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目的:探讨三级质量控制体系在压疮预防中的应用效果。方法:将浙江省绍兴市立医院2015年收治的362例卧床高危患者设置为观察组,实施预防压疮三级质量控制体系管理,由护理部、医院压疮管理小组及基础护理小组构成。将2014年行常规压疮护理干预的263例卧床高危症患者作为对照组,比较实施前后护士人员专项技能达标率、压疮理论知识优秀率及两组预防压疮效果。结果:实施后护士人员专项技能达标率、压疮理论知识优秀率均较实施前显著提高(P<0.05);观察组高危压疮上报率和高危压疮发生率与对照组比较存在显著差异(P<0.05)。结论:三级质量控制体系在医院卧床高危患者中的应用,不仅可以显著提高护理人员的护理质量,还可以减少患者压疮发生率,改善患者生活质量和预后。
Objective: To investigate the application of three-level quality control system in the prevention of pressure ulcer. Methods: A total of 362 high-risk patients admitted to Shaoxing Municipal Hospital in Zhejiang Province were enrolled in the observation group. The three-level quality control system for the prevention of pressure ulcers was administered. The department consisted of the Nursing Department, the Hospital Pressure Ulcer Management Group and the Basic Nursing Group. A total of 263 high-risk bedridden patients with routine pressure ulcer care interventions were enrolled in the study. The compliance rates of nurses’ special skills, the excellent rate of pressure ulcer knowledge and the prevention of pressure ulcer were compared before and after the implementation. Results: After the implementation of the nurses’ special skills compliance rate, the knowledgeable rate of pressure sore theory was significantly higher than that before the implementation (P <0.05). The incidence of high-risk pressure ulcers and the incidence of high-risk pressure ulcers in the observation group were significantly different from those in the control group P <0.05). Conclusion: The application of three-level quality control system in high-risk patients in hospital beds can not only significantly improve nursing quality of nurses, but also reduce the incidence of pressure ulcers and improve the quality of life and prognosis of patients.