全程信息化管理在压疮高危患者护理中的应用

目的：探讨全程信息化管理体系在压疮高危患者护理中的应用，评价其对压疮高危风险预防管理效果的影响。方法设立压疮管理核心组对全院压疮高危患者的护理实行专科技术指导；构建信息化管理模块，完善压疮高危风险报告表，增设压疮高危风险统计分析表，并实行智能化记录和自动统计；完善并实施压疮高危患者的护理管理流程，加强护理管理者对压疮预防措施落实情况的督查，压疮高危患者从上报到转归的全过程均通过信息系统进行动态实时管理。结果全程信息化管理体系实施后，全院压疮高危患者的压疮发生率为18．98％，较实施前的32．64％显著降低，差异有统计学意义（χ2＝10．032，P＜0．01）；压疮高危患者上报资料正确率为98．15％，与实施前的91．71％相比显著提高，差异有统计学意义（χ2＝9．084，P＜0．01）；护理部进行季度压疮高危风险统计所需时间由6 h 降至20 min。结论应用全程信息化管理体系，可降低压疮高危患者的压疮发生率，提高压疮高危风险上报资料的正确率，提高压疮高危风险统计分析的工作效率，有助于完善压疮预防和控制工作。

Application of entire information management in nursing of patients with high-risk pressure ulcers

Objective To explore the application of entire information management system in nursing of patients with high-risk pressure ulcers and to evaluate its influence on the high risk of pressure ulcers prevention management.Methods Established core group of pressure ulcers management to provide professional guidance to high-risk pressure ulcers patients nursing in whole hospital, structured information management module, improved high-risk pressure ulcers report, added statistical form for it, implemented intelligent record as well as automatic statistics, improved and implemented nursing management work flow for high risk pressure ulcers patients, strengthen supervise to the practical to pressure ulcers prevention, and dynamically managed the whole process from reporting to lapsing of high risk patients by information system.Results After the implementation of entire information management system, pressure ulcers incidence of high risk patients in hospital was significantly decreased compared with that of before（18.98%vs 32.64%;χ2 =10.032,P〈0.01）.The report accuracy of pressure ulcers was improved than that before （98.15% vs 91.71%;χ2 =9.084,P〈0.01）.The time for nursing administration department making statistics for pressure ulcers case quarterly was decreased from 6 hours to 20 minutes.Conclusions Adopting the entire information management system of pressure ulcers can decrease the pressure ulcers morbidity of high risk patients, increase the accuracy of report for high-risk pressure ulcer, improve work efficiency of statistical analysis to high-risk pressure ulcers, and improve the work for prevention and control of pressure ulcers.