优化护理干预对降低内科高危患者压疮发生率的效果研究

Effect study of optimizing nursing intervention in reducing incidence of pressure sores in high risk internal medicine patients

目的：探讨优化护理干预对降低内科高危患者压疮发生率的效果研究。方法以本院2013年4-12月收治的39例内科压疮高危患者作为对照组（优化干预前），以2014年1-4月收治的37例内科压疮高危患者作为观察组（优化干预后），分别统计两组的压疮发生率。结果采用优化压疮护理干预措施前后，压疮高危患者的压疮发生率存在显著下降。结论通过应用结构化方法优化风险评估进行压疮高危患者识别，优化压疮高危上报信息系统，重点针对压疮高危患者的个性化高风险因素进行压疮教育及观察防范，并签订压疮高危风险告知书等系列护理措施，显著降低了院内压疮的发生率。

Objective To investigate the clinical effect of optimizing nursing intervention in reducing incidence of high risk pressure ulcer of internal medicine patients. Methods A total of 39 patients with high risk of pressure sores in department of internal medicine of our hospital in January to April 2014 were selected as control group （before optimizing intervention）, and 37 patients with high risk of pressure ulcer in department of internal medicine our hospital in April to December 2014 as observation group （after optimizing intervention）. The incidence of pressure sore of two groups was observed respectively. Results After optimizing intervention, incidence of pressure score significantly declined in high risk patients. Conclusion Application of structural optimization method for high risk patients with pressure ulcer risk assessment identification, optimizing pressure sore risk reporting information system, pressure ulcer prevention education and observation focusing on high risk factors of individual patients at high risk of pressure ulcer, and signing risk book series at high risk of pressure ulcer, can significantly reduce incidence of pressure ulcers in hospital.