Effect of Cluster Nursing on Postoperative Efficacy of Patients with Stage Ⅲ and Ⅳ Pressure Ulcer

Zi-rong YANG; Xue-wen FANG; Shu-chun GUO; Sheng-fen DENG; Hui WU; Zhi-dan SHEN

doi:10.12259/j.issn.2095-610X.S20211131

Volume 42 Issue 11

Nov. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(11): 176-180

Zi-rong YANG, Xue-wen FANG, Shu-chun GUO, Sheng-fen DENG, Hui WU, Zhi-dan SHEN. Effect of Cluster Nursing on Postoperative Efficacy of Patients with Stage Ⅲ and Ⅳ Pressure Ulcer[J]. Journal of Kunming Medical University, 2021, 42(11): 176-180. doi: 10.12259/j.issn.2095-610X.S20211131

Citation:

Zi-rong YANG, Xue-wen FANG, Shu-chun GUO, Sheng-fen DENG, Hui WU, Zhi-dan SHEN. Effect of Cluster Nursing on Postoperative Efficacy of Patients with Stage Ⅲ and Ⅳ Pressure Ulcer[J]. Journal of Kunming Medical University, 2021, 42(11): 176-180. doi: 10.12259/j.issn.2095-610X.S20211131

Citation:

Zi-rong YANG, Xue-wen FANG, Shu-chun GUO, Sheng-fen DENG, Hui WU, Zhi-dan SHEN. Effect of Cluster Nursing on Postoperative Efficacy of Patients with Stage Ⅲ and Ⅳ Pressure Ulcer[J]. Journal of Kunming Medical University, 2021, 42(11): 176-180. doi: 10.12259/j.issn.2095-610X.S20211131

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Effect of Cluster Nursing on Postoperative Efficacy of Patients with Stage Ⅲ and Ⅳ Pressure Ulcer

doi: 10.12259/j.issn.2095-610X.S20211131

1.
Dept. of Orthopedics，The New Kunhua Hospital，Kunming Yunnan 650300
2.
Class One of 2015，Nursing of Combine Traditional Chinese and Western Medicine，Yunnan University of Chinese Medicine，Kunming Yunnan 650500
3.
Dept. of Nursing，First People’s Hospital of Yunnan Province，Kunming Yunnan 650100，China

Received Date: 2021-10-08
Available Online: 2021-11-16
Publish Date: 2021-11-30

Abstract

Abstract

Objective To explore the effect of cluster nursing on the curative effect of negative pressure sealing drainage （VSD） combined with myocutaneous flap transplantation in the repair of stage ⅲ and ⅳ pressure ulcer. Methods 60 patients with stage III and IV pressure sores who underwent VSD combined with myocutaneous flap transplantation in xinkunhua Hospital of the first people’s Hospital of Yunnan Province from September 2019 to March 2021 were selected by convenient sampling method. The subjects were randomly divided into observation group and control group. The control group was given routine nursing, and the observation group was given cluster nursing on the basis of the control group. The change of wound area, tissue type and exudation were evaluated by push scale, and the healing time and treatment efficiency of the two groups were compared. Results After 7 days of intervention, there was no significant difference in push score between the two groups （P > 0.05）. At 14 and 21 days of intervention, the push score of the observation group was lower than that of the control group （P < 0.05）. There was significant difference in push score at each time point in the observation group （P < 0.05）. There was no significant difference between the 14 days of intervention and the 21 days of intervention in the control group （P > 0.05）; The healing time in the observation group （29.2 ± 8.6） d was lower than that in the control group （35.7 ± 13.7） d （P < 0.05）; After 21 days of intervention, the effective rate of the observation group was higher than that of the control group （P< 0.05）. Conclusion Cluster nursing for patients with stage III and IV pressure ulcer repaired by VSD combined with myocutaneous flap transplantation can effectively promote the recovery of pressure ulcer and can be popularized in clinical practice.
- Cluster nursing,
- Negative pressure sealing drainage,
- Myocutaneous flap transplantation,
- Pressure ulcer

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References(16)

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