Operating Theatre, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.
J Healthc Eng. 2022 Jan 10;2022:1463826. doi: 10.1155/2022/1463826. eCollection 2022.
A pressure injury is a common and painful health condition, particularly among people who are elderly or surgical patients. In order to explore how to use the information management system to optimize the pressure injury management process of surgical patients, this work establishes an integrated pressure injury management information platform for surgical patients, which can effectively control the key links in the process and realize the multistep full-process monitoring of surgical patients from admission to discharge. A total of 578 patients before the operation of the information platform were selected as the control group (CG), and after the operation of the information platform, 662 cases became the observation group (OG). Various evaluation metrics are employed to evaluate pressure injury in terms of single-pass rate, high-risk pressure injury, transfer skin condition description matching rate, hospital pressure injury incidence, and incidence of pressure injury in surgical patients at various stages. The results showed that the qualified rate of the pressure injury assessment in the OG was 99.2%, the accuracy rate of high-risk pressure injury screening and reporting was 100.0%, and the matching rate of the transfer skin description was 100.0%, which was higher than that of the CG. The integrated pressure injury management information platform for surgical patients based on the information management system realizes the full, continuous, accurate, and dynamic evaluation and monitoring of patients' skin. Furthermore, it can effectively improve the quality of pressure injury care and facilitate care management.
压力性损伤是一种常见且痛苦的健康状况，尤其是在老年人或手术患者中更为常见。为了探讨如何利用信息管理系统优化手术患者的压力性损伤管理流程，本研究建立了一个综合的手术患者压力性损伤管理信息平台，该平台可以有效控制过程中的关键环节，实现手术患者从入院到出院的多步骤全过程监测。在信息平台运行前，选择 578 例手术患者作为对照组（CG），在信息平台运行后，有 662 例患者成为观察组（OG）。采用单遍合格率、高危压力性损伤、转科皮肤状况描述匹配率、医院压力性损伤发生率、各阶段手术患者压力性损伤发生率等评估指标，从单遍合格率、高危压力性损伤筛查及上报准确率、转科皮肤描述匹配率等方面对压力性损伤进行评价。结果显示，OG 的压力性损伤评估合格率为 99.2%，高危压力性损伤筛查和报告准确率为 100.0%，转科皮肤描述匹配率为 100.0%，均高于 CG。基于信息管理系统的手术患者综合压力性损伤管理信息平台实现了对患者皮肤的全面、连续、准确、动态评估和监测，可有效提高压力性损伤护理质量，方便护理管理。
