循证护理在老科住院患者压疮护理管理与预防中的应用.docVIP

循证护理在老年科住院患者压疮护理管理与预防中的应用 高春红 吴金凤* 张英 （南京医科大学第一附属医院 老年医学科，江苏 南京 210029） 摘 要 目的 探索老年科住院患者压疮的有效管理和预防方法。方法 用循证护理方法，对2011年1月至2011年12月在我院老年科住院的患者进行压疮的风险评估，对有压疮风险的老年患者进行护理管理与预防，观察院内压疮的发生率。结果 老年科3836例住院患者中，发生院内压疮36例，老年住院患者院内压疮发生率为0.94％。结论 通过循证护理理论指导临床护理实践，选用Braden评估表，对老年科住院患者进行压疮风险评估，并实施科学的护理管理和预防措施，可以有效地预防老年住院患者压疮的发生，降低压疮发生率。 关键词 循证护理 老年人 压疮 Evidence-based Nursing Used in the Management and Prevention of Pressure Ulcer in Hospitalized Patients on the Department of Geriatrics GAO Chunhong, WU Jinfeng*, ZHANG Ying （Dept.of Geriatrics, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China） Abstract Objective To explore the effective management and prevention methods of pressure ulcer for the elderly inpatients in the department of geriatrics. Methods Approach with evidence-based nursing, to assess the risk of pressure ulcer, the implementation of care management and prevention of patients at risk of pressure ulcer in elderly patients hospitalized in the Department of Geriatrics at the hospital in January 2011 to December 2011, to observe the nosocomial pressure ulcer incidence. Results There are 36 cases of nosocomial pressure ulcer occurred in 3836 cases of elderly hospitalized patients. Nosocomial pressure ulcer incidence is 0.94% in hospitalized elderly patients. Conclusion The use of evidence-based nursing theory to _____________________________________________________________________ 基金项目：国家临床重点专科建设补助资金 财政部卫生部文件财社[2010]305号 作者简介：高春红（1978-），女，江苏淮安人，本科学历，主管护师，护士长。 通讯作者：吴金凤（1964-），女，江苏南京人, 本科学历，主任护师，科护士长。 guide clinical nursing practice, selected Braden assessment scale to assess the risk of pressure ulcer in hospitalized elderly patients, and the implementation of scientific care management and preventive measures, can effectively prevent the occurrence of pressure ulcer in hospitalized elderly patients and reduce pressure ulcer incidence. Key words: evidence-based nursing; elderly; pressure ulcer 压疮是由于局部组织长时间受压，血液循环障碍，