摘要
目的探讨目标管理在预防手术患者术中及术后压疮感染的影响。方法选取2016年1-12月于医院进行手术治疗的468例患者为试验组。选取2015年1-12月于医院进行手术治疗的404例患者为对照组。对照组患者实施常规压疮预防方法;试验组实施目标管理压疮预防方法。记录两组压疮发生率、压疮部位和压疮分期。记录两组护患纠纷率、护理投诉率和家属满意率。记录两组压疮感染患者感染情况,采集压疮感染患者标本进行病原菌鉴定。结果试验组患者术中压疮发生率为2.56%(12/468)低于对照组9.41%(38/404)(P=0.029);两组压疮分期差异有统计学意义(P=0.035)。试验组家属满意率为97.22%(455/468)高于对照组71.53%(289/404)(P<0.001),护患纠纷率为1.71%(8/468)、护理投诉率为2.14%(10/468)低于对照组5.45%(22/404)、6.44%(26/404)(P<0.05)。50例压疮患者共14例发生感染。共检出20株病原菌,其中革兰阳性菌12株占60.00%,以金黄色葡萄球菌为主;革兰阴性菌8株占40.00%,以铜绿假单胞菌为主。结论目标管理有助于降低手术患者术中压疮的发生率,降低手术患者护患纠纷率、护理投诉率,提高家属满意率,是切实可行的术中压疮预防管理办法。
OBJECTIVE To evaluate the effect of management by objectives in the prevention of intraoperative and postoperative pressure ulcer infection in patients undergoing surgery.METHODS A total of 468 patients who underwent surgical treatment from Jan.2016 to Dec.2016 were selected as experimental group,and 404 patients who underwent surgical treatment from Jan.2015 to Dec.2015 were selected as the control group.The control group of patients were received conventional pressure ulcer prevention methods,and patients in observation group were implemented the management by objectives pressure ulcer prevention methods.The incidence of pressure ulcer,pressure ulcer site and pressure ulcer staging of the two groups were recorded.The dispute rate between nurses and patients,nursing complaint rate and family satisfaction rate of the two groups were recorded.The infection rates of the two groups of patients infected with pressure sores were recorded,and samples of patients with pressure ulcer infection were collected for pathogen identification.RESULTS The incidence of pressure ulcer in the experimental group was 2.56%（12/468）,which was significantly lower than 9.41%（38/404）in the control group（P=0.029）,and there was a significant difference between the two groups in the pressure ulcer stage（P=0.035）.The family satisfaction rate of the experimental group was 97.22%（455/468）,which was significantly higher than 71.53%（289/404）of the control group（P〈0.001）,the dispute rate between nurses and patients was 1.71%（8/468）,and the nursing complaint rate was 2.14%（10/468）in the experimental group,which were significantly lower than 5.45%（22/404）and 6.44%（26/404）in the control group（P〈0.05）.Of the 50 patients with pressure ulcer,14 had infection.A total of 20 strains of pathogenic bacteria were detected,of which 12 strains of gram-positive bacteria accounted for 60.00%,mainly Pseudomonas aeruginosa,and 8 strains of gramnegative bacteria accounted for 40.00%,mainly Staphylococcus aureus.CONCLUSION Management by objectives can help to reduce the incidence of intraoperative pressure ulcer,reduce the dispute rate between nurses and patientsand the rate of nursing complaints,and improve the satisfaction rate of family members,which is a feasible method for prevention and management of intraoperative pressure ulcer.
作者
李俊霞
王玉华
王兰平
卜琼
郭浩
LI Jun-xia;WANG Yu-hua;WANG Lan-ping;BU Qiong;GUO Hao(Affiliated Hospital of Tai＇an Medical College, Taian , Shangdong 271000, China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第12期1904-1907,共4页
Chinese Journal of Nosocomiology
基金
山东省自然科学基金资助项目(ZR2012HQ014)
关键词
目标管理
手术
压疮
感染
Management by objectives
Surgery
Pressure ulcer
Infection
