压力性损伤智能化“评估-决策-控制”系统在脑血管病重症患者中的应用

Application of Intelligent"Assessment-Decision-Control"System for Pressure Injury in Patients with Severe Cerebrovascular Disease

目的分析压力性损伤智能化“评估-决策-控制”系统在脑血管病重症患者中的应用效果。方法对压力性损伤管理系统进行智能优化,将系统优化前(2018年1月-2019年12月)应用患者(2448例)设置为对照组,系统优化后(2020年1月-2021年12月)应用患者(3547例)设置为观察组,比较两组患者入科2 h内压力性损伤评估完成率、风险评估准确率、伤口评估准确率、伤口处理正确率、院内压力性损伤发生率的差异。结果对照组和观察组患者入科2 h内压力性损伤风险评估完成率分别为94.7%和99.0%(χ2=7.3,P=0.007),风险评估准确率分别为89.0%和96.3%(χ2=11.9,P=0.001),伤口评估准确率分别为74.0%和90.0%(χ2=4.3,P=0.037),伤口处理正确率分别为84.0%和96.0%(χ2=4.0,P=0.046),差异均有统计学意义。对照组院内压力性损伤发生率为0.04%(1/2448),观察组院内压力性损伤发生率为0(0/3547)。结论压力性损伤智能化“评估-决策-控制”系统,可以帮助护士准确评估、判断和记录压力性损伤,并做出合理的临床护理决策。

Objective To analyze the application effect of pressure injury intelligent"assessment-decisioncontrol"system in severe patients with cerebrovascular disease.Methods The pressure injury management system was optimized,and the severe cerebrovascular disease patients(2448 cases)before system optimization(January 2018-December 2019)were selected as the control group,and the severe cerebrovascular disease patients(3547 cases)after system optimization(January 2020-December 2021)were selected as the observation group.The rate of pressure injury assessment,accuracy rate of risk assessment,accuracy rate of wound assessment,correct rate of wound treatment,and incidence of in-hospital pressure injury within 2 hours of admission were compared between the two groups.Results The above indexes results between the two groups were as follows(control vs.observation):the rate of pressure injury assessment was 94.7%vs.99.0%(χ2=7.3,P=0.007);the correct rate of risk assessment was 89.0%vs.96.3%(χ2=11.9,P=0.001);the correct rate of wound assessment was 74.0%vs.90.0%(χ2=4.3,P=0.037);the correct rate of wound treatment was 84.0%vs.96.0%(χ2=4.0,P=0.046),with all the above differences having statistical significance(P<0.05).The incidence of in-hospital pressure injury in the control group was 0.04%(1/2448),while that in the observation group was 0(0/3547).Conclusions The"assessment-decision-control"system for stress injury can help nurses to assess,judge and record stress injury correctly,and make reasonable clinical nursing decisions.