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目的:评价风险管理用于骨科术后患者压疮护理中的效果。方法:选取医院2014年8月~2016年8月的164例骨科术后患者,随机分为观察组和对照组,均为82例。对照组在压疮护理过程中采取骨科常规模式护理,观察组实施风险管理模式,比较两组患者的护理服务质量评分、患者恢复情况、压疮发生率及满意度。结果:观察组患者对理论知识、护理技能、护患沟通各方面护理服务质量评分,均显著高于对照组(P<0.01)。观察组患者下床活动时间和住院时间明显短于对照组(P<0.01)。观察组压疮发生率和满意度分别为2.44%、95.12%,显著优于对照组(P<0.05)。结论:风险管理模式用于骨科术后患者压疮护理中,能降低压疮发生率,为患者提供安全保障,提高患者满意度。
OBJECTIVE: To evaluate the effectiveness of risk management in the management of pressure ulcers in orthopedic patients. Methods: A total of 164 orthopedic patients from August 2014 to August 2016 in our hospital were randomly divided into observation group (n = 82) and control group (n = 82). In the control group, regular orthopedic nursing was adopted in the course of pressure ulcer care. The risk management mode was observed in the observation group. The quality of care service, patient recovery, pressure ulcer incidence and satisfaction were compared between the two groups. Results: The score of nursing service quality of the observation group was significantly higher than that of the control group (P <0.01) in theoretical knowledge, nursing skills and nurse-patient communication. The observation group had significantly shorter time to go to bed and hospital stay than the control group (P <0.01). The incidence and satisfaction of pressure ulcers in the observation group were 2.44% and 95.12%, respectively, which were significantly better than those in the control group (P <0.05). Conclusion: The risk management model can be used in pressure ulcer care in orthopedic patients, which can reduce the incidence of pressure ulcers, provide patients with safety and improve patient satisfaction.