高危患者皮肤压疮防护屏障体系的建立与应用  

Establishment and application of protection management barrier system of the skin bedsore in high-risk patients

作　　者：张春英[1] 仲香兰[1] 刘兰莲[1] 邱红[1] 

机构地区：[1]江西省赣州市人民医院,341000

出　　处：《国际护理学杂志》2015年第20期2842-2844,共3页international journal of nursing

摘　　要：目的：建立高危患者皮肤压疮防护管理屏障及实体屏障，加强压疮质量管理，保障高危患者在接受医疗护理过程中免受伤害，降低或避免压疮的发生。方法建立皮肤压疮风险评估与报告制度、压疮管理流程、皮肤情况上报流程、皮肤压疮三级质量监控系统等管理屏障；设计高危患者防压疮警示标识、难免压疮预警报告系统等实体屏障，对老年皮肤压疮高危患者和带入压疮患者进行管理。结果应用高危患者皮肤压疮防护屏障体系，护士对皮肤压疮管理流程知晓率达100%；对Norton压疮危险评估量表掌握率从原来的30%提高至95%；高危患者压疮发生率由2.48%下降至1.05%；压疮治愈率由21.5%提高至35.3%，好转率由44.6%提高至53.4%。结论建立多重屏障可增强护理人员对高危患者皮肤压疮风险管理与预测能力，高危患者皮肤压疮不安全风险得到预控，提高高危患者皮肤压疮安全系数，降低压疮发生率，提高治愈率及好转率。Objective To establish the skin bedsore protection management and entity barrier in high-risk patients, strengthen the quality management of bedsore and reduce or avoid the bedsore occurrence. Methods The risk assessment and reporting system, bedsore management process, skin condition reporting process and level 3 quality monitoring system of management barrier of the skin bedsore were established. The warning mark to prevent bedsore in high-risk patients, the entity barrier of inevitable bedsore warning reporting system were designed to manage the old patients with high-risk skin bedsore or suffered skin bedsore before admission. Results Through the skin bedsore protection management and entity barrier system in high-risk patients, the wareness rate of nurses about the skin bedsore management process was up to 100 percent, their mastery of knowledge of Norton bedsore risk assessment scale increased from 30 percent to 95 percent . The incidence of bedsore in high-risk patients was decreased from 2. 48 percent to 1. 05 percent, while the cure rate and improving rate increased from 21. 5 percent to 35. 3 percent and from 44. 6 percent to 53. 4 percent, respectively. Conclusions It can reinforce the nursing staff＇s skin pressure sore risk management and predictive power in high-risk patients and can lead the safety factor of skin bedsore in high-risk patients to precontrol by establishing multiple barrier system. Furthermore, it can raise the safety factor, decrease the incidence, increase the cure and improve rate of bedsore in high-risk patients.

关 键 词：压疮 高危患者 屏障体系 防治效果 

分 类 号：R473[医药卫生—护理学] C931.2[医药卫生—临床医学]