分级监控管理对预防重症脑外伤患儿术后压疮的影响

Effect of grading monitoring and management on prevention of postoperative pres-sure sores for children with severe traumatic brain injury

目的：探讨分级监控管理对预防重症脑外伤患儿术后压疮的影响。方法选取2013年1月至2014年12月收治的84例重症脑外伤患儿为研究对象，根据患儿入院时间分为观察组（2014年1～12月）和对照组（2013年1～12月）各42例，对照组给予常规性护理，观察组给予分级监控管理，对比分析两组患儿护理质量、压疮风险评估率、压疮发生率、护理纠纷投诉率及家属满意率情况。结果观察组基础护理、专科护理、危重患儿护理、护理记录、病房管理、急救药品和器械以及总护理质量评分显著高于对照组（ P〈0.05）。观察组压疮发生率、护理纠纷投诉率低于对照组（P〈0.05），压疮风险评估率、家属满意率高于对照组（P〈0.05）。结论分级监控管理能有效提高重症脑外伤患儿护理质量，提高压疮风险评估率，从而降低患儿压疮发生率，降低护患纠纷事件发生率，提高患儿家属满意率。

Objective To explore the effect of grading monitoring and management on the prevention of post-operative pressure sores for children with severe traumatic brain injury. Methods A total of 84 children with severe traumatic brain injury hospitalized from December 2014 to January 2013 were selected as the research objects. The pa-tients were divided into observation group （ hospitalized from December 2013 to January 2014 ） and control group （ hospi-talized from December 2014 to January 2013） according to their admission time, each group having 42 individuals. The control group was given routine nursing, while the observation group was given grading monitoring and management. The nursing quality, the risk assessment rate of pressure sores, the incidence rate of pressure sores, the rate of nursing dis-putes and the family satisfaction rate of the two groups were compared. Results The basic nursing, specific nursing, nursing of critically ill children, nursing records, hospital ward management, emergency medicine and equipment and total nursing quality scores of the observation group were significantly higher than that of the control group （ P〈0. 05 ） . The incidence rate of pressure sores and nursing disputes complaint rate of the observation group was lower than that of the control group （ P〈0. 05 ） , the risk assessment rate of pressure sores and the family satisfaction rate was higher than that of the control group （ P〈0. 05 ） . Conclusion Grading monitoring and management can effectively improve the quality of care for patients with severe traumatic brain injury and improve the risk assessment rate, so as to reduce the incidence of pressure sores and the incidence of nursing disputes, and meanwhile improve the family satisfaction rate.