信息化压力性损伤管理系统对长期卧床脑卒中偏瘫患者压力性损伤预防的效果研究

Effectiveness of information-based pressure injury management system on the prevention of pressure injury in patients with stroke and hemiplegia for a long time in bed

目的探讨信息化压力性损伤管理系统对长期卧床的脑卒中偏瘫患者压力性损伤预防的效果。方法选取2019年1月—12月82例长期卧床脑卒中偏瘫患者为对照组,选取2020年1月—12月86例长期卧床的脑卒中偏瘫患者为观察组。对照组实施常规性护理,观察组基于信息化压力性损伤管理系统实施干预。比较两组患者压力性损伤发生情况及患者护理满意率。结果观察组压力性损伤发生率及压疮发生等级低于对照组(P<0.05)。观察组压力性损伤愈合评估表(PUSH)评分低于对照组(P<0.05)。观察组高风险压力性损伤评估正确率、压力性损伤上报率及患者满意率均高于对照组(P<0.05)。结论信息化压力性损伤管理系统能有效提高长期卧床脑卒中偏瘫患者压力性损伤评估准确率及上报率,从而降低患者压力性损伤发生率,实现了压力性损伤高风险人群信息化管理。

Objective To explore the effect of information stress injury management system on the prevention of stress injury in stroke patients with hemiplegia who are bedridden for a long time.Methods 82 cases of long-term bedridden patients with stroke and hemiplegia were selected as the control group from January 2019 to December 2019.86 cases of long-term bedridden patients with stroke and hemiplegia were selected as the observation group from January 2020 to December 2020.The control group was performed with routine nursing.The observation group was implemented with intervention based on the information-based pressure injury management system.The occurrence of pressure injury and satisfaction rate of patient care of two groups were compared.Results The incidence of pressure injury and the grade of pressure ulcers of observation group were lower than control group(P<0.05).The pressure injury healing assessment sheet(PUSH)score of observation group was lower than control group(P<0.05).The accuracy rate of high-risk pressure injury assessment,the report rate of pressure injury and the satisfaction rate of patients of observation group were higher than control group(P<0.05).Conclusion Based on the information-based pressure injury management system,it can effectively improve the accuracy and reporting rate of pressure injury assessment for patients with stroke and hemiplegia for a long time in bed,thereby reducing the incidence of pressure injury in patients,and realizing the information management of people at high risk of pressure injury.