三维管理模式在压力性损伤护理质量管理中的应用.doc

三维管理模式在压力性损伤护理质量管理中的应用

Applicationeffectofthree-dimensionalmanagementmodelonthepressureinjurynursingqualitymanagement

【摘要】目的探讨三维管理模式在压力性损伤护理质量管理的应用效果。方法在医院信息化建设的基础上，构建一种集预防、治疗、延续护理于一体的三维管理模式。以2019年2月-10月本院收治的264例患者为研究对象。随机分为两组：132例对照组，采取常规护理管理方案，132例为观察组，采取三维管理模式，比较两组，braden评估正确率、预防护理措施落实率和出院后延续性护理居家照护到位率，压疮发生率，患者满意度。结果观察组护理质量管理中的braden评估正确率为96.21%，高于对照组71.96%，预防护理措施落实率为95.45%，高于对照组65.15%，出院后延续护理居家照护到位率为89.39%，高于对照组45.45%，差异均有统计学意义（P0.05），实验组压疮发生率明显下降，患者更加倾向于适应三维质量管理模式的护理。结论三维管理模式应用使压力性损伤管理更加高效、实用、科学，有利于提升临床护理工作效率和护理质量管理水平。

【关键词】三维管理模式；压力性损伤；护理质量管理

【Abstract】Objective：Toexploretheapplicationeffectofthree-dimensionalmanagementmodelinthemanagementofstressinjurynursingquality.Methods：Onthebasisofhospitalinformationconstruction,constructathree-dimensionalmanagementmodelthatintegratesprevention,treatmentandcontinuouscare.Atotalof264patientsadmittedtoourhospitalfromFebruarytoApril2019andAugusttoOctober2019wereselectedastheresearchsubjects.Randomlydividedintotwogroups:132casesofcontrolgroup,adoptingroutinenursingmanagementplan,132casesofobservationgroup,adoptingthree-dimensionalmanagementmodel,comparingthetwogroups,bradenassessmentaccuracyrate,preventivecaremeasuresimplementationrateandcontinuousnursinghomecareafterdischargePlacementrate,incidenceofpressureulcers,patientsatisfaction.Results：Thecorrectrateofbradenassessmentinnursingqualitymanagementintheobservationgroupwas96.21%,higherthanthatinthecontrolgroup,71.96%,theimplementationrateofpreventivecaremeasureswas95.45%,higherthanthatinthecontrolgroup,65.15%.,45.45%higherthanthecontrolgroup,thedifferencewasstatisticallysignificant(P0.05),theincidenceofpressureulcersintheexperimentalgroupdecreasedsignificantly,andpatientsweremoreinclinedtoadapttothethree-dimensionalqualitymanagementmodelofnursing.Conclusion：Theap