量化评价压疮高危因素 降低压疮的院内发生率

Scaling Evaluation of High Risk Factors Able to Decrease Incidents Inhospital

目的 通过量化评价压疮高危因素以降低压疮的院内发生率。方法 制订“压力性溃疡高危因素量化评价记录表”，对2003—2005年在我院住院的332例压疮高危患者的皮肤情况进行监控，并对其采取个体化有效的护理措施。结果 332例压疮高危患者中，发生压疮7例，发生率为2．1％，与2000～2002年相比，下降了4个百分点。结论对压疮高危患者及时填报量表，并进行前瞻性会诊，给予皮肤护理和制订压疮个体化预防方案，可有效降低压疮发生率，且各级护理人员能有机会经常交流、讨论预防压疮的护理经验，使基础护理质量得到了持续改进。

Objective To decrease bedsore incidents inhospital through scaling high risk factors and nursing consultation. Methods Designing the application record chart for bedsore high risk factors 332 skin conditions of patients with high risk factors has been monitored between August 2003 - December 2005 in my hospital. Results There were only 7 incidents among 332 patients. The incidental rate was 2. 1%. It dropped to 4% compared to 2000 - 2001. Conclusion Filling in scaling evaluation of high risk factors chart promptly, carrying out predictive consultation, offering skin care and making individual bedsore plans , applying experience of personal bedsore prevention. This is necessary to decrease incidental rate of bedsore effectively. The quantity of fun- damental nursing is also improved.