摘要
目的通过横断面调查研究住院患者压疮现患率及医院获得性压疮发生率,提出压疮预防管理的方法。方法采用国际标准化的资料收集工具和压疮现患率调查工具,对住院患者进行调查,针对调查结果分析原因并拟定对策进行压疮管理。结果 2015年压疮现患率2.02%、1.88%、医院获得性压疮发生率0.74%、0.66%、未上报率均值18.71%,2016年现患率1.68%、1.47%、医院获得性压疮发生率0.59%、0.54%、未上报率均值12.36%,四次调查压疮发生情况均呈下降趋势(x^2=7.874,p=0.0478)。ICU、EICU、老年科、神经外科四个科室的压疮现患率占前四位(7.89%~15.38%),压疮分期以Ⅱ期压疮最多见,占43.33%~66.67%,发生部位以尾骶部最常见,占44.12%~53.33%。结论完善压疮管理制度,制定压疮预防作业标准和上报流程,能够有效提高压疮的管理效果。
Objective To investigate the prevalence and incidence rate of pressure sore among hospitalized patients using a cross-sectional investigation, and put forward management methods to prevent pressure sore. Methods We used an international standardized data collecting tool and pressure sore prevalence investigation scale in this research to investigate inpatients. We then analyzed potential reasons and put forward management measures according to the results of the present investigation. Results The prevalence rates of pressure sore in 2015 were 2.02% and 1.88%. The incidence rates of hospitalacquired pressure sore were 0.74% and 0.66%. The average rate of the unreported events was 18.71%. The prevalence rates in 2016 were 1.68% and 1.47%. The incidence rates of hospital-acquired pressure sore were 0.59% and 0.54%. The average rate of the unreported events was 12.36%. Among four investigations, the incidence rate of pressure sores was decreased（x^2=7.874, p=0.0478）. The prevalence of pressure sore was higher in ICU, EICU, geriatric and neurosurgical departments, accounting for the top four（7.89% ~ 15.38%）. Stage two pressure sore was the most common pressure sore, accounting for 43.33% ~ 66.67%. The most common occurrence site was the caudal part, accounting for 44.12% ~ 53.33%. Conclusion By perfecting the management system of pressure sore, making prevention standard and reporting procedure of pressure sore, we can effectively improve the management effectiveness of pressure sore.
作者
王锡唯
徐军
王春英
WANG Xi-wei;XU Jun;WANG Chun-ying(Ningbo No.2 Hospita)
出处
《医院管理论坛》
2018年第8期36-39,共4页
Hospital Management Forum
基金
宁波市科技局惠民项目
编号:2017C50056
宁波市医学科技计划项目
编号:2016A47
关键词
压疮
现患率
管理
Pressure sore
Prevalence rate
Management
