Operation of Pressure Ulcers Group and its Effect on Clinical Management of Pressure Ulcers_West China Medical Journal

Authors：

 LIYan-qin ¹ ,  ZHANGPing ² , ZHANGCai-yun ²

1. Wound Care Center, Lanzhou, Gansu 730000, P. R. China;
2. Department of Nursing the First Hospital of Lanzhou University, Lanzhou, Gansu 730000, P. R. China;

Corresponding author：

ZHANGPing, Email: zp2288@163.com

Keywords：

Pressure ulcers group; Pressure ulcer management; Effect

DOI：

10.7507/1002-0179.20140498

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the operation and effect of pressure ulcers group (PUG) on the procedure of clinical management of pressure ulcers. Methods The in-hospital patients with high-risk pressure ulcers and patients with pressure ulcers from outside of the hospital (n=145) before the founding of PUG in 2011 were regarded as group A, and patients in this group were treated by traditional therapies. After PUG was founded in our hospital in January 2012, 192 patients with high-risk pressure ulcers and from outside of the hospital in 2012 were considered as group B. In addition, group C contained 380 patients treated in 2013. Group B and C were both treated by PUG that developed a management system of pressure ulcers and took active measures to control and prevent pressure ulcers. PUG trained 30 clinical nurse supervisors, who were recommended from relevant clinical departments. The incidence of inevitable pressure ulcer of hospitalized patients, the cure rate of patients with pressure ulcers from outside of the hospital, pressure ulcer knowledge level of clinical nurse supervisors were comparatively analyzed between group A and B, and between group A and C, respectively. Results After the establishment of PUG, the incidence of inevitable pressure ulcer of hospitalized patients in group A, B, and C was 76.20%, 17.02%, and 14.61%, respectively. The cure rate of patients from outside of the hospital was 54.84%, 86.84%, and 87.97%, respectively. Differences between group A and B, and between group A and C both were significant (P<0.01). The pressure ulcer knowledge level of all nurse supervisors improved significantly (P<0.001). Conclusion The establishment of PUG makes the clinical pressure ulcer management more scientific and objective. Furthermore, it can effectively reduce the incidence of pressure ulcers, and also improve the quality of medical care and ensure the safety of patients.

Citation： LIYan-qin, ZHANGPing, ZHANGCai-yun. Operation of Pressure Ulcers Group and its Effect on Clinical Management of Pressure Ulcers. West China Medical Journal, 2014, 29(9): 1622-1625. doi: 10.7507/1002-0179.20140498 Copy

1.	王育林,陈光菊,陈斌.ICU病人压疮发生的相关因素及预防策略[J].家庭护士,2008,6(14):1237-1238.
2.	卫生部.医院管理评价指南(试行)[J].中国护理管理,2005,5(2):5-12.
3.	许国萍,王晓飞,徐莺.Braden量表在骨科患者压疮预防中的应用[J].中国实用护理杂志,2011,27(10):40-41.
4.	蒋琪霞.压疮预防护理中存在的问题分析及对策研究进展[J].中华现代护理杂志,2010,16(7):855-857.
5.	张莹莹,许勤,李华珠,等.护士的压疮知识及其培训效果的研究进展[J].护理学杂志,2009,24(18):92-94.
6.	蒋琪霞.压疮命名、定义和分期的更新对临床的指导意义[J].中华现代护理杂志,2010,16(9):1111-1113.
7.	关欣,王蕾,王紫馨.Braden量表预测压疮诊断界值及危险因素的研究[J].护理管理杂志,2014,14(3):212-214.
8.	Bergstrom N,Braden BJ,Laquzza A,et al.The braden scale for predicting pressure sore risk[J].Nurs Res,1987,36(4):205-210.
9.	蒋琪霞,耿广莉,蒋菁,等.伤口护理的方法及其效果观察[J].中华护理杂志,2000,35(3):6-9,16.
10.	王彩凤,巫向前.压疮形成机制研究进展[J].护理学杂志,2007,22(1):74-77.
11.	陆微,温嫔,谢晖,等.临床压疮护理预防及基础循证研究[J].国际护理学杂志,2006,25(4):247-249.
12.	蒋琪霞,刘云.成人压疮预测和预防实践指南[M].南京:东南大学出版社,2009:1-146.
13.	夔花.骨科压疮及压疮高危病人的护理管理[J].医药前沿,2011,1(24):257-258.
14.	蒋琪霞,Lepper S,郑美春,等.美国伤口造口失禁专科护理特色与启示[J].中华护理杂志,2012,47(9):853-855.
15.	成守珍,黄漫容,郭少云,等.培养与发展慢性伤口、造口等专科护士的探讨[J].中国护理管理,2007,7(9):13-15.
16.	张凤来.压疮预防及管理[J].中外医学研究,2010,8(8):142-143.

1. 王育林,陈光菊,陈斌.ICU病人压疮发生的相关因素及预防策略[J].家庭护士,2008,6(14):1237-1238.
2. 卫生部.医院管理评价指南(试行)[J].中国护理管理,2005,5(2):5-12.
3. 许国萍,王晓飞,徐莺.Braden量表在骨科患者压疮预防中的应用[J].中国实用护理杂志,2011,27(10):40-41.
4. 蒋琪霞.压疮预防护理中存在的问题分析及对策研究进展[J].中华现代护理杂志,2010,16(7):855-857.
5. 张莹莹,许勤,李华珠,等.护士的压疮知识及其培训效果的研究进展[J].护理学杂志,2009,24(18):92-94.
6. 蒋琪霞.压疮命名、定义和分期的更新对临床的指导意义[J].中华现代护理杂志,2010,16(9):1111-1113.
7. 关欣,王蕾,王紫馨.Braden量表预测压疮诊断界值及危险因素的研究[J].护理管理杂志,2014,14(3):212-214.
8. Bergstrom N,Braden BJ,Laquzza A,et al.The braden scale for predicting pressure sore risk[J].Nurs Res,1987,36(4):205-210.
9. 蒋琪霞,耿广莉,蒋菁,等.伤口护理的方法及其效果观察[J].中华护理杂志,2000,35(3):6-9,16.
10. 王彩凤,巫向前.压疮形成机制研究进展[J].护理学杂志,2007,22(1):74-77.
11. 陆微,温嫔,谢晖,等.临床压疮护理预防及基础循证研究[J].国际护理学杂志,2006,25(4):247-249.
12. 蒋琪霞,刘云.成人压疮预测和预防实践指南[M].南京:东南大学出版社,2009:1-146.
13. 夔花.骨科压疮及压疮高危病人的护理管理[J].医药前沿,2011,1(24):257-258.
14. 蒋琪霞,Lepper S,郑美春,等.美国伤口造口失禁专科护理特色与启示[J].中华护理杂志,2012,47(9):853-855.
15. 成守珍,黄漫容,郭少云,等.培养与发展慢性伤口、造口等专科护士的探讨[J].中国护理管理,2007,7(9):13-15.
16. 张凤来.压疮预防及管理[J].中外医学研究,2010,8(8):142-143.

Previous Article
Nursing of Non-healing Incision due to Allograft Rejection after Osteosarcoma Surgery
Next Article
Study on the Effects of Artificial Pricing System in Wound Care Clinic

West China Medical Journal

Operation of Pressure Ulcers Group and its Effect on Clinical Management of Pressure Ulcers

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content