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一个旨在提高高危患者预防措施实施效果的品管圈流程。

A quality control circle process to improve implementation effect of prevention measures for high-risk patients.

机构信息

Department of Nursing Management, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.

Department of Nursing, School of Medicine, Southeast University, Nanjing, China.

出版信息

Int Wound J. 2017 Dec;14(6):1094-1099. doi: 10.1111/iwj.12764. Epub 2017 Jun 4.

Abstract

The aim of the study was to analyse the influence of prevention measures on pressure injuries for high-risk patients and to establish the most appropriate methods of implementation. Nurses assessed patients using a checklist and factors influencing the prevention of a pressure injury determined by brain storming. A specific series of measures was drawn up and an estimate of risk of pressure injury determined using the Braden Scale, analysis of nursing documents, implementation of prevention measures for pressure sores and awareness of the system both before and after carrying out a quality control circle (QCC) process. The overall scores of implementation of prevention measures ranged from 74.86 ± 14.24 to 87.06 ± 17.04, a result that was statistically significant (P < 0.0025). The Braden Scale scores ranged from 8.53 ± 3.21 to 13.48 ± 3.57. The nursing document scores ranged from 7.67 ± 3.98 to 10.12 ± 1.63; prevention measure scores ranged from 11.48 ± 4.18 to 13.96 ± 3.92. Differences in all of the above results are statistically significant (P < 0.05). Implementation of a QCC can standardise and improve the prevention measures for patients who are vulnerable to pressure sores and is of practical importance to their prevention and control.

摘要

本研究旨在分析预防措施对高危患者压疮的影响,并确定最合适的实施方法。护士使用检查表评估患者,并通过头脑风暴确定影响压疮预防的因素。制定了一系列具体措施,并使用布雷登量表评估压疮风险,分析护理文件,实施压疮预防措施,并在实施品管圈(QCC)前后对该系统的认知进行评估。预防措施实施的总得分从 74.86±14.24 分提高到 87.06±17.04 分,差异具有统计学意义(P<0.0025)。布雷登量表得分从 8.53±3.21 分提高到 13.48±3.57 分。护理文件得分从 7.67±3.98 分提高到 10.12±1.63 分;预防措施得分从 11.48±4.18 分提高到 13.96±3.92 分。所有上述结果的差异均具有统计学意义(P<0.05)。实施 QCC 可以使高危压疮患者的预防措施标准化和改进,对预防和控制压疮具有实际意义。

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