医院获得性压疮预防管理体系的构建与运行

Construction and operation of Hospital-Acquired Pressure Ulcer prevention management system

目的 :构建并运行"STAR"医院获得性压疮预防管理体系,评价其实施效果。方法 :成立医院获得性压疮预防管理体系建设领导小组,通过文献回顾与专家咨询确立"STAR"医院获得性压疮预防管理体系的架构与构成要素并实施,比较体系运行前后压疮预防管理过程指标与结果指标的变化趋势。结果 :管理体系运行后压疮危险患者风险评估符合率、压疮预防支撑面正确使用率、卧床患者体位摆放合格率,以及住院患者Ⅱ期及以上医院获得性压疮发生率、Ⅱ期及以上非预期压疮发生率均有明显改善,差异有统计学意义(P<0.05)。结论 :"STAR"医院获得性压疮预防管理体系的构建与运行对提升临床压疮管理质量、控制医院获得性压疮发生率具有效果。

Objective: The purpose of the research was to assess the effect of "STAR" Hospital-Acquired Pressure Ulcer prevention management system and to explore the significance of the system. Methods: A working group was established to promote study. This prevention management system architecture and constituent elements, was based on the literature review and expert consultation. To assess the effect of the prevention management system, pressure ulcer prevention management process indicators and outcome indicators were compared before and after the operation of the system. Results:The coincidence rate of pressure ulcer risk assessment, qualiifed rate of bedridden patients placed in position, correct use rate of pressure ulcer prevention support surface for high-risk patients were higher than before. The occurrence rate of stage II and above hospital-acquired ulcer and phase II and above non expected incidence of pressure ulcer were lower than before. The difference was statistically signiifcant (P<0.05). Conclusions: Construction and operation of "STAR" hospital- acquired pressure ulcer prevention management system has obvious effect and clinical signiifcance in improving the quality of clinical nursing and prevention of hospital acquired pressure ulcer.