中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
22期
160-162
,共3页
预防护理%持续质量改进%骨科大手术%急性压疮
預防護理%持續質量改進%骨科大手術%急性壓瘡
예방호리%지속질량개진%골과대수술%급성압창
Preventive care%Continuous quality improvement%Major orthopedic surgery%Acute pressure ulcers
目的：探讨持续质量改进(CQI)护理措施预防骨科大手术中形成急性压疮(PU)的效果。方法整群收集2012年1月-2014年1月该院骨科接受大手术治疗的患者244例，根据入院先后顺序分为A组与B组，各122例。 A组行传统护理措施，B组行CQI预防护理措施，比较两组的护理效果。结果B组术前压疮评估率、护理人员术中压疮知识知晓率、手术体位安置正确率以及手术医生对体位安置的满意率依次为97.54%、95.08%、93.44%、90.16%，均显著高于A组的63.93%、80.33%、77.05%、65.57%(P<0.05)；B组的压疮发生率为1.64%，显著低于A组的10.66%(P<0.05)。结论在骨科大手术中实施CQI预防护理有利于提高护理质量与PU预防效果，降低急性PU发生率，值得推广应用。
目的：探討持續質量改進(CQI)護理措施預防骨科大手術中形成急性壓瘡(PU)的效果。方法整群收集2012年1月-2014年1月該院骨科接受大手術治療的患者244例，根據入院先後順序分為A組與B組，各122例。 A組行傳統護理措施，B組行CQI預防護理措施，比較兩組的護理效果。結果B組術前壓瘡評估率、護理人員術中壓瘡知識知曉率、手術體位安置正確率以及手術醫生對體位安置的滿意率依次為97.54%、95.08%、93.44%、90.16%，均顯著高于A組的63.93%、80.33%、77.05%、65.57%(P<0.05)；B組的壓瘡髮生率為1.64%，顯著低于A組的10.66%(P<0.05)。結論在骨科大手術中實施CQI預防護理有利于提高護理質量與PU預防效果，降低急性PU髮生率，值得推廣應用。
목적：탐토지속질량개진(CQI)호리조시예방골과대수술중형성급성압창(PU)적효과。방법정군수집2012년1월-2014년1월해원골과접수대수술치료적환자244례，근거입원선후순서분위A조여B조，각122례。 A조행전통호리조시，B조행CQI예방호리조시，비교량조적호리효과。결과B조술전압창평고솔、호리인원술중압창지식지효솔、수술체위안치정학솔이급수술의생대체위안치적만의솔의차위97.54%、95.08%、93.44%、90.16%，균현저고우A조적63.93%、80.33%、77.05%、65.57%(P<0.05)；B조적압창발생솔위1.64%，현저저우A조적10.66%(P<0.05)。결론재골과대수술중실시CQI예방호리유리우제고호리질량여PU예방효과，강저급성PU발생솔，치득추엄응용。
Objective To investigate the effect of continuous quality improvement (CQI) on the prevention of acute pressure ulcer (PU) in major orthopedic surgery. Methods 244 cases underwent major orthopedic surgery in our hospital between January 2012 and January 2014 were selected and divided into group A and group B in accordance with the order of admission, with 122 cases in each. Group A received traditional care measures, group B received CQI preventive care measures. And the nursing effect of the two groups was compared. Results The preoperative PU assessment rate, PU knowledge awareness rate of nurses, correct place-ment rate of surgical position, rate of satisfaction with position placement in surgeons in group B was 97.54%, 95.08%, 93.44%, 90.16%, respectively, significantly higher than 63.93%, 80.33%, 77.05%, 65.57%, respectively in group A (P<0.05);the incidence of pressure ulcer in group B was 1.64%, significantly lower than 10.66% in group A (P<0.05). Conclusion CQI preventive care carried out in orthopedic surgery can improve the quality of care and PU prevention effect, reduce the incidence of acute PU, which should be applied widely.
