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        压疮护理管理硕士论文范文 压疮护理管理中存在的理由策略

        版权:原创标记本站原创 星级:★★★★4.0主题:压疮的护理措施范文 级别:免费论文范文 范畴:电大自考论文 论文范文编号:biyelunwendq0314924 期刊发表:国家级期刊 全文字数:2500字 投稿作者:avahgf 审稿编辑:闻名学术家 阅读次数:7045

        本文关于压疮护理管理论文范文,可以做为相关参考文献.

        压疮护理管理中存在的问题分析及对策【摘要】目的:分析压疮护理管理中存在的主要理由,总结相应的解决策略。策略:回顾性分析我院在2013年1月-2014年9月收治的140例压疮患者的临床资料,对比分析2013年1月-11月未采取改善护理方案和2013年12月-2014年9月实施护理改善措施后压疮愈合情况。结果:改善后,压疮患者治疗好转率(92.9%)明显高于改善前(71.4%),且改善后压疮发生率(2.9%)明显低于改善前(10%),差异对比均具有统计学作用(P<0.05)。结论:科学的护理管理制度,全面、有效的落实压疮防治措施,可有效降低压疮的发生率,提高压疮治疗效果。

        压疮的护理措施论文 压疮的护理措施

        人体力学在普外科患者压疮护理中的应用效果

        骨科脊柱俯卧位手术压疮原因护理

        危重患者皮肤压疮护理预防

        高压断路器的非全相?;?/a>

        【关键词】压疮护理管理;理由;策略

        1004-4949(2014)12-0509-02

        压疮主要是因为长时间以来局部组织受压,导致局部血液循环受到影响,局部组织缺乏营养造成软组织破损、坏死所致,是临床长期卧床患者常见的多发性并发症[1]。压疮不仅会增加患者的痛苦,也会延长疾病康复时间,增加患者及其家庭的经济负担,甚至严重的话可能会导致患者死亡。有效的预防措施及护理干预是降低压疮发生率,提高压疮治疗效果的关键[2]。为提高压疮护理质量,本文对我院收治的140例压疮患者在护理管理中存在的主要理由进行分析,并且提出了几点改善策略,具体进行如下报道。

        压疮护理管理中存在的理由策略毕业论文相关参考属性
        有关论文范文主题研究: 关于压疮护理管理论文范文文献 大学生适用: 2000字电大论文
        相关参考文献下载数量: 68 写作解决问题: 毕业论文怎么写
        毕业论文开题报告: 论文任务书、论文选题 职称论文适用: 论文发表、职称评中级
        所属大学生专业类别: 压疮的护理措施方向 论文题目推荐度: 免费压疮护理管理选题

        1.资料与策略

        1.1 一般资料

        回顾性分析我院在2013年1月-2014年9月收治的140例压疮患者的临床资料,主要包括骨科、外科、内科及ICU病房。在2013年1月-11月未采取改善护理方案的有70例,其中男40例,女30例;患者年龄平均(68.4±2.5)岁。2013年12月-2014年9月实施护理改善措施患者有70例,其中男39例,女31例?;颊吣炅淦骄?8.8±2.3)岁。改善前后患者在性别、年龄等方面资料并无明显差异,不具有统计学作用(P >0.05),具有可比性。

        1.2 策略

        1.2.1未进行护理改善前压疮护理管理理由

        压疮护理管理中存在的理由主要表现为以下几点:①尚未建立完善的压疮管理组织。目前,医院压疮护理管理中并没有明确科室监控人员、护士长及压疮护理管理小组的职责,导致很多护理人员没有认真落实压疮防治制度,如未跟踪监控患者的压疮情况、压疮会诊情况以及压疮程度。②并没有重视高危压疮患者的护理及预防。有的护理人员并没有仔细落实压疮预防措施,没有掌握评估压疮危险程度的办法,没有高度重视对高危压疮患者的护理及管理,大大增加了院内压疮的发生风险。③没有把握重点护理环节?;だ砣嗽痹诠ぷ髦斜в屑婀巳娴乃枷?,并没有突出重点,这样很可能在一些重点环节或者重点人群上面护理工作不到位。

        1.2.2压疮护理管理改善策略

        1.2.2.1成立一个 监控压疮护理管理组织。应明确划分科室监控员、护士长及压疮护理管理小组的工作职责。比如,科室监控员应负责本科室护士关于压疮护理知识的教育和培训工作,并且对本科室高危压疮患者、压疮患者建立一个专门的个案监控记录?;な砍びχ傅蓟だ砣嗽比绾握?、客观的评估患者的病情,督促护理人员认真落实压疮预防措施,并且制定有效的诊疗方案,一旦发现出现压疮患者,应立即上报提请会诊。压疮护理管理小组应组织确认、会诊难免压疮、带入压疮、高危压疮、院内压疮,动态跟踪监控医院所有压疮患者的病情。并且向各科室传达最新的压疮治疗技术、材料等信息。

        1.2.2.2应制定评估压疮危险因子的统一标准。要求所有住院患者在入院时、转入院时分别应用Braden压疮危险因子评估表来评估患者的压疮危险因子,由当班责任护士亲自填写评估表,一旦患者病情变化时应立即进行评估,并做好相应记录。若评分值在12分以下,则说明是高危压疮患者,若在13-18分之间,说明存在危险。压疮护理管理小组应统一培训各科室护士长及监控员关于高危压疮人群的评估能力,统一高危压疮评估原则。

        1.2.2.3护理应突出重点?;だ聿坎唤鲂枰嬲莆找皆焊骺剖抑懈呶Q勾巳阂约把勾颊叩南喙厍榭?,每季度专项检查各科室的压疮护理管理质量,并且汇总分析压疮护理管理中出现的理由,提出相应的改善措施,更重要的是督促各科室认真落实。同时,应重点关注高危人群以及压疮重点环节的管理,比如一些长期卧床治疗的老年患者是压疮的高发群体,应引起高度重视。

        1.3 疗效判定标准

        治愈:压疮创面愈合,长出了新生肉芽组织。好转:压疮的创面缩小,长出了新生肉芽组织,创面炎性渗出液有所减少。无效:压疮创面、炎性渗出液等情况并无明显变化。

        1.4 统计学处理

        选用软件SPSS11.0对数据进行统计学处理,计量数据用(X±s)表示,使用t对其进行检验,χ2对计数资料进行检验,P <0.05表示差异具有统计学意义。

        2.结 果

        压疮的预防及护理

        高血压的护理论文老年高血压的护理论文高血压病护理论文高血压患者护理论文高血压护理毕业论文高血压护理论文

        改善后,压疮患者治疗好转率(92.9%)明显高于改善前(71.4%),差异对比具有统计学作用(P<0.05),具体如表1所示。同时,改进后压疮发生率(2.9%)明显低于改进前(10%),差异对比也具有统计学意义(P<0.05)。

        3.讨 论

        根据以上分析,可以看出在压疮护理管理中主要存在制度不完善、制度执行力度不高等理由。本次通过采取针对性的护理管理

        2

        参考资料:

        [1]生肌膏治疗压疮护理的临床效果

        [2]压疮护理管理中存在的理由策略

        [3]循证护理在ICU患者压疮护理中的临床观察

        教师评价

        怎么写压疮护理管理本科论文?本文关于压疮的预防及护理论文范文,可以做为相关论文参考文献,与写作提纲思路参考,患者和统计学和创面方面的论文题目提纲开题报告文献综述参考文献的相关大学硕士和本科毕业论文.

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