Level Management Model in the Application of Nursing for Pressure Ulcers after Spinal Surgery_West China Medical Journal

Authors：

 QuJunhong ,  NingNing , LiYe , ZuoJianrong , LiPeifang

Department of Orthopedics Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NingNing, Email: gkningning@126.com

Keywords：

Level management model; Spinal surgery; Pressure ulcers nursing

DOI：

10.7507/1002-0179.201600343

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the effect of level management model in the application of nursing for pressure ulcers after spinal surgery. Method A total of 3 558 patients underwent spinal surgeries between January 2014 and September 2015 were selected. We established a level management model, confirmed the personnel responsibilities, strengthened the pressure ulcers risk assessment of new inpatients, and standardized the processes of reporting pressure sores. We carried out the level management model between January and June 2014, summarized experience and formed a system file between July and December 2014, applied to the clinical work after continuous improvement between January and September 2015. High risk of pressure ulcers reporting rate, incidence of high-risk pressure ulcers, and healing rate of pressure ulcers were compared at the various stages. Results The reporting rate of pressure ulcers raised, the incidence of pressure ulcers increased and the curing rate decreased after continuous improvement (P<0.05). Conclusions Level management model may effectively improve the quality of the nursing for spinal pressure ulcers.

Citation： QuJunhong, NingNing, LiYe, ZuoJianrong, LiPeifang. Level Management Model in the Application of Nursing for Pressure Ulcers after Spinal Surgery. West China Medical Journal, 2016, 31(7): 1262-1265. doi: 10.7507/1002-0179.201600343 Copy

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1. Panuncialman J, Falanga V. The science of wound bed preparation[J]. Clin Plast Surg, 2007, 34(4):621-632.
2. 王雅琴, 宁宁, 何凌霄, 等. 老年股骨颈骨折患者预防压疮的循证护理研究[J]. 华西医学, 2013, 28(1):36-39.
3. 蒋琪霞, 刘云. 成人压疮预测和预防实践指南[M]. 南京:东南大学出版社, 2009:70-76.
4. Alexander GL. Nurse assistant communication strategies about pressure ulcers in nursing homes[J]. Western J Nurs Res, 2015, 37(7):984-1004.
5. James J, Evans JA, Young T, et al. Pressure ulcer prevalence across Welsh orthopaedic units and community hospitals:surveys based on the European Pressure Ulcer Advisory Panel minimum data set[J]. Int Wound J, 2010, 7(3):147-152.
6. 陆微, 温嫔, 谢晖, 等. 临床压疮护理预防及基础循证研究[J]. 国际护理学杂志, 2006, 25(4):247-249.
7. Iyun AO, Malomo AO, Oluwatosin OM, et al. Pattern of presentation of pressure ulcers in traumatic spinal cord injured patients in University CollegeHospital, Ibadan[J]. Int Wound J, 2012, 9(2):206-213.
8. 贾红影, 段征征, 吴欣娟, 等. 临床护士压疮风险评估现状及影响因素研究进展[J]. 护理研究, 2016, 30(5):1537-1540.
9. Sardo P, Simões C, Alvarelhão J. Pressure ulcer risk assessment:retrospective analysis of Braden Scale scores in Portuguese hospitalised adult patients[J]. J Clin Nurs, 2015, 24(21/22):3165-3176.
10. Watts D, Abrahams E, Macmillan C, et al. Insult after injury:pressure ulcers in trauma patients[J]. Orthop Nurs, 1999, 17(4):84-91.
11. 王妤, 陈伟菊, 周佩如, 等. 压疮管理流程的建立与应用[J]. 护理管理杂志, 2007, 7(2):47-48.
12. 王文筱, 王伟, 吕红, 等. 三级医院压疮监控体系建立现状的调查[J]. 中国实用护理杂志, 2014, 30(26):63-66.
13. 滕五晓. 层级式安全管理的效能衰减及其治理策略[J]. 社会科学, 2012, 4:74-80.
14. Chan WS, Pang SM, Kwong EW. Assessing predictive validity of the modified Braden scale for prediction of pressure ulcer risk of orthopaedic patients in an acute care setting[J]. J Clin Nurs, 2009, 18(11):1565-1573.
15. 蒋琪霞. 压疮护理学[M]. 北京:人民卫生出版社, 2015:307-311.

West China Medical Journal

Level Management Model in the Application of Nursing for Pressure Ulcers after Spinal Surgery

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