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：

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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

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7.	關欣,王蕾,王紫馨.Braden量表預測壓瘡診斷界值及危險因素的研究[J].護理管理雜志,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.	蔣琪霞,耿廣莉,蔣菁,等.傷口護理的方法及其效果觀察[J].中華護理雜志,2000,35(3):6-9,16.
10.	王彩鳳,巫向前.壓瘡形成機制研究進展[J].護理學雜志,2007,22(1):74-77.
11.	陸微,溫嬪,謝暉,等.臨床壓瘡護理預防及基礎循證研究[J].國際護理學雜志,2006,25(4):247-249.
12.	蔣琪霞,劉云.成人壓瘡預測和預防實踐指南[M].南京:東南大學出版社,2009:1-146.
13.	夔花.骨科壓瘡及壓瘡高危病人的護理管理[J].醫藥前沿,2011,1(24):257-258.
14.	蔣琪霞,Lepper S,鄭美春,等.美國傷口造口失禁專科護理特色與啟示[J].中華護理雜志,2012,47(9):853-855.
15.	成守珍,黃漫容,郭少云,等.培養與發展慢性傷口、造口等專科護士的探討[J].中國護理管理,2007,7(9):13-15.
16.	張鳳來.壓瘡預防及管理[J].中外醫學研究,2010,8(8):142-143.

1. 王育林,陳光菊,陳斌.ICU病人壓瘡發生的相關因素及預防策略[J].家庭護士,2008,6(14):1237-1238.
2. 衛生部.醫院管理評價指南(試行)[J].中國護理管理,2005,5(2):5-12.
3. 許國萍,王曉飛,徐鶯.Braden量表在骨科患者壓瘡預防中的應用[J].中國實用護理雜志,2011,27(10):40-41.
4. 蔣琪霞.壓瘡預防護理中存在的問題分析及對策研究進展[J].中華現代護理雜志,2010,16(7):855-857.
5. 張瑩瑩,許勤,李華珠,等.護士的壓瘡知識及其培訓效果的研究進展[J].護理學雜志,2009,24(18):92-94.
6. 蔣琪霞.壓瘡命名、定義和分期的更新對臨床的指導意義[J].中華現代護理雜志,2010,16(9):1111-1113.
7. 關欣,王蕾,王紫馨.Braden量表預測壓瘡診斷界值及危險因素的研究[J].護理管理雜志,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. 蔣琪霞,耿廣莉,蔣菁,等.傷口護理的方法及其效果觀察[J].中華護理雜志,2000,35(3):6-9,16.
10. 王彩鳳,巫向前.壓瘡形成機制研究進展[J].護理學雜志,2007,22(1):74-77.
11. 陸微,溫嬪,謝暉,等.臨床壓瘡護理預防及基礎循證研究[J].國際護理學雜志,2006,25(4):247-249.
12. 蔣琪霞,劉云.成人壓瘡預測和預防實踐指南[M].南京:東南大學出版社,2009:1-146.
13. 夔花.骨科壓瘡及壓瘡高危病人的護理管理[J].醫藥前沿,2011,1(24):257-258.
14. 蔣琪霞,Lepper S,鄭美春,等.美國傷口造口失禁專科護理特色與啟示[J].中華護理雜志,2012,47(9):853-855.
15. 成守珍,黃漫容,郭少云,等.培養與發展慢性傷口、造口等專科護士的探討[J].中國護理管理,2007,7(9):13-15.
16. 張鳳來.壓瘡預防及管理[J].中外醫學研究,2010,8(8):142-143.

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

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