压力性损伤高危风险患者同质化管理及护理

Homogeneous Management and Nursing of Patients With High Risk Of Stress Injury

目的探讨压力性损伤(PI)高危风险患者同质化管理及护理成效,以指导全院PI护理质量控制持续改进。方法选取我院实施压疮护理小组工作机制下前后两个时间段经压疮危险因素评估为PI高风险(Braden 评分6 ~ 12 分)住院患者作为对照组(n =116)和观察组(n =117)。对照组实施PI 常规护理,观察组实施压疮护理小组工作机制下全院PI 同质化管理及护理。对比两组患者PI 发生情况以及压疮专科护理质量控制持续改进结果。结果观察组院内PI 发生率明显低于对照组(P < 0.05);观察组时间段PI 专项工作全年质控平均得分中组织管理、压疮评估上报预防护理、专科学习和护理会诊均明显高于对照组时间段,差异有统计学意义(P < 0.05)。结论压疮护理小组工作机制下全院同质化管理和护理改进,明显提高了PI 专项护理工作质量,降低了患者院内PI 发生率。

Objective To explore the homogenization management and nursing effectiveness of patients with high risk of stress injury (PI), in order to guide the continuous improvement of PI care quality control in the hospital. Method The hospital was selected as the control group (n=116) and the observation group (n=1) in the two periods before and after the operation of the pressure ulcer nursing group in our hospital. 117). The control group was given PI routine nursing, and the observation group implemented the PI homogenization management and nursing under the working mechanism of the pressure sore nursing group. The incidence of PI in the two groups of patients and the continuous improvement of the quality control of the pressure sore specialist were compared. Results The incidence of PI in the observation group was significantly lower than that in the control group (P<0.05). In the observation group, the average quality control score of the PI special work in the whole year was significantly higher than that of the organization management, pressure ulcer evaluation, preventive nursing, specialist study and nursing consultation. The difference in the control group was statistically significant (P<0.05). Conclusion The homogenization management and nursing improvement of the whole hospital under the working mechanism of pressure sore nursing group significantly improved the quality of PI special nursing work and reduced the incidence of PI in patients.