骨科压疮护理不良事件68例发生特点分析及护理对策

发布时间：2018-07-28 11:52

【摘要】：目的:分析68例骨科压疮护理不良事件发生的特点,制定并实施相应的护理对策。方法:回顾性分析68例骨科压疮护理不良事件,分析压疮发生的原因,找出共性原因,提出针对性的护理对策,为临床骨科压疮预防提供风险预警,减少护理不良事件的发生。结果:压疮护理不良事件发生部位:骶尾部29例,臀部18例,足跟部17例,其他部位4例;科室分布:四肢创伤科28例,脊柱脊髓科13例,骨关节科12例,骨手显微外科11例,康复科4例。压疮发生的高危时间段是入院时间≤3 d、夜间。压疮评估高度危险患者(Braden评分≤12分)是防范压疮的重点人群,Braden评分13~18分(提示轻度、中度危险)患者同样需要加强预防干预措施。结论:重视对护理不良事件的分析讨论,加强重点患者、重点部位、重点时间段、重点护士的管理,减少骨科压疮护理不良事件的发生。
[Abstract]:Objective: to analyze the characteristics of 68 cases of orthopedic pressure sore nursing adverse events, and to formulate and implement the corresponding nursing countermeasures. Methods: 68 cases of nursing adverse events in orthopedic department were analyzed retrospectively, the causes of pressure sores were analyzed, the common causes were found out, and the corresponding nursing countermeasures were put forward, so as to provide early warning for the prevention of orthopedic sores and reduce the occurrence of adverse nursing events. Results: there were 29 cases of sacrococcyx, 18 cases of buttocks, 17 cases of heel, 4 cases of other parts, and 28 cases of limbs trauma, 13 cases of spine and spinal cord, 12 cases of orthopedics, 11 cases of bone and hand microsurgery. 4 cases in rehabilitation department. The high risk time period for the occurrence of pressure sores was admission time 鈮，

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