目的 分析住院患者压疮及难免性压疮的全程监控管理中存在的问题并提出研究对策.方法 根据制定的压疮全程管理流程,检查并分析院外带入压疮300例及难免性压疮280例在压疮报告表、难免性压疮危险度评分表及护理记录单等三方面存在的问题.结果 压疮报告表、难免性压疮危险度评分表、护理记录单分别存在11、9、9项问题.在压疮报告表上占首位的是患者首次住院或离科时未及时上报占32.00%;在难免性压疮危险度评分表上占首位的是患者离科时未及时上报占23.57%;在护理记录单上占首位的是未记录是否告知患者或家属压疮的风险并落实签字占27.24%.结论 加强沟通告知、业务培训、责任心教育,加强法律意识及质量监控,压疮全程监控管理才能真正做到流程化、标准化.%Objective To study the problems in full monitoring and management of hospitalized patients with pressure ulcers and inevitable pressure ulcers and put forward solving strategy. Methods According to the pressure ulcers full management procedure, 300 cases of pressure ulcers occurred before admission and 280 cases of inevitable pressure ulcers were examined and the pressure sore reports', inevitable risk of pressure ulcer grading tables and nursing records were examined and analyzed. Results Pressure sore reports, inevitable risk of pressure ulcer grading tables and nursing records respectively had 11,9and 9 problems. The leading problem of pressure ulcer report was not timely reporting when patients were first hospitalized and leaved the department, accounting for 32. 00%. The leading problem of inevitable risk of pressure ulcer grading table was not timely reporting when patients leaved the department,accounting for 23. 57% . The leading problem of nursing reports was not recording whether the patients or family members were informed the risk of pressure ulcer and signed a signature, accounting for 27. 24%. Conclusion Better communication, professional training, responsibility education, legal awareness and quality monitoring are necessary in order to process and standardize the pressure ulcers full monitoring and management.
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