分级监控管理预防神经外科患者压疮的效果分析  

Grading supervision system for pressure ulcer prevention in neurosurgery department

作　　者：王秀丽[1] 桑琳霞[1] 魏忠梅[1] 高增敏[1] 崔丽雅[1] 

机构地区：[1]河北医科大学第二医院神经外科,石家庄050000

出　　处：《中华现代护理杂志》2014年第6期649-652,共4页Chinese Journal of Modern Nursing

基　　金：基金项目：河北省二0一0年医学科学研究重点课题计划（20100326）

摘　　要：目的探讨护士分级监控管理模式对提高神经外科患者压疮防护的效果。方法选取2012年2月—2013年2月神经外科收治的148例患者作为干预组，2011年1月_2012年1月收治的136例患者作为对照组。两组均给予常规护理，干预组构建层级监控组织机构，设立护士长一责任组长一责任护士组员分层级监控管理模式预防压疮。结果干预组患者压疮发生3例（2．03％），对照组为12例（8．82％），差异有统计学意义（χ^2=4．308，P〈0．05）。干预组患者满意度为98．0％，对照组为91．2％，差异有统计学意义（χ^2=4．308，P〈0．05）。分级监控管理实施后护理人员操作技能、对患者病情掌握情况评分分别为（97．1±4．9），（98．2±1．3）分，分别高于实施前的（89．1±8．2），（88．9±7．2）分，差异均有统计学意义（t值分别为9．873，14．843；P〈0．01）。结论实施护理分层级监控模式，能有效提高护理管理，降低神经外科患者压疮的发生率。Objective To explore the effect of nurse grading supervision system for pressure ulcer prevention in neurosurgery department. Methods A total of 148 neurosurgery patients, enrolled from February 2012 to February 2013, were taken as intervention group. The other 136 neurosurgery patients, enrolled from January 2011 to January 2012, were taken as routine group. Two groups were given routine nursing care. The nurse grading supervision system was constructed in the intervention group. The nurse grading supervision system was for pressure ulcer prevention, which was established charge nurse-team leader-duty nurse. Results Three patients in the intervention group occurred pressure ulcer with an incidence of 2.03%. And 12 patients in the routine group occurred pressure ulcer with an incidence of 8.82%, and the difference was statistically significant （χ^2 =4.308, P〈0.05）. Patient＇s satisfaction rate was 98.0% in the intervention group and 91.2% in the routine group, and the difference was statistically significant （ χ^2 = 4.308, P 〈 0. 05 ）. The scores of operating skill and master of patient＇ s condition were （ 97. 1 ±4.9 ） and （ 98. 2 ±1.3 ）, respectively, after the implementation of classification management, which were higher than （ 89. 1 ±8.2 ） and （ 88.9 ±7.2 ）, respectively, before the implementation, and the differences were statistically significant （ t = 9. 873,14. 843 ; P 〈 0. 0l ）. Conclusions It is advisable to adopt nurse grading supervision system for pressure ulcer prevention in neurosurgery department. It can improve the nurse＇ s abilities of observation and nursing management, and decrease the incidence of pressure ulcer among neurosurgical patients.

关 键 词：压疮 护理管理 层次管理 

分 类 号：R473.6[医药卫生—护理学]