某综合医院压疮管理的数据分析及实践效果

Data analysis and practice effect of pressure ulcer management in a comprehensive hospital

[目的]分析压疮管理系统的上报数据,总结压疮发生的特点,探讨压疮信息化管理的实践效果。[方法]回顾性分析衡阳市某综合医院2013年—2014年压疮与难免压疮上报数据。[结果]两年间共收治住院病人140928例次,压疮现患率0.796%(n=1123),医院获得性压疮发生率0.022%(n=32),难免压疮发生率0.913%(n=1287)。2年的压疮现患率比较,0.717%(2014年)<0.888%(2013年);医院获得性压疮发生率比较,0.019%(2014年)<0.025%(2013年)。压疮现患率排序前3位的科室为心内科(14.425%)、重症监护室(14.069%)和神经内科(8.637%);医院获得性压疮主要集中在重症监护室(40.625%)、心内科(21.875%)和神经内科(18.750%);难免压疮发生率排序前3位的科室为重症监护室(26.728%)、心内科(18.026%)和神经内科重症监护室(7.148%);前3位压疮部位分别为骶尾椎骨处(62.500%)、跟骨处(18.750%)、髂骨处(6.250%);压疮分期主要集中在Ⅰ期(31.077%)、Ⅱ期(37.222%)。[结论]科学、规范的压疮信息化管理系统能有效预防并控制压疮的发生。

Objective：To analyze the reported data of pressure ulcer management system,and to summarize the features of pressure ulcer,then to explore the practice effect of the information management system in pressure ulcer.Methods：The clinical reports of pressure ulcer and inevitable pressure ulcer in a comprehensive hospital in Hengyang from 2013 to 2014were analyzed retrospectively.Results：A total of 14 0928 cases of hospitalized patients were treated in recent two years.The prevalence rate of pressure ulcer was 0.796%（n=1 123）,the incidence of hospital-acquired pressure ulcer was 0.022%（n= 32）,and the incidence of inevitable pressure ulcer was 0.913%（n=1 287）.comparing with the prevalence rate of pressure ulcer between the two years：0.717%（2014） 0.888%（2013）;comparing with the incid ence of hospital-acquired pressure ulcer between the two years：0.019%（2014）0.025%（2013）.According to the prevalence rate and incidence of pressure ulcers,the top three units were respective the cardiovascular department（14.425%）,Intensive Care Unit（ICU）（14.069%）and department of Neurology（8.637%）.According to the incidence of hospital-acquired pressure ulcer,the top three units were respectively Intensive Care Unit（ICU）（40.625%）,the cardiovascular department（21.875%）and department of Neurology（18.750%）.According to the incidence of inevitable pressure ulcers,the first three units were Intensive Care Unit（ICU）（26.728%）,the cardiovascular department（18.026%）and Neurological（7.148%）.The top three locations were sacrococcygeal region（62.500%）,heel（18.750%）and spina iliaca（6.250%）.The pressure ulcer stage mainly concentrated in phaseⅠ（31.077%）and phaseⅡ（37.222%）.Conclusion：The scientific and normative pressure ulcer information management system can effectively prevent and control the occurrence of pressure ulcer.