伤口护理中心功能设置及其流程研究

目的：探讨伤口护理中心合理的功能设置及流程，摸索造口治疗师在其专业领域中的职责和作用。方法：参照军队相关管理规定、院内感染管理要求以及伤口分类国际标准，将伤口护理中心划分为8个区域；根据区域命名和设定其功能，按其功能配备设施和物品；并设置了患者就诊流程、护士工作流程、造口和伤口处理流程及其造口治疗师职责和护理中心的运作模式，观察比较了2年的工作指标、教学指标和科研指标。结果：各指标增长迅速，9项指标中8项增长率≥20％；增长最明显的是教学指标和科研指标。结论：功能区划分和设置合理，流程设置符合患者需求和业务技术开展规范，2年来运行良好，造口治疗师在专业领域中发挥了“临床护理专家”的作用。

Establishment functions and processes in the Wound Care Center

Objective: To investigate the reasonable establishment of functions and processes in the Wound Care Center,and discuss the duties and roles of its enterostomal therapists(ET).Methods: According to the army's related infection management rules and nosocamiol infection control criteria,our Wound Care Center is divided into 8 areas,each with its set function and corresponding equipment and materials.We have laid out the consulting process for patients,stoma and wound management processes for nurses,responsibilities for ET and an operation mode for the Wound Care Center.The targets attained in work,teaching and research in the previous two years were analyzed and compared.Results: The index of the attainment of the tangets increased dramatically,with a growth rate of more than 20% in 8 of the 9 targets,most obviously in teaching and research.Conclusion: The division of the functional areas has proved to be reasonable,each operational process capable of meeting patients' needs and technical requirements,which enables ET to play important professional roles in the specialized field.