手术患者术中压疮的监测分析与质量改进

Intra-operative pressure ulcers monitoring and quality improvement schemes

目的对手术患者术中压疮进行监测与分析,改进手术室护理质量。方法持续监测手术室压疮发生动态,分析压疮发生率的动态变化及临床特征,应用"现场、现物、现实"三现原则,确定压疮发生率增高的真因,组织小组讨论拟定改进措施并落实。结果改进前后压疮发生率比较,差异有统计学意义(P<0.01)。结论实施术中压疮持续监测,及时发现和处理异动,能有效降低手术患者术中压疮发生率,提高手术室护理质量。

Objective To improve nursing quality of operating room by monitoring intra operative pressure ulcers. Methods We con tinuously monitored the incidence of intra operative pressure ulcers. Then we analyzed the data to find out the dynamic patterns of pressure ulcers, and proceeded clinical site observation to further find out the root causes of intra operative pressure ulcers. After that, we organized group discussions to formulate improvement measures and put them into practice. Results The incidence rate of intra operative pressure ulcers was less than before （P〈0.01）. Conclusion Monitoring intra-operative pressure ulcer can discover and deal with the unusual fluctuation, effectively reduce the incidence rate of intra-operative pressure ulcers in surgical patients, and improve the quality of nursing service in operating room.