中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2015年
2期
206-208,209
,共4页
翟小洁%康宙清%黄淑新%白佳宁
翟小潔%康宙清%黃淑新%白佳寧
적소길%강주청%황숙신%백가저
老年患者%医院获得性压疮%预防%全面流程管理
老年患者%醫院穫得性壓瘡%預防%全麵流程管理
노년환자%의원획득성압창%예방%전면류정관리
elderly patient%hospital-acquired pressure ulcers%prevention%total process management
目的：探讨全面流程管理在老年住院患者医院获得性压疮（HAPU)预防中的应用效果。方法：通过成立流程管理小组，采用优化、再造流程方法循证制订压疮管理规范，把握运行中的关键环节和问题，实施全面流程管理。比较实施全面流程管理前后老年住院患者HAPU的预防效果。结果：经过1年的临床实践，老年住院患者HAPU的发生率由0.28%下降为0.16%，符合难免发生压疮申报条件的老年住院患者难免HAPU发生率由8.4%下降为6.2%，差异具有统计学意义（P<0.01）。结论：实施全面流程管理使压疮预防及管理工作流程化、标准化、科学化，有效降低了老年患者HAPU的发生率，提升了老年专科压疮防治护理工作质量。
目的：探討全麵流程管理在老年住院患者醫院穫得性壓瘡（HAPU)預防中的應用效果。方法：通過成立流程管理小組，採用優化、再造流程方法循證製訂壓瘡管理規範，把握運行中的關鍵環節和問題，實施全麵流程管理。比較實施全麵流程管理前後老年住院患者HAPU的預防效果。結果：經過1年的臨床實踐，老年住院患者HAPU的髮生率由0.28%下降為0.16%，符閤難免髮生壓瘡申報條件的老年住院患者難免HAPU髮生率由8.4%下降為6.2%，差異具有統計學意義（P<0.01）。結論：實施全麵流程管理使壓瘡預防及管理工作流程化、標準化、科學化，有效降低瞭老年患者HAPU的髮生率，提升瞭老年專科壓瘡防治護理工作質量。
목적：탐토전면류정관리재노년주원환자의원획득성압창（HAPU)예방중적응용효과。방법：통과성립류정관리소조，채용우화、재조류정방법순증제정압창관리규범，파악운행중적관건배절화문제，실시전면류정관리。비교실시전면류정관리전후노년주원환자HAPU적예방효과。결과：경과1년적림상실천，노년주원환자HAPU적발생솔유0.28%하강위0.16%，부합난면발생압창신보조건적노년주원환자난면HAPU발생솔유8.4%하강위6.2%，차이구유통계학의의（P<0.01）。결론：실시전면류정관리사압창예방급관리공작류정화、표준화、과학화，유효강저료노년환자HAPU적발생솔，제승료노년전과압창방치호리공작질량。
Objective:To explore the application effects of total process management in prevention of hospital-acquired pressure ulcers (HAPU) in elderly patients. Methods:The total process management was performed by setting up the process managing group, formulating the management standards of pressure ulcer by standardizing, optimizing and reengineering process, and grasping some key points and problems in the operating process. The prevention effects of HAPU in elderly patients were compared before and after the implementation of total process management. Results:After one year's clinical practice, the incidence rate of HAPU in elderly patients was reduced form 0.28%to 0.16%;the incidence rate of inevitable HAPU was reduced from 8.4%to 6.2%, the differences were signiifcant (P<0.01). Conclusion:The implement of total process management make a procedural, standard and scientiifc management for pressure ulcer, decrease the incidence rate of HAPU in elderly patients, and improve the nursing quality of pressure ulcers prevention in elderly patients.
