围术期压力性损伤智能移动护理模式的构建及应用

佟玥丽; 汤佳骏; 阮祺; 赵岚; 普鹰

doi:10.7619/jcmp.20222683

围术期压力性损伤智能移动护理模式的构建及应用

Establishment and application of an intelligent mobile nursing model for perioperative pressure injury

摘要

摘要:
目的基于Munro量表构建围术期压力性损伤（PPI）智能移动护理模式，并观察其应用效果。
方法将Munro量表嵌入移动端压力性损伤风险评估模块，构建由术前访视、术中巡回及术后管理组成的PPI智能移动护理模式。于2020年10—12月在择期手术患者中开始应用智能移动护理模式，比较应用前后院内PPI发生率的变化。
结果应用智能移动护理模式后，患者PPI发生率从1.77%降至0.74%，差异有统计学意义（χ²=10.079，P=0.002）。
结论基于Munro量表构建的围术期智能移动护理模式实现了病区、手术室、麻醉复苏室、ICU等多部门的统一管理，保障了PPI评估的连续性，有效降低患者PPI发生风险，促进了资源的合理配置，保障了临床管理工作的规范化开展。

Abstract:
Objective To establish an intelligent mobile nursing model for perioperative pressure injury (PPI) based on the Munro Scale and observe its clinical application effect.
Methods The Munro Scale was embedded into the mobile terminal pressure injury risk assessment module to build an intelligent mobile nursing model consisting of preoperative visit, intraoperative tour and postoperative managementfor PPI. From October to December 2020, the intelligent mobile nursing model was used in patients undergoing elective surgery. The changes in the incidence of PPI in the hospital before and after application were compared.
Results After the application of intelligent mobile nursing model, the incidence of PPI in patients significantly decreased from 1.77% to 0.74% (χ²=10.079, P=0.002).
Conclusion The perioperative intelligent mobile nursing model based on Munro Scale can realize the unified management of multiple departments such as ward, operating room and anesthesia recovery room, guarantee the continuity of PPI assessment, effectively reduce the risk of PPI in patients, promote the rational allocation of resources, and ensure the standardized development of clinical management.

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