压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

人性化管理在妇产科手术室护理管理中的应用观察研究

Objective To discuss the value of humanized management application in obstetrics and gynecology operating room nursing management. Methods 200 cases of patients admitted to the department of obstetrics and Gynecology of our hospital in the operating room as the research objective, divided into observation group, reference group by parity method, humanized management application in the observation group, routine operating room nursing management application in the reference group, compare the nursing data of the two groups. Results The rate of nurse-patient dispute in the operation room of the observation group was lower than that of the reference group, and the total incidence of complications was also lower than that of the reference group, which was significant (P＜0.05). Compared with the reference group, all nursing quality scores in the observation group were significantly higher (P＜0.05). The total nursing satisfaction in the observation group was significantly higher than that in the reference group (P＜0.05). Conclusion The application of humanized management in obstetrics and gynecology operating room nursing management, help to improve patient nursing satisfaction, and reduce the incidence of complications, reduce the incidence of nurse-patient disputes, improve the quality of nursing, improve the quality of life of patients, has clinical application value.     

老年多器官功能障碍综合征早期预测评分系统的预测价值

Objective To evaluate the prediction value of the early prediction score system of multiple organ dysfunction syndrome in the elderly (MODSE). Method A total of 393 patients with pulmonary infection, who were above60 years old, were divided into non MODSE(n =224) and MODSE group(n = 169) and were scored by the early prediction score system of MODSE. Independent-samples t Test was used to analyze the difference of forecast score between MODSE and non MODSE group. Receiver operating characteristic (ROC) curve was drawn,and the area under the curve was calculated. The prediction accuracy of scores for MODSE was assessed using sen-sitivity and specificity, and the optimal forecast point for MODSE was found. Results The score of MODSE group was higber than that of non MODSE[(19.38±12.049) vs. (45.78±20.257), P <0.001]. The area under the ROC curve was 0.889 (P <0.001) ond 95% (0.857～0.920). As the value of forecast score was 27.5, the sensitivity of the early prediction score system of MODSE was 82.8 %, the specificity of the early prediction score system of MODSE was 80.3 %. Conclusions The early prediction score system of MODSE is valuable in predic-tion of MODSE, which may be used to forecast MODSE and find the high risk population of MODSE.