摘要
目的:调查住院患者压疮(pressure ulcers,PrUs)现患率,比较三级医院与二级医院的PrUs现患率区别,推进PrUs护理及医院管理。方法:以美国护士协会护理质量指征委员会的"Pressure Ulcer Prevalence Survey"量表为基础,设计问卷对重庆市5所医院进行PrUs现患率调查。结果:本次共调查129 243名住院患者,PrUs总现患率为0.18%,其中三级医院PrUs现患率为0.19%,二级医院PrUs现患率为0.16%;二、三级医院不同病区PrUs现患率比较,二级医院、重症监护室(intensive care unit,ICU)病区高于三级医院(P<0.05);同级医院不同病区的PrUs现患率对比发现,ICU最高(P<0.01)。二、三级医院PrUs严重程度比较,三级医院中重度PrUs现患率高于二级医院(P<0.01)。结论:本次调查结果 PrUs的现患率低于国外水平,建议各级医院改变观念,正确认识PrUs现患率的意义,建立完善的PrUs管理制度及上报流程,三级医院在加强PrUs预防的同时需提高中重度PrUs的治疗护理水平。
Objective：To calculate the prevalence of pressure ulcer（PrUs）among hospitalized patients,to compare the differences in prevalence between the tertiary hospitals and the secondary hospitals and to contribute to the clinical nursing and the nursing management.Methods：Modified Pressure Ulcer Prevalence Survey form designed by the American Nurses Association Committee was used and self designed questionnaire was applied to investigate prevalence of pressure ulcer among five hospitals in Chongqing.Results：A total of 129 243 hospitalized patients were investigated and total prevalence was 0.18% and 0.19% in the tertiary hospitals and 0.16% in the secondary hospitals.Prevalence of pressure ulcers was higher in intensive care unit（ICU）of the secondary hospitals than in ICU of the tertiary hospitals（P〈0.05）.Prevalence of pressure ulcers was the highest in ICU than in the other wards（P〈0.01）.Severity of pressure ulcers was more serious in the tertiary hospitals than in the secondary hospitals（P〈0.01）.Conclusions：Prevalence of pressure ulcers is lower in China than in foreign countries.Concepts of hospitals at all levels should be changed to correctly understand the meanings of prevalence of pressure ulcers.Reporting management system should be improved.Nursing care in the treatment of severe pressure ulcers in the tertiary hospitals should be enhanced at the same time of strengthening the prevention of pressure ulcers.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2013年第7期694-696,共3页
Journal of Chongqing Medical University
基金
国家临床重点专科护理建设经费资助项目(编号:财社[2010]305号)
关键词
压疮
现患率
护理管理
pressure ulcer
prevalence
nursing management
