压疮风险患者出院准备服务模式设计及其实施

Design and implementation of discharge preparation service model for patients at risk of pressure sore

目的探讨压疮风险患者出院准备服务项目内容、实施方法及其效果。方法选择2017年4月—2018年5月入住本院的压疮风险患者作为研究对象,根据患者的入院顺序,将符合纳入标准的患者按照随机数字表法分为观察组和对照组两组,对照组使用常规治疗、护理,观察组在常规治疗护理基础上应用出院准备服务护理模式。评价两组压疮预防知识知晓率、患者满意度、出院后照护情形达标率、压疮发生率。结果观察组知识知晓率、满意度、出院后居家护理情况明显优于对照组,压疮发生率、再住院率低于对照组。结论出院准备服务能提高压疮风险患者护理服务质量和降低社区压疮发生率,是有效的护理服务方法,值得推广。

Objective To discuss the contents,implementation methods and efficacy of discharge preparation service for patients with pressure ulcer risk.Methods According to the order of admission,the patients who met the criteria were divided into observation group and control group according to random number table method.The control group was treated with routine treatment and nursing,while the observation group was treated with discharge preparation service nursing mode.The awareness rate of pressure ulcer prevention knowledge,patients’satisfaction,post-discharge care,and the incidence rate of pressure ulcer of the two groups were evaluated.Results The knowledge awareness rate,satisfaction rate and home care after discharge in the observation group were significantly better than those in the control group,and the incidence of pressure ulcer and the rate of re-hospitalization in the observation group were lower than those in the control group.Conclusions Discharge preparation service could improve the quality of nursing service for patients at risk of ulcer and reduce the incidence of pressure ulcer in community.It is an effective nursing service method and worth promoting.