预警管理在压疮管理中的效能分析

目的运用风险预警管理理念，提升护理人员压疮管理意识，降低压疮发生率。方法选取2009年1月-2011年12月通过护理软件上报的压疮高危患者及压疮患者数据进行分析，对存在的薄弱点及时指导并积极制定整改措施，优化压疮管理流程。结果护理人员预防压疮的意识提高，上报压疮高危患者数逐年上升，2009年-2011年极危及高危上报例数占全院出院人数的比率分别为0．76％、1．01％、1．13％；2009年-2011年院内难免压疮发生率分别为0．06％、0．06％、0．02％。结论以伤口小组管理压疮为依托，培养护理人员风险预警管理理念，赋予相应的职责及管理目标有助于压疮的规范管理及学科水平的不断提高。

Performance Analysis of Early Warning Management in Pressure Ulcer Management

Objective To enhance nurses＇ awareness of pressure ulcer management and reduce the incidence of pressure ulcers by using the risk early warning management idea. Methods We analyzed the data of patients with pressure ulcers and patients at high risk of pressure ulcers reported through nursing sot~ware between January 2009 and December 2011. Then, we timely and actively gave instructions and formulated corrective measures for the weak points in order to optimize pressure ulcer management process. Results Nurses＇ awareness of prevention of pressure ulcers was improved, and the number of patients at high risk of pressure ulcers reported was increased year by year. From 2009 to 2011, the ratio of extremely high-risk and high-risk patients to all discharged patients was respectively 0.76%, 1.01% and 0.76%; while from 2009 to 2011, the rate of in-hospital pressure ulcers hard to avoid was respectively 0.06%, 0.06% and 0.02%. Conclusions Based on pressure ulcers wound team management, training nurses＇ early warning management idea, assigning corresponding responsibilities and management goals can help to standardize the management of pressure ulcers and raise the discipline level unceasingly.