规范化压疮管理体系的建立及应用

目的：构建规范化的压疮护理管理体系，并评价其应用效果。方法：自2013年起，成立皮肤治疗小组，分析压疮管理存在的问题，建立三级压疮监控管理组织和评估制度，完善上报、会诊和考评制度，形成了一套规范化的压疮管理体系。结果：2013-2015年3年院外带入压疮治愈/好转率分别为60.69%、71.73%和82.31%；2013-2015年压疮风险评估准确率、压疮预防措施正确率、压疮评估准确率、压疮护理措施正确率和患者满意率均呈现逐年升高趋势，差别均有统计学意义（P＜0.05）。结论：规范化压疮管理体系的建立，使压疮管理科学化、规范化，提高了压疮治愈效果，保障护理措施落实到位，提高了压疮护理质量和管理水平。

Establishment and application of standardized pressure ulcer management system

Objective: To establish a standardized nursing management system of pressure ulcer and evaluate its applying effects. Methods: Since 2013 many measures were used such as establishing skin treatment group, analyzing problems of pressure ulcer management, establishing three level supervision system for managing pressure ulcers and system for assessing pressure ulcers , perfecting system of reporting, consulting and evaluating pressure ulcers , finally a set of standardized pressure ulcer management system is developed. Results: From 2013 to 2015, the cure / improvement rate of pressure ulcers out of hospital was 60.69%, 71.73% and 82.31%; the risk assessment accuracy, the correct rate of pressure ulcer prevention measures, pressure ulcer evaluation accuracy, accuracy of pressure ulcer nursing measures and patient satisfaction rate showed a rising trend year by year, and the difference had statistical significance (P<0.05). Conclusion: The standardized management system is more scientific, can improve the cure effect of pressure ulcers, ensure the implementation of nursing measures in place, and improve the quality of pressure ulcer care and management level.