目的:探讨基于改良Waterlow压疮风险评估表的压力性损伤(PI)管理在重症患者重症加强护理病房(ICU)住院期间的应用效果.方法:选取2019年1月1日～2020年6月30日接受治疗的84例重症患者根据随机数字表法分为对照组和观察组各42例;对照组ICU住院期间应用基于临床传统评估经验的常规PI管理,观察组ICU住院期间应用基于改良Waterlow压疮风险评估表的PI管理;比较两组护理效果.结果:出院前,观察组PI风险评估结果优于对照组(P<0.01);护理期间,观察组PI发生率、PI恢复时间、总住院时间、总治疗费用均少于对照组(P<0.05,P<0.01),PI管理满意效果总分高于对照组(P<0.01).结论:基于改良Waterlow压疮风险评估表的PI管理可降低ICU患者住院期间PI发生风险,促进患者恢复,减少治疗费用,提高护理满意效果.

Objective:To investigate the acceptance of advance care planning and its influencing factors in heart failure patients.Methods:A total of 208 patients with heart failure were surveyed by general data questionnaires and advance care planning acceptance questionnaires.Results:The total score of advance care planning acceptance of heart failure patients was (44.26 ± 11.73), the score of feeling dimension was (13.67 ± 5.72), the score of attitude dimension was (30.59 ± 6.33). 53.4%(111/208) of patients were willing to accept the talking about advance care planning. Regression analysis results showed that education level, New York Heart Association (NYHA) classification, communication status with medical staff and whether they had received life-sustaining treatment were important factors influencing of the acceptance of advance care planning in patients with heart failure.Conclusion:Patients with heart failure had higher acceptance of advance care planning. In clinical work, it is necessary to strengthen the scientific popularization of advance care planning in patients with low education level, low NYHA grade and no exposure to life-sustaining treatment. And strengthen the daily communication with patients to prepare for the follow-up advance care planning related communication.