对压疮护理过程监控方法改进的效果观察

Observation on improving the monitoring methods during the nursing of pressure sore

目的探讨改进的监控方法对压疮护理效果的影响。方法在waterlow危险因素评估的基础上，设计压疮记录单，实施护理部的宏观监控、片区总护士长的督导监控、病区护士长的直接监控和责任组长的微观监控，并与2006年同期资料对比。结果两组带入院压疮转归比较、两组不同危险级别难免压疮发生率的比较具有统计学意义。结论积极评估病人的危险因素是预防压疮的关键，分层次的跟踪监控是压疮防治的重要保证，确定难免压疮人群是实施预防监控的重点，改进后的记录单重点突出为护理管理和科研提供必要的资料，监控方法改进使压疮管理更科学化、规范化、人性化。

Objective To explore the effect of the improved monitoring methods on bedsore nursing. Methods On basis of Waterlow Score in Pressure Ulcer Risk Assessment, to design the recording sheets about pressure sore, to implement the macroscopic supeIvision of nursing department, the superintend and directing monitoring of general head nurse, and the direct supervision of ward head nurses as the microcosmic supervision of responsible group leader, were carried out and finally compared with the same period in 2006. Results On the outcome of original bedsores, there was significant difference between the control group and the improvment group, as well as on the incidence of inevitable bedsores on different risk grades. Conclusions Careful evaluation on risk factors of patients is the key to the prevention of bedsores. The level-division tracking supervision is the important guarantee of prevention and treatment of bedsore. Defined population of inevitable bedsores is the emphasis on implementing precautious and supervising. Three improved recording sheets mainly provide basic information for nursing management and scientific research, and improving monitoring methods promotes more scientific, standardized and humanized bedsore management.