摘要
目的 探讨骨科中压力性损伤护理质量指标的建立及应用效果。方法 2020年10月-2021年10月为研究实施阶段,该过程也是明确研究对象和开展研究的主要阶段,该过程也是明确研究对象和开展研究的主要阶段,样本量均是从本院骨科收治的患者中选取而来,共90例,使用计算机序列软件进行样本的编号,并下载随机分配软件,将样本分到两组,其中45例患者接受常规护理,该组为常规组;剩余的患者均在压力性损伤护理质量指标建立后应用相关护理方法,该组为实验组。记录两组的具体情况并进行相关分析和对比。结果 进行满意度对比实验组颇高且优于常规组,上述结果存在统计学意义(P<0.05)。实验组发生压疮的例数和比例均低于常规组(P<0.05)。常规组护理人员护理前护理态度和知识评分无差异(P>0.05),压力性损伤质量指标建立及应用后的指标改善明显且优于常规组,实验组无论是风险管理合格率、记录合格率,还是护理有效率、风险评估准确率均比常规组高,且护理质量较高(P<0.05)。结论 在骨科合理地建立压力性损伤护理质量指标,并全面落实和应用,能够对护理质量的提高有着积极作用,具有较高的推广性和适用性。
关键词: 压力性损伤护理质量指标;建立;骨科;应用
Abstract
Objective To discuss the establishment and application effect of the nursing quality index for pressure injuries in orthopedics. Method: October 2020-October 2021 is the research implementation stage. This process is also the main stage for clarifying research objects and conducting research. This process is also the main stage for clarifying research objects and conducting research. The sample size is from the orthopedics department of our hospital. A total of 90 cases were selected from the admitted patients, and the computer sequence software was used to number the samples, and the random allocation software was downloaded to divide the samples into two groups. Among them, 45 patients received routine care, and this group was the routine group; the rest The patients all applied relevant nursing methods after the establishment of the pressure injury nursing quality index, and this group was the experimental group. Record the specific situation of the two groups and carry out relevant analysis and comparison. Results: The satisfaction degree of the experimental group was quite high and better than that of the conventional group. The above results were statistically significant (P<0.05). The number and proportion of pressure ulcers in the experimental group were lower than those in the conventional group (P<0.05). There was no difference in the nursing attitude and knowledge scores of nursing staff in the routine group (P>0.05). The establishment and application of the pressure injury quality index improved significantly and better than the routine group. Both the risk management pass rate and the record pass rate in the experimental group , The effective rate of nursing and the accuracy of risk assessment were higher than those of the conventional group, and the quality of nursing was higher (P<0.05). Conclusion : In orthopedics, the establishment of a reasonable quality index for pressure injury care, and its comprehensive implementation and application, can have a positive effect on the improvement of the quality of care, and has a high degree of promotion and applicability.
Key words: Stress Injury Nursing Quality Index; Establishment; Orthopedics; Application
参考文献 References
[1] 李晓妮,常蕊,胡伟玲,董雯,赵茜,贺惠琼. 骨科护理中压力性损伤护理质量指标的构建与应用价值分析[J]. 山西医药杂志,2020,49(04):375-377.
[2] 龙淼,吴晓琴,章青荣,向英. 骨折患者压力性损伤护理质量指标的构建及应用[J]. 齐鲁护理杂志,2020,26(18):106-108.
[3] 何佳丽,刘洁珍,张积慧,刘燕雄,黄燕梅. 网络数据平台在院内压力性损伤护理质量指标管理中的应用[J]. 临床医学工程,2019,26(04):537-539.
[4] 王永华,李东文,李亚,孟艳秋,崔琳. 专业护理学组实施压力性损伤专项质量管理的方法及效果评价[J]. 西南军医,2019,21(04):370-373.
[5] 周颖萍, 郭海玲, 崔欣,等. 老年压力性损伤患者延续性护理模式的研究进展[J]. 中国医药指南, 2019, 17(26):2.
[6] 陈瑜, 严乾淑, 陈燕梅. 规范化压力性损伤管理在伤口护理小组的实践与评价[J]. 家有孕宝 202 (2) 8: 172-173.
[7] 郝小丹. 老年患者压力性损伤观察与护理进展[J]. 西南军医, 2019, 21(1):3.
[8] 李晓妮, 常蕊, 胡伟玲,等. 骨科护理中压力性损伤护理质量指标的构建与应用价值分析[J]. 山西医药杂志, 2020.
[9] 陈沅, 钱蒨健, 钱黎明,等. 手术室压力性损伤护理质量评价指标体系的构建[J]. 中华现代护理杂志, 2020, 26(1):5.
[10] 夏惠珍(Huei-Jhen Sia), 李佩璇(Pei-Hsuan Lee), 罗佩芬(Pei-Fen Lo),等. 降低手术压力性损伤发生率[J]. 荣总护理, 2019, 36(4):399-407.