CAJ | 학술논문

目的：探讨持续质量改进管理方法在压疮管理中的应用效果。方法通过对南京医科大学附属苏州医院压疮预防执行现状进行调查、分析，找出院内获得性压疮发生率较高的关键原因，采取相应的整改措施，优化护理流程，并与改进前进行比较。结果改进后压疮风险评估率由82．6％提高到98．0％。压疮高风险患者院内获得性压疮发生率由21．93％下降至14．58％，差异有统计学意义（χ2＝5．44，P＜0．05﹚。结论基于问题现状，找出关键因素，优化护理工作流程，可以提高压疮管理的效能。
목적：탐토지속질량개진관리방법재압창관리중적응용효과。방법통과대남경의과대학부속소주의원압창예방집행현상진행조사、분석，조출원내획득성압창발생솔교고적관건원인，채취상응적정개조시，우화호리류정，병여개진전진행비교。결과개진후압창풍험평고솔유82．6％제고도98．0％。압창고풍험환자원내획득성압창발생솔유21．93％하강지14．58％，차이유통계학의의（χ2＝5．44，P＜0．05﹚。결론기우문제현상，조출관건인소，우화호리공작류정，가이제고압창관리적효능。
Objective To investigate the application and effects of the continuous improvement measures on pressure ulcer management .Methods Many methods were used such as collecting and analyzing the data of pressure ulcer status , conducting and applying corresponding improvement measures , optimizing nursing process , and analyzing the effect .Results With the continuous improvement measures , the assessment of hospital-acquired pressure ulcer was increased from 82.6% to 98.0%.The incidence of hospital-acquired pressure ulcer was decreased from 21.93% to 14.58%, and the difference was statistically significant (χ2 =5.44,P<0.05).Conclusions Studying the important factors of pressure ulcer problem , and optimizing nursing process could improve the incidence of hospital-acquired pressure ulcer .