持续质量改进在医院压疮管理中的应用  

Application of continuous improvement measures in pressure ulcer management in hospital

作　　者：姚建琴[1] 沈定玉[2] 倪卫燕[3] 韩净[4] 张彦[5] 

机构地区：[1]南京医科大学附属苏州医院肿瘤科,215001 [2]南京医科大学附属苏州医院护理部,215001 [3]南京医科大学附属苏州医院胃肠外科,215001 [4]南京医科大学附属苏州医院ICU,215001 [5]南京医科大学附属苏州医院神经内科,215001

出　　处：《中华现代护理杂志》2014年第11期1249-1251,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨持续质量改进管理方法在压疮管理中的应用效果。方法通过对南京医科大学附属苏州医院压疮预防执行现状进行调查、分析，找出院内获得性压疮发生率较高的关键原因，采取相应的整改措施，优化护理流程，并与改进前进行比较。结果改进后压疮风险评估率由82．6％提高到98．0％。压疮高风险患者院内获得性压疮发生率由21．93％下降至14．58％，差异有统计学意义（χ2＝5．44，P＜0．05﹚。结论基于问题现状，找出关键因素，优化护理工作流程，可以提高压疮管理的效能。Objective To investigate the application and effects of the continuous improvement measures on pressure ulcer management .Methods Many methods were used such as collecting and analyzing the data of pressure ulcer status , conducting and applying corresponding improvement measures , optimizing nursing process , and analyzing the effect .Results With the continuous improvement measures , the assessment of hospital-acquired pressure ulcer was increased from 82.6% to 98.0%.The incidence of hospital-acquired pressure ulcer was decreased from 21.93% to 14.58%, and the difference was statistically significant （χ2 =5.44,P〈0.05）.Conclusions Studying the important factors of pressure ulcer problem , and optimizing nursing process could improve the incidence of hospital-acquired pressure ulcer .

关 键 词：持续质量改进 压疮 管理 

分 类 号：R473[医药卫生—护理学]