CAJ | 학술논문

目的：探讨全程信息化管理体系在压疮高危患者护理中的应用，评价其对压疮高危风险预防管理效果的影响。方法设立压疮管理核心组对全院压疮高危患者的护理实行专科技术指导；构建信息化管理模块，完善压疮高危风险报告表，增设压疮高危风险统计分析表，并实行智能化记录和自动统计；完善并实施压疮高危患者的护理管理流程，加强护理管理者对压疮预防措施落实情况的督查，压疮高危患者从上报到转归的全过程均通过信息系统进行动态实时管理。结果全程信息化管理体系实施后，全院压疮高危患者的压疮发生率为18．98％，较实施前的32．64％显著降低，差异有统计学意义（χ2＝10．032，P＜0．01）；压疮高危患者上报资料正确率为98．15％，与实施前的91．71％相比显著提高，差异有统计学意义（χ2＝9．084，P＜0．01）；护理部进行季度压疮高危风险统计所需时间由6 h 降至20 min。结论应用全程信息化管理体系，可降低压疮高危患者的压疮发生率，提高压疮高危风险上报资料的正确率，提高压疮高危风险统计分析的工作效率，有助于完善压疮预防和控制工作。
목적：탐토전정신식화관리체계재압창고위환자호리중적응용，평개기대압창고위풍험예방관리효과적영향。방법설립압창관리핵심조대전원압창고위환자적호리실행전과기술지도；구건신식화관리모괴，완선압창고위풍험보고표，증설압창고위풍험통계분석표，병실행지능화기록화자동통계；완선병실시압창고위환자적호리관리류정，가강호리관리자대압창예방조시락실정황적독사，압창고위환자종상보도전귀적전과정균통과신식계통진행동태실시관리。결과전정신식화관리체계실시후，전원압창고위환자적압창발생솔위18．98％，교실시전적32．64％현저강저，차이유통계학의의（χ2＝10．032，P＜0．01）；압창고위환자상보자료정학솔위98．15％，여실시전적91．71％상비현저제고，차이유통계학의의（χ2＝9．084，P＜0．01）；호리부진행계도압창고위풍험통계소수시간유6 h 강지20 min。결론응용전정신식화관리체계，가강저압창고위환자적압창발생솔，제고압창고위풍험상보자료적정학솔，제고압창고위풍험통계분석적공작효솔，유조우완선압창예방화공제공작。
Objective To explore the application of entire information management system in nursing of patients with high-risk pressure ulcers and to evaluate its influence on the high risk of pressure ulcers prevention management.Methods Established core group of pressure ulcers management to provide professional guidance to high-risk pressure ulcers patients nursing in whole hospital, structured information management module, improved high-risk pressure ulcers report, added statistical form for it, implemented intelligent record as well as automatic statistics, improved and implemented nursing management work flow for high risk pressure ulcers patients, strengthen supervise to the practical to pressure ulcers prevention, and dynamically managed the whole process from reporting to lapsing of high risk patients by information system.Results After the implementation of entire information management system, pressure ulcers incidence of high risk patients in hospital was significantly decreased compared with that of before(18.98%vs 32.64%;χ2 =10.032,P<0.01).The report accuracy of pressure ulcers was improved than that before (98.15% vs 91.71%;χ2 =9.084,P<0.01).The time for nursing administration department making statistics for pressure ulcers case quarterly was decreased from 6 hours to 20 minutes.Conclusions Adopting the entire information management system of pressure ulcers can decrease the pressure ulcers morbidity of high risk patients, increase the accuracy of report for high-risk pressure ulcer, improve work efficiency of statistical analysis to high-risk pressure ulcers, and improve the work for prevention and control of pressure ulcers.