压疮高危病人护理质量的全程控制

目的探讨压疮高危病人的护理质量控制方法，提高护理质量，降低压疮发生率。方法2006年1月成立匿疮管理指导小组，对预报高危的病人进行床边核查，每月随机榆查在院的离危病人护理质量，运用质量持续改进流程纠正护理中的不足，对发生压疮的病人进行跟踪观察，指导、会诊等。结果537例预报高危的病人中37例发生压疮，发生率为6．9％，低于同类报道；高危病人护理质量均合格。护理人员熟练掌握评估工具的使用。结论对压疮高危病人护理质量进行全程控制，能提高卧床病人的基础护理质量，促进护士列压疮的预防知识和技术的掌握与应用，保证预防措施落实到垃，降低高危病人压疮发生率。

Global Nursing Quality Control for Patients of High Risk of Pressure Sores

Objective To explore the control of nursing quality for patients of high risk of pressure sores and thus to improve the nursing quality and lower the incidence rate of pressure sore. Methods In Jan., 2006, the Management and Supervision Group for pressure sore was set up. Bedside checking was performed fur the patients showing signs of high risk; nursing quality for high risk inpatients was assessed randomly; deficiencies in nursing quality were put right by means of sustainable quality imporvement flow; and follow-up observation, supervision and consultation were offered for pressure sore patients. Results Of the 537 cases showing sign of high risk, 37 had pressure sore, with the incidence rate being 6.9%, lower than reported; the nursing quality for all the high risk patients was up to standard; and the nu~ing personnels could use the assessment tool with proficiency. Conclusion Global nursing quality control for high risk patients of pressure sore is conducive to the improvement of the basic nursing quality, promotes nurses＇ master and application of knowledge and skills of pressure sore prevention and treatment and thus lowers the incidence rate of pressure sore among high risk patients.