标准化防护流的程在压疮管理中的应用.pdf

标准化防护流程在压疮管理中的应用 邹丽华，叶国玲，陈铮立，罗 惠* 【摘要】目的 探讨标准化防护流程在提高压疮护理质量中的应用。方法 成立压疮监控学组，制订压疮标准化护理评价量表，规范压疮评估与 呈报，对住院压疮及高危患者从入院到出院整个过程都实施标准化防护流程，进行全程质量监控和效果评价。结果 提高了护士对压疮的风险评估 准确率和防护措施正确率( P ＜ 0． 01) ，降低了院内压疮发生率( P ＜ 0． 01 ) ，提高了院外带入压疮的治愈 /好转率( P ＜ 0． 01 ) 。结论 标准化防护流 程，能有效规范护理行为，保障护理措施落实到位，提高压疮防护质量和管理水平，有效保障患者安全。 【关键词】防护; 标准化; 压疮; 护理管理 中图分类号: C931． 2 文献标识码: B 文章编号: 1671 － 315X( 2014) 10 － 0741 － 03 Application of standard protection process in the management of pressure ulcer /ZOU Li － hua，YE Guo － ling，CHEN Zheng － li，LUO Hui* / / Journal of Nursing Administration，－2014，14( 10) : 741． Nursing Department，No． 117 Hospital of People＇s Liberation Army，Hangzhou 310004，China 【Abstract】Objective To evaluate the effects of applying preventive standard protection process on improving nursing quality of pressure ulcers． Method Measures included establishing a monitoring group of pressure ulcer，developing standardized nursing assessment scale for pressure ulcers，regulating pressure ulcer assessment and reporting，implementing standardized protection process for hospitalized patients at high risk of pressure ulcers from admission to discharge，monitoring the effectiveness and evaluating the quality． Ｒesults Nurses ＇ accuracy rate of risk assessment and protective measure were improved ( P ＜ 0． 01) ． The incidence of pressure ulcers in the hospital decreased ( P ＜ 0． 01 ) ，and the recovery rate of pressure ulcers increased ( P ＜ 0． 01 ) ． Conclusion Standardized preventive nursing process can effectively regulate the behavior of nursing，ensure the implementation of nursing measures，improve the quality of pressure ulcer prevention and management level and effectively ensure the safety of patients． 【Key words】protection; standardization; pressure ulcer; nursing management 基金项目: 2011 年浙江省医学会基金项目( 2011ZYC － B1) 工作单位: 310004，杭州市，解放军第 117 医院护理部 作者简介: 邹丽华( 1965 － ) ，女，江苏兴化人，副主任护师，硕士，主要从 事护理管理工作。E － mail: Shadow89915@ 126． com * 通讯作者: 罗惠，E － mail: 546141653@ qq． com 压疮作为一项衡量护理质量的重要指标，一直是护理工作 的重点和难点［1