三级阶梯式伤口治疗模式在临床中的应用

目的了解临床护理人员对在实施三级阶梯式伤121治疗模式的认可度，为临床进一步推广该模式提供依据。方法选择试点科室，在临床伤口治疗中采用三级阶梯式的治疗模式，利用问卷调查。了解护理人员对该模式的满意度。结果经过近2年的试行工作，试点病房已扩展到26个病区，护理人员对采用三级阶梯式的伤口治疗新模式的满意度为95．17％，较传统模式增加29．84％；护士满意度评价中实施新护理模式前职业价值评价得分为（35．54±5．68）分，实施后得分为（26．70±6．31）分，组间比较差异具有统计学意义（t=5．2062，P〈0．05）；实施前后护士其他项目满意度得分比较差异亦有统计学意义（P〈0．05）。结论三级阶梯式的伤口治疗模式在临床实施效果较好，得到了广泛的认可，拓展了护士的职业生涯，促进了专科护理的发展，该模式值得在临床推广。

Application of level three staged working mode of clinical wound treatment in the clinical

Objective To survey nurses＇ approve of implementation of three staged working mode of clinical wound treatment, and offer the basis of clinical use. Methods Select experimental department to implement three staged working mode of clinical wound treatment. Then, use questionnaire to survey nurses＇ satisfaction. Results After 2 years, there were 26 experimental departments. Nurses＇ satisfaction increased to 95.17%, compared with the 29.84% of traditional type. Satisfaction evaluation score was （35.54 ± 5.68） before the intervention, and （26.70 ± 6.31 ） after intervention, and the difference was statistically significant （ t = 5. 206 2, P 〈 0. 05 ）. Meanwhile, the wound care nurses have been making progress on scientific research of wound care. Conclusions The three staged working mode of clinical wound treatment has gained widely acceptance, and it expand nurses＇ career and promotes development of clinical nurse specialist. Therefore, this mode should be widely used.