摘要
目的探讨流程管理在社区居家卧床患者压疮防治中的应用效果。方法选取2012年6月至2013年11月于社区卫生服务中心换药患者中符合压疮诊断标准的115例,对照组采用传统压疮管理模式,观察组实施压疮流程管理,包括首次评估、伤口床处理、照护者监控、责任护士监控和伤口治疗师监控。比较两组伤口疗效、伤口愈合时间和照护者压疮知识得分。结果观察组压疮治愈时间显著短于对照组(P<0.01),照护者压疮护理知识得分显著高于对照组(P<0.01)。结论流程管理应用于社区居家卧床患者压疮管理是一种安全、有效提高压疮治疗效果的管理方法。
Objective To explore process management for treatment of pressure ulcers in community-dwelling bed corfined patients.Methods Totally,115 cases who met the diagnostic criteria for pressure ulcers and received wound dressing changing service in a community center were subjected to traditional pressure ulcer management （the control group） or process control（the observation group） which included first time assessment,wound treatment,and supervision from care givers,charge nurses,and wound therapists.The treatment effect,wound healing time,and care givers＇ knowledge of pressure ulcers between the 2 groups were compared.Results The wound healing time in the observation group was shorter,and care givers＇ knowledge of pressure ulcers were higher,than in the control group（P＜0.01 for all）.Conclusion Process control is a safe and effective method to improve the management of pressure ulcer for community bed confined patients.
基金
上海市浦东新区卫生和计划生育委员会科技发展专项基金资助(PW2013C-8)
关键词
社区居家卧床患者
压疮
流程管理
三级监控
community bed confined patients
pressure ulcer
process control
three-level monitoring
