摘要
目的监测分析我院压疮现患率和院内压疮发生率的基线资料和变化趋势，促进压疮护理质量改进，降低压疮发生率。方法采用JCI（I-NSC-2）和NDNQI中的压疮事件数据收集工具，每季度对住院患者压疮现患率和院内压疮发生率进行横断面调查。结果我院压疮现患率为1．36％～2．63％，院内压疮发生率0．45％～1．13％；监护室的压疮现患率为10．53％～29．41％，院内压疮发生率为5．00％～15．69％，为我院的压疮高发部门。结论监护室的压疮预防应作为医院护理质量改进的重点项目，要重视监护室的质量监控；定期开展医院压疮现患率和院内压疮发生率的调查，可获得压疮护理质量监控的基线数据和变化趋势，为今后评价和研究压疮护理质量提供依据。
Objective To monitor the prevalence of pressure ulcer （PU） and hospital-acquired pressure ulcer（HAPU）in a general hospital, to encourage continuous quality improvement of pressure ulcer care, and to reduce PU prevalence and ensure patient safe- ty. Methods The JCI （I-NSC-2） and the National Database of Nursing Quality Indicators （NDNQI） pressure ulcer indicator were used to gather prevalence data quarterly. Results The PU incidence was 1. 36 %- 2. 63%, and the HAPU incidence ranged from 0.45% to 1.13%. In intensive care units, the PU incidence was 10. 53% -- 29. 41%, and the HAPU incidence was 5.00%- 15.69 %. PU and HAPU prevalence in intensive care units was higher than the other departments. Conclusion Pressure ulcer prevention in intensive care unit should be high on the list of priorities for hospital nursing quality improvement. Regular survey on PU prevalence can help obtain baseline information and （analyze change pattern）, thus providing evidences for quality evaluation and further research.
关键词
JCI标准
压疮
现患率
院内压疮
数据收集
JCI standards
pressure ulcer
incidence
hospital-acquired pressure ulcers
data collection
作者简介
赵琦：女，本科，主管护师，造口治疗师通信作者：蒋红，hlbjiang：@126．com
