张诗语，杨宇，吴铭杰，等. 1例中风患者压力性损伤的中西医结合护理体会［DB/OL］. 中西医结合临床案例库， 2023. DOI：10.12209/CAIM202210290023http://dx.doi.org/10.12209/CAIM202210290023.

ZHANG S Y， YANG Y， WU M J， et al. Nursing of integrated traditional Chinese and western medicine for a stroke patient with pressure injuries［DB/OL］.Clinical Archives of Integrative Medicine， 2023. DOI： 10.12209/CAIM202210290023.http://dx.doi.org/10.12209/CAIM202210290023.（in Chinese）

陈露瑜，彭雪凌. 中医方法预防压力性损伤研究现状［J］. 中国中医药现代远程教育， 2020， 18（4）： 142-144.

CHEN L Y， PENG X L. Research status of traditional Chinese medicine methods in the prevention of stress injury［J］. Chin Med Mod Distance Educ China， 2020， 18（4）： 142-144.（in Chinese）

刘泽洲，陈亮，于志红，等. 压疮的中医外治研究进展［J］. 北京中医药， 2017， 36（2）： 182-185.

LIU Z Z， CHEN L， YU Z H， et al. Research progress on external treatment of pressure sore with traditional Chinese medicine［J］. Beijing J Tradit Chin Med， 2017， 36（2）： 182-185.（in Chinese）

鲁红波. 预防老年卧床患者医院获得性压力性损伤的研究进展［J］. 现代医药卫生， 2022， 38（7）： 1188-1191.

LU H B. Research progress on prevention of hospital-acquired stress injury in elderly bedridden patients［J］. J Mod Med Health， 2022， 38（7）： 1188-1191.（in Chinese）

刘青霞. 紫苦冰倍散油剂治疗压疮的疗效观察［J］. 护理研究， 2012， 26（2）： 149-150.

LIU Q X. Observation on curative effect of purple bitter ice time powder and oil for pressure ulcers patients［J］. Chin Nurs Res， 2012， 26（2）： 149-150.（in Chinese）

陈霞. 预见性护理对预防高龄老年长期卧床患者发生压力性损伤的有效性研究［J］. 系统医学， 2020， 5（21）： 169-171.

CHEN X. Predictive nursing for the prevention of the elderly patients with long-term bedridden pressure injury effectiveness research［J］. Syst Med， 2020， 5（21）： 169-171.（in Chinese）

冯莉. 生鸡蛋壳内膜治疗Ⅲ度压疮的临床体会［J］. 医药前沿， 2012， 2（14）： 318-319.

FENG L. Clinical experience of raw egg shell inner membrane in the treatment of ⅲ degree pressure sore［J］. J Front Med， 2012， 2（14）： 318-319.（in Chinese）

张凤平，王兴英，宁秋，等. 新鲜鸡蛋内膜外敷治疗压疮创面效果观察［J］. 中国误诊学杂志， 2008， 8（2）： 283-284.

ZHANG F P， WANG X Y， NING Q， et al. Observation of effect of overcoating with fresh egg intima in treatment of surface of pressure ulcer［J］. Chin J Misdiagnostics， 2008， 8（2）： 283-284.（in Chinese）

滕海霞. 集束化护理管理在PICC安全管理中的应用体会［J］. 中国卫生标准管理， 2019， 10（10）： 146-148.

TENG H X. Application experience of cluster nursing management in PICC safety management［J］. China Health Stand Manag， 2019， 10（10）： 146-148.（in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing of a patient with cough and expectoration caused by pneumonia treated with acupoint application combined with microwave therapy

Nursing of a patient with sacrococcygeal pressure injuries treated with Traditional Chinese Medicine debridement technique combined with suspension moxibustion

Nursing of a patient with pneumonia complicated with constipation of qi deficiency treated with warm ironing and massage of stone needle combined with moxibustion

Nursing care of a patient with lumbar pain treated with traditional Chinese medicine ointment and moxibustion combined with Du moxibustion

Nursing of a patient with acute mastitis during lactation in a primiparous woman treated with diversified stepwise psychological nursing combined with traditional Chinese medicine ointment massage

Related Author

SHAN Shijie

REN Anna

FU Xiaohui

MAO Hongyu

ZHAO Junying

LIU Shuhua

HAN Xuejie

LI Xueyan

Related Institution

Department of Infectious Diseases， Qinhuangdao Hospital of Traditional Chinese Medicine

Department of Emergency Medicine， Eye Hospital of China Academy of Chinese Medical Sciences

Department of Critical Care Medicine， Beijing Hospital of Traditional Chinese Medicine Capital Medical;University

Department of Geriatrics， Dongfang Hospital Beijing University of Chinese Medicine

Department of Hematology， Xiyuan Hospital Chinese Academy of Traditional Chinese Medicine

⁰