俯卧位手术患者压疮管理流程的优化及其效果观察

Optimization and observation of management process for pressure sores in patients receiving prone position surgery

目的观察优化俯卧位手术患者压疮管理流程的效果。方法将2016年7月-2017年6月流程改善前住院的患者68例设为对照组,采用常规的预防压疮护理措施;将2017年7月-2018年6月行俯卧位手术的患者70例设为观察组,在常规预防压疮基础上实施失效模式与效应分析。结果观察组对压疮预防的执行率明显高于对照组(97.1%vs 48.5%,P<0.01),压疮发生率明显低于对照组(18.6%vs 36.8%,P<0.05)。结论优化俯卧位手术患者压疮管理流程,能规范医护人员行为,提高护理人员防压疮意识,降低压疮发生率,值得临床推广应用。

Objective TO observe the effect of optimizing management process for pressure sores in patients receiving prone position surgery.Methods 68 patients hospitalized from July 2016 to June 2017 before the process improvement were set as the Control Group and received the routine nursing measures for the prevention of pressure sores.70 patients receiving prone position surgery from July 2017 to June 2018 were set as the Observation Group and received the failure mode and effect analysis based on the routine nursing measures for the prevention of pressure sores.Results The Observation Group had the implementation rate of prevention of pressure sores significantly higher than the Control Group(97.1%vs 48.5%,P<0.01)and had the incidence of pressure sores significantly lower than the Control Group(18.6%vs 36.8%,P<0.05).Conclusion Optimizing the management process for pressure sores of patients receiving prone position surgery can standardize the acts of medical staff,improve the awareness of nursing staff against pressure sores and reduce the incidence of pressure sores.It is worth clinical promotion and application.