压力性损伤小组管理模式对临床压力性损伤护理质量的影响分析

Effect of pressure injury group management mode on clinical nursing quality of pressure injury

目的探讨压力性损伤小组管理模式对临床压力性损伤护理质量的影响。方法选择2020年1—12月江西省景德镇市第三人民医院收治的压力性损伤高危患者390例为观察组1,与此同时选择院外带入及院内发生压力性损伤患者82例为观察组2;另选择2019年1—12月江西省景德镇市第三人民医院收治的压力性损伤高危患者323例为对照组1,与此同时选择院内及院外发生压力性损伤患者76例为对照组2。比较压力性损伤小组管理前后压力性损伤高危患者压力性损伤发生率,院外带入及院内发生压力性损伤患者治愈好转率,临床护士压力性损伤护理知识考核成绩差异。结果观察组1压力性损伤发生率为1.5%,明显低于对照组1的4.0%,差异有统计学意义(χ^(2)=4.210,P<0.05)。观察组2治愈好转率为80.5%,明显高于对照组2的64.4%,差异有统计学意义(χ^(2)=5.110,P<0.05)。压力性损伤小组管理后临床护理人员压力性损伤护理相关知识考核成绩明显高于管理前(t=-11.820,P<0.01)。结论压力性损伤小组管理模式,可降低压力性损伤高危患者压力性损伤发生率,提高压力性损伤治疗效果,提高护士压力性损伤护理知识的认知水平,从而提高压力性损伤护理质量。

Objective To explore the effect of pressure injury group management mode on the quality of clinical nursing.Methods A total of 390 patients with a high risk of pressure injury admitted from January to December 2020 in the Third People′s Hospital of Jingdezhen City in Jiangxi Province were selected as the observation group 1;at the same time,a total of 82 patients with pressure injury in and outside the hospital were selected as observation group 2.In addition,three hundred twenty-three patients with a high risk of pressure injury admitted to the Third People′s Hospital of Jingdezhen City in Jiangxi Province from January to December 2019 were selected as the control group 1;at the same time,a total of 76 patients with pressure injury in and outside the hospital were selected as the control group 2.The differences in the incidence rate of patients with a high risk of pressure injury,the cure and recovery rate of patients with pressure injury in and outside the hospital,and the assessment scores of pressure injury nursing knowledge of clinical nurses before and after the management of pressure injury were compared.Results The incidence of nosocomial pressure injury in high-risk patients in the observation group 1 was 1.5%,which was significantly lower than that of 4.0%in the control group 1,with significant difference(χ^(2)=4.210,P<0.05).The cure and recovery rate in the observation group 2 was 80.5%,which was significantly higher than that of 64.4%in the control group 2,with significant difference(χ^(2)=5.110,P<0.05).The evaluation results of pressure injury nursing-related knowledge of clinical nursing staff after management was obviously higher than that before management(t=-11.820,P<0.01).Conclusion The pressure injury group management mode can reduce the incidence rate of pressure ulcers in high-risk patients,improve the therapeutic effect,improve the cognitive level of nurses′nursing knowledge,and thus improve the quality of nursing.